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护士的远程护理体验:对护理及护理专业认知与影响的质性分析

Nurses' experience with telecare: a qualitative analysis of perceptions and implications for caring and the nursing profession.

作者信息

Piras Ilenia, Barbieri Barbara, Bellini Diego, Pibiri Valentina, De Simone Silvia, Mondo Marina, Pileri Jessica, Galletta Maura

机构信息

Clinical Trials Sector, 'A. Cao' Microcythemia Hospital, ASL Cagliari, 09100, Cagliari, Italy.

Department of Political and Social Sciences, University of Cagliari, 09123, Cagliari, Italy.

出版信息

BMC Nurs. 2025 Jul 11;24(1):908. doi: 10.1186/s12912-025-03480-4.

Abstract

BACKGROUND

In Italy, telecare has experienced significant growth in recent years, especially following the COVID-19 pandemic. This modality helps overcome geographic and time barriers, proving to be a valuable tool for ensuring access to care and improving the quality of life for patients. However, implementing telecare requires several challenges for nurses such as difficulty to adapt to a remote relationship, lack of training and adequate technological resources, and concerns about data security and privacy. The aim of the study is to explore nurses' experience with telecare and their perceptions about its positive and negative implications for caring and the profession.

METHODS

A qualitative study with semi-structured interviews was carried out by involving ten nurses working with telecare service from the Local Health Authority of a city in a central-Italy region.

RESULTS

Four main themes emerged: (1) the benefits of telecare, (2) the disadvantages of telecare, (3) opportunities for professional growth, and (4) challenges in telecare.

CONCLUSIONS

The results of this study suggest that effective implementation of telecare should take into account not only its potential benefits for patients and nurses but also the challenges related to the nurse-patient relationship and technological barriers. To improve healthcare it is important to invest in training, develop accessible technologies, share patient data and integrate telecare into traditional care models, in order to foster an holistic and individualized approach.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

在意大利,近年来远程护理发展显著,尤其是在新冠疫情之后。这种模式有助于克服地理和时间障碍,被证明是确保患者获得护理并提高其生活质量的宝贵工具。然而,实施远程护理给护士带来了诸多挑战,比如难以适应远程关系、缺乏培训和充足的技术资源,以及对数据安全和隐私的担忧。本研究的目的是探讨护士在远程护理方面的经验,以及他们对其在护理及职业方面的积极和消极影响的看法。

方法

对意大利中部地区一个城市地方卫生当局从事远程护理服务的十名护士进行了半结构化访谈的定性研究。

结果

出现了四个主要主题:(1)远程护理的益处,(2)远程护理的弊端,(3)职业发展机会,以及(4)远程护理中的挑战。

结论

本研究结果表明,有效实施远程护理不仅应考虑其对患者和护士的潜在益处,还应考虑与护患关系和技术障碍相关的挑战。为改善医疗保健,投资培训、开发易用技术、共享患者数据并将远程护理融入传统护理模式以促进整体和个性化方法很重要。

临床试验编号

不适用。

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