Dalstrom Matthew D, Cioni Jessica, Klein Colleen J, Cooling Melinda
Saint Anthony College of Nursing, 3301 N Mulford Rd Health Sciences Center, Rockford, 61114 , IL, USA.
OSF HealthCare, Peoria, IL, USA.
BMC Pregnancy Childbirth. 2025 Apr 23;25(1):473. doi: 10.1186/s12884-025-07587-z.
Underserved populations in the United States are at higher risk for poor maternal health outcomes. New models of care, such as telehealth, can offer additional support, including access to care 24/7/365 days a year; however, little is known about their impact on nurse-patient relationships. This study aimed to explore the perspectives of patients and nurses (registered and advanced practice registered nurses) on the relationships established through a telehealth program for pregnant and postpartum women.
A qualitative, descriptive, longitudinal study was conducted between December 2022 and December 2023. Semi-structured interviews were completed with 28 individuals in the first year after the program's launch. Among the participants, 23 were pregnant or postpartum women enrolled in a pregnancy and postpartum support program, and five were nurses involved in delivering the program. The semi-structured interviews were conducted remotely using a phone or an online platform. The interviews were analyzed using thematic analysis.
Two major themes, Therapeutic Nurse-Patient Relationships and Programmatic Aspects that Support Virtual Relationships, along with twelve subthemes, were identified. Participants felt that the programmatic aspects allowed them to create meaningful relationships with their care providers. In addition, the digital services offered a nonjudgmental and supportive method for women to receive care and education when and where they need it. From the nurses' standpoint, they felt that they could personalize the care for women without the time limitations typical in an in-person clinical encounter.
Supporting women through digital models of care can influence their engagement and relationships with their nurses. Findings show that both the women and the nurses reported being able to establish positive relationships, although they described them differently. As a result, women reported feeling comfortable accessing care and asking pregnancy-related questions, suggesting that telehealth programs can foster the development of therapeutic nurse-patient relationships.
美国医疗服务不足的人群孕产妇健康结局不良的风险更高。远程医疗等新型护理模式可以提供额外支持，包括一年365天每天24小时随时获得护理服务；然而，对于它们对护患关系的影响却知之甚少。本研究旨在探讨患者以及护士（注册护士和高级实践注册护士）对通过一项针对孕妇和产后妇女的远程医疗项目所建立的关系的看法。
在2022年12月至2023年12月期间进行了一项定性、描述性纵向研究。在该项目启动后的第一年，对28人进行了半结构化访谈。参与者中，23人是参加了妊娠和产后支持项目的孕妇或产后妇女，5人是参与该项目实施的护士。半结构化访谈通过电话或在线平台远程进行。访谈采用主题分析法进行分析。
确定了两个主要主题，即治疗性护患关系和支持虚拟关系的项目方面，以及十二个子主题。参与者认为项目方面使他们能够与护理提供者建立有意义的关系。此外，数字服务为女性提供了一种在需要时和需要的地点接受护理和教育的无偏见且支持性的方式。从护士的角度来看，他们觉得自己可以为女性提供个性化护理，而不受面对面临床接触中典型的时间限制。
通过数字护理模式为女性提供支持可以影响她们与护士的接触和关系。研究结果表明，女性和护士都报告能够建立积极的关系，尽管他们的描述有所不同。因此，女性报告在获得护理和询问与怀孕相关问题时感到自在，这表明远程医疗项目可以促进治疗性护患关系的发展。
