Enablers and barriers to nurse-facilitated geriatric teleconsultations in nursing homes: a qualitative descriptive multi-site study
Nurses play a major role in facilitating teleconsultations in nursing homes with remote physicians. Currently, evidence explicating their role in teleconsultations is lacking. As telemedicine usage grows, understanding the factors that enable or impede nurses' role in teleconsultations allows f...
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| Veröffentlicht in: | Age and ageing 2022-12, Vol.51 (12) |
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| container_title | Age and ageing |
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| creator | Qi Tan, Apphia Jia Chua, Wei Ling McKenna, Lisa Chin Tan, Laurence Lean Lim, Yu Jun Liaw, Sok Ying |
| description | Nurses play a major role in facilitating teleconsultations in nursing homes with remote physicians. Currently, evidence explicating their role in teleconsultations is lacking. As telemedicine usage grows, understanding the factors that enable or impede nurses' role in teleconsultations allows for more support in the provision of patient care through this modality.
This study sought to explore enablers and barriers nurses faced in facilitating geriatric teleconsultations in nursing homes.
A qualitative descriptive study using semi-structured interviews was conducted in Singapore, from July to November 2021. Purposive sampling of nursing home nurses was undertaken. Data were inductively analysed using Braun and Clarke's thematic analysis approach.
Twenty-two nursing home nurses participated in the study. Six key themes were identified as enablers and barriers in nurse-facilitated geriatrics teleconsultations. Enablers included nurses' acknowledgement of teleconsultations as needs-orientated service, close partnership with the hospital-based geriatric service for training and workflow support and nurses' sense of empowerment in teleconsultation involvement. Barriers that existed were the nurses' lack of confidence in physical assessment and communication competencies, role conflict due to nurses' perceived inability to meet physicians' expectations and limited scope of practice in performing teleconsultation-related tasks and the presence of technology-related challenges.
The identification of enablers and barriers in teleconsultations for nursing home residents provides insights for future research and development in telemedicine-related implementation and educational interventions in long-term care. Developing strong partnerships between telemedicine providers and nursing homes, further enhancement of nurses' telemedicine competencies and optimising digital infrastructure are warranted. |
| doi_str_mv | 10.1093/ageing/afac268 |
| format | Article |
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This study sought to explore enablers and barriers nurses faced in facilitating geriatric teleconsultations in nursing homes.
A qualitative descriptive study using semi-structured interviews was conducted in Singapore, from July to November 2021. Purposive sampling of nursing home nurses was undertaken. Data were inductively analysed using Braun and Clarke's thematic analysis approach.
Twenty-two nursing home nurses participated in the study. Six key themes were identified as enablers and barriers in nurse-facilitated geriatrics teleconsultations. Enablers included nurses' acknowledgement of teleconsultations as needs-orientated service, close partnership with the hospital-based geriatric service for training and workflow support and nurses' sense of empowerment in teleconsultation involvement. Barriers that existed were the nurses' lack of confidence in physical assessment and communication competencies, role conflict due to nurses' perceived inability to meet physicians' expectations and limited scope of practice in performing teleconsultation-related tasks and the presence of technology-related challenges.
The identification of enablers and barriers in teleconsultations for nursing home residents provides insights for future research and development in telemedicine-related implementation and educational interventions in long-term care. Developing strong partnerships between telemedicine providers and nursing homes, further enhancement of nurses' telemedicine competencies and optimising digital infrastructure are warranted.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afac268</identifier><identifier>PMID: 36580553</identifier><language>eng</language><publisher>England</publisher><subject>Aged ; Humans ; Nursing Homes ; Physicians ; Qualitative Research ; Remote Consultation ; Telemedicine</subject><ispartof>Age and ageing, 2022-12, Vol.51 (12)</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-7bce50f4221070cde8213c96a1708a8ee4506c6fc8cf45bd7a222dddf480e3c53</citedby><cites>FETCH-LOGICAL-c335t-7bce50f4221070cde8213c96a1708a8ee4506c6fc8cf45bd7a222dddf480e3c53</cites><orcidid>0000-0002-2422-1591</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36580553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qi Tan, Apphia Jia</creatorcontrib><creatorcontrib>Chua, Wei Ling</creatorcontrib><creatorcontrib>McKenna, Lisa</creatorcontrib><creatorcontrib>Chin Tan, Laurence Lean</creatorcontrib><creatorcontrib>Lim, Yu Jun</creatorcontrib><creatorcontrib>Liaw, Sok Ying</creatorcontrib><title>Enablers and barriers to nurse-facilitated geriatric teleconsultations in nursing homes: a qualitative descriptive multi-site study</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Nurses play a major role in facilitating teleconsultations in nursing homes with remote physicians. Currently, evidence explicating their role in teleconsultations is lacking. As telemedicine usage grows, understanding the factors that enable or impede nurses' role in teleconsultations allows for more support in the provision of patient care through this modality.
This study sought to explore enablers and barriers nurses faced in facilitating geriatric teleconsultations in nursing homes.
A qualitative descriptive study using semi-structured interviews was conducted in Singapore, from July to November 2021. Purposive sampling of nursing home nurses was undertaken. Data were inductively analysed using Braun and Clarke's thematic analysis approach.
Twenty-two nursing home nurses participated in the study. Six key themes were identified as enablers and barriers in nurse-facilitated geriatrics teleconsultations. Enablers included nurses' acknowledgement of teleconsultations as needs-orientated service, close partnership with the hospital-based geriatric service for training and workflow support and nurses' sense of empowerment in teleconsultation involvement. Barriers that existed were the nurses' lack of confidence in physical assessment and communication competencies, role conflict due to nurses' perceived inability to meet physicians' expectations and limited scope of practice in performing teleconsultation-related tasks and the presence of technology-related challenges.
The identification of enablers and barriers in teleconsultations for nursing home residents provides insights for future research and development in telemedicine-related implementation and educational interventions in long-term care. Developing strong partnerships between telemedicine providers and nursing homes, further enhancement of nurses' telemedicine competencies and optimising digital infrastructure are warranted.</description><subject>Aged</subject><subject>Humans</subject><subject>Nursing Homes</subject><subject>Physicians</subject><subject>Qualitative Research</subject><subject>Remote Consultation</subject><subject>Telemedicine</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtPwzAQhC0EoqVw5Yh85JLWjzhxuKGqPCQkLnCONvamGOXR2g5Sz_xxQls47ax2ZrT6CLnmbM5ZIRewRtetF1CDEZk-IVOeZjoRWqanZMoYEwnLRTEhFyF8jitXXJyTicyUZkrJKfledVA16AOFztIKvHe_S-xpN_iAydjrGhchoqVr9A6id4ZGbND0XRia8eJGQV23D4y_0I--xXBHgW4H2EfdF1KLwXi32et2jLkkuIg0xMHuLslZDU3Aq-OckfeH1dvyKXl5fXxe3r8kRkoVk7wyqFidCsFZzoxFLbg0RQY8Zxo0YqpYZrLaaFOnqrI5CCGstXWqGUqj5IzcHno3vt8OGGLZumCwaaDDfgilyFVRqELIfLTOD1bj-xA81uXGuxb8ruSs_AVfHsCXR_Bj4ObYPVQt2n_7H2n5A4YQhQo</recordid><startdate>20221205</startdate><enddate>20221205</enddate><creator>Qi Tan, Apphia Jia</creator><creator>Chua, Wei Ling</creator><creator>McKenna, Lisa</creator><creator>Chin Tan, Laurence Lean</creator><creator>Lim, Yu Jun</creator><creator>Liaw, Sok Ying</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2422-1591</orcidid></search><sort><creationdate>20221205</creationdate><title>Enablers and barriers to nurse-facilitated geriatric teleconsultations in nursing homes: a qualitative descriptive multi-site study</title><author>Qi Tan, Apphia Jia ; Chua, Wei Ling ; McKenna, Lisa ; Chin Tan, Laurence Lean ; Lim, Yu Jun ; Liaw, Sok Ying</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-7bce50f4221070cde8213c96a1708a8ee4506c6fc8cf45bd7a222dddf480e3c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Humans</topic><topic>Nursing Homes</topic><topic>Physicians</topic><topic>Qualitative Research</topic><topic>Remote Consultation</topic><topic>Telemedicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qi Tan, Apphia Jia</creatorcontrib><creatorcontrib>Chua, Wei Ling</creatorcontrib><creatorcontrib>McKenna, Lisa</creatorcontrib><creatorcontrib>Chin Tan, Laurence Lean</creatorcontrib><creatorcontrib>Lim, Yu Jun</creatorcontrib><creatorcontrib>Liaw, Sok Ying</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qi Tan, Apphia Jia</au><au>Chua, Wei Ling</au><au>McKenna, Lisa</au><au>Chin Tan, Laurence Lean</au><au>Lim, Yu Jun</au><au>Liaw, Sok Ying</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enablers and barriers to nurse-facilitated geriatric teleconsultations in nursing homes: a qualitative descriptive multi-site study</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2022-12-05</date><risdate>2022</risdate><volume>51</volume><issue>12</issue><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Nurses play a major role in facilitating teleconsultations in nursing homes with remote physicians. Currently, evidence explicating their role in teleconsultations is lacking. As telemedicine usage grows, understanding the factors that enable or impede nurses' role in teleconsultations allows for more support in the provision of patient care through this modality.
This study sought to explore enablers and barriers nurses faced in facilitating geriatric teleconsultations in nursing homes.
A qualitative descriptive study using semi-structured interviews was conducted in Singapore, from July to November 2021. Purposive sampling of nursing home nurses was undertaken. Data were inductively analysed using Braun and Clarke's thematic analysis approach.
Twenty-two nursing home nurses participated in the study. Six key themes were identified as enablers and barriers in nurse-facilitated geriatrics teleconsultations. Enablers included nurses' acknowledgement of teleconsultations as needs-orientated service, close partnership with the hospital-based geriatric service for training and workflow support and nurses' sense of empowerment in teleconsultation involvement. Barriers that existed were the nurses' lack of confidence in physical assessment and communication competencies, role conflict due to nurses' perceived inability to meet physicians' expectations and limited scope of practice in performing teleconsultation-related tasks and the presence of technology-related challenges.
The identification of enablers and barriers in teleconsultations for nursing home residents provides insights for future research and development in telemedicine-related implementation and educational interventions in long-term care. Developing strong partnerships between telemedicine providers and nursing homes, further enhancement of nurses' telemedicine competencies and optimising digital infrastructure are warranted.</abstract><cop>England</cop><pmid>36580553</pmid><doi>10.1093/ageing/afac268</doi><orcidid>https://orcid.org/0000-0002-2422-1591</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Aged Humans Nursing Homes Physicians Qualitative Research Remote Consultation Telemedicine |
| title | Enablers and barriers to nurse-facilitated geriatric teleconsultations in nursing homes: a qualitative descriptive multi-site study |
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