Provider, Staff, and Patient Perspectives on medical Visits Using Clinical Video Telehealth: A Foundation for Educational Initiatives to Improve Medical Care in Telehealth.

Provider, Staff, and Patient Perspectives on medical Visits Using Clinical Video Telehealth: A Foundation for Educational Initiatives to Improve Medical Care in Telehealth.
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DOI:
10.1016/j.nurpra.2021.02.020
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发表时间:
2021-05
期刊:
The journal for nurse practitioners : JNP
影响因子:
--
通讯作者:
Gordon HS
Gordon HS
中科院分区:
其他
文献类型:
--
作者:
Gopal RK;Solanki P;Bokhour BG;Skorohod N;Hernandez Lujan DA;Choi W;Gordon HS

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临床视频远程医疗 (CVT) 的使用正在增加,并允许进行地理上分开的护理;然而,这种分离可能会影响参与者的行为。通过半结构化深度访谈,我们询问了 VA 医疗中心的 CVT 执业护士 (NP)、工作人员和患者对 CVT 如何影响沟通的看法,并确定了三个主题。他们评论了安排预约的复杂性、当地护理障碍以及重症患者。 NP 讨论了 CVT 如何改变体检期间的感觉收集以及建立医患关系方面的差异。患者的看法反映了这些主题。 NP 确定了 CVT 如何需要不同的工作流程、行为和感官使用。患者对 CVT 表达了类似的担忧。 CVT 改变了提供者的工作流程、行为和使用感官来收集临床数据。患者意识到 CVT 对护理的一些影响。
Clinical Video Telehealth (CVT) use is increasing and allows geographically separated care; however, this separation may affect participants behaviors. Using semi-structured in-depth interviews, we asked CVT nurse practitioners (NP), staff and patients at a VA Medical Center about perspectives on how CVT effects communication and identified three themes. They remarked on the complexity of scheduling appointments, local barriers to care, and acutely ill patients. NPs discussed how CVT altered sensory collection during the physical exam and differences in building provider-patient relationships. Patients perceptions mirrored these themes. NPs identified how CVT requires different workflow, behaviors, and use of their senses. Patients expressed similar concerns with CVT. CVT changes provider’s workflow, behaviors, and use of senses to gather clinical data. Patients are aware of some the CVT’s impact on care.
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