Telemedicine in specialised palliative care: Healthcare professionals' and their perspectives on video consultations-A qualitative study
Telemedicine in specialised palliative care: Healthcare professionals' and their perspectives on video consultations-A qualitative study
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DOI：
10.1111/jocn.15004
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发表时间：
2019-08-09
影响因子：
4.2
通讯作者：
Dieperink, Karin B.
中科院分区：
文献类型：
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作者：
Funderskov, Karen Frydenrejn;Danbjorg, Dorthe Boe;Dieperink, Karin B.
目的和目标探讨使用视频咨询的优点和缺点，经验丰富的专业姑息治疗医疗保健专业人员，谁是参与姑息治疗在家里。背景专业姑息治疗团队工作中的一个挑战是在往返患者家中的时间和交通方面所使用的大量资源。视频咨询可能是实时专业姑息家庭护理的解决方案。设计诠释学，后现象学。方法一个探索性的定性研究，利用数据从现场笔记的自传日记，参与者的意见和半结构化的采访与医疗保健专业人员。使用COCOST指南报告研究。参见附录S1。数据收集在患者家中和丹麦欧登塞大学医院肿瘤科进行。结果八名参与者（n = 8），五个社区护士，和三个专门的姑息治疗团队成员-主任医师，物理治疗师和护士-参加了这项研究。医疗保健专业人员的知识是基于11例患者的n = 82次视频会诊。视频会诊的范围为每例患者3-18次。在视频咨询中使用平板电脑促进了直接的姑息治疗，并导致社区护士和专业姑息治疗团队护士合作。使用视频咨询的潜在障碍是在家庭成员在场的情况下讨论有关疾病的个人和私人问题。结论在专门的姑息性家庭护理中进行视频会诊是可行的，该技术可以促进医疗保健专业人员之间的多学科参与和合作。随着时间的推移，持续使用视频咨询可能会提高专业姑息家庭护理的质量。与临床实践的相关性使用视频咨询可以提供直接的远程专业姑息治疗，涉及医疗保健专业人员，患者及其亲属。
Aims and objectives To explore the advantages and disadvantages of using video consultations, as experienced by specialised palliative care healthcare professionals, who are involved in palliative care at home. Background One challenge in the work of specialised palliative care teams is the substantial resources used in terms of time and transport to and from the patient's home. Video consultations may be a solution for real-time specialised palliative home care. Designs Hermeneutic, postphenomenology. Methods An explorative qualitative study utilising data from field notes of an autobiographical diary, participant observations and semi-structured interviews with healthcare professionals. The COREQ guideline was used for reporting the study. See Appendix S1. The data collection took place in patients' homes and at the Department of Oncology, Odense University Hospital, Denmark. Results Eight participants (n = 8); five community nurses; and three specialised palliative care team members-a head physician, a physiotherapist and a nurse-participated in the study. The healthcare professionals' knowledge was based on n = 82 video consultations with 11 patients. The range of video consultations was 3-18 per patient. The use of tablets in video consultations facilitated direct palliative care and led the community nurses and the specialised palliative care team nurse to co-operate. Potential barriers against using video consultations are the discussions about personal, and private issues regarding the illness, while family members are present. Conclusions Video consultations in specialised palliative home care are feasible, and the technology can facilitate multidisciplinary participation and co-operation among healthcare professionals. The continuous use of video consultations over time may increase the quality of specialised palliative home care. Relevance to clinical practice The use of video consultations can provide direct specialised palliative care over distance involving healthcare professionals, patients and their relatives.