ABSTRACT
Introduction: The use of smartphones to provide specialist ophthalmology services is becoming a more commonly used method to support patients with eye pathologies. During the COVID-19 pandemic, demand for telehealth services such as tele-ophthalmology, is increasing rapidly.Methods: In 2019, the agreement between diagnostic tests was investigated by comparing the diagnostic performance for eye posterior pole pathologies of the images obtained by a smartphone coupled to a medical device known as open retinoscope (OR), handled by a nurse and subsequently assessed by an ophthalmologist versus the images obtained by an ophthalmologist using a slit lamp associated to a 76 diopter indirect ophthalmic lens (Volk Super FieldVR ) (SL-IOL) at the outpatient department of a hospital. The OR used in this study worked with a 28 diopter indirect lens.Results: An examination of 151 dilated eyes (79 adult patients, mean age of 66.7 years, 59.5% women) was conducted. Sensitivity was 98.9%, specificity was 89.8%, the positive predictive value was 93.8% and the negative predictive value was 98.2%. The kappa index between both tests was 0.90 (95% CI: 0.83-0.97) in basic diagnosis, 0.81 (95% CI: 0.74-0.89) in syndromic diagnosis (13 categories) and 0.70 (95% CI: 0.62-0.77) in advanced diagnosis (23 categories).Discussion: Images obtained by a nurse using a smartphone coupled to the OR and subsequently assessed by an ophthalmologist showed a high diagnostic performance for eye posterior pole pathologies, which could pave the way for remote ophthalmology systems for this patient group.
ABSTRACT
Introduction: The COVID-19 pandemic had made patients scared of coming to clinics or hospitals, and this could affect the treatment of TB. Therefore, one type of service that can be used by nurses to improve compliance to TB treatment is Telenursing. This article aims to ascertain whether telenursing could be a solution in improving the compliance of TB patients to treatments in the COVID-19 pandemic. Design and Method: This research was conducted using the Randomised Controlled Trial design as well as PRISMA. Furthermore, useful research articles were sourced from the database using the keywords, "Message Reminder and Tuberculosis OR Medication Adherence". The databases used are Scopus, Science Direct, PubMed, and SAGE, all in English text and from 2015 to 2021, with inclusion criteria. 277 articles were obtained, and then filtered to select 3 articles by reading the main focus of the write-up, with regard to the topic of study. Result: Telenursing can be a solution to reduce the spread of COVID-19, and a substitute for remotely motivating individuals, as social support. Furthermore, it could be used as a reminder to patients to be obedient in carrying out treatments, and as a means of educating and improving good relationships with providers. Conclusions: Telenursing is a fairly effective solution in helping TB patients improve treatment compliance, reduce drug dropout rates and missed doses, as well as, raise awareness about the importance of health in the COVID-19 pandemic.
ABSTRACT
The pandemic caused by COVID-19 has generated changes in the knowledge and knowhow of nursing, requiring a continuous adaptation ability and not only to the foreseeable changes in daily care but also in the prevention and promotion of health. A SWOT Analysis is carried out in regard to this new reality, allowing us to analyze the current context of the organization, institution or service from which we start;agreeing to identify and analyze their Strengths, Weaknesses, Opportunities, and Threats. The purpose of this analysis is to determine and clarify the facilitating factors and the barriers that help or hinder the development of nursing during the pandemic. What happened in the course of the pandemic should be interpreted as an invitation to look at the care model that is being offered through nursing services from another perspective. We can no longer be faithful to a unique and exclusive care model, but we have to incorporate different models focused on self-care, adaptation to the changing reality of care and humanization, sustaining the incorpora-tion and application of ICTs as the structural axis of this integration. a gradual and transversal way, in the daily mode of action.
ABSTRACT
Although telehealth services grew exponentially in the U.S. during COVID-19, access has been inequitable, with underrepresented, including limited English proficient, patients less likely to use telehealth than non-Hispanic White, English-speaking patients. This could exacerbate existing outcomes disparities among underserved patients. We administered a cross-sectional survey on telehealth access beliefs and barriers among predominantly immigrant, racially and ethnically underrepresented community members and breast cancer patients(N=312) in the New York metropolitan area from August 2020 through February 2021. We then developed a program to facilitate telehealth access among underserved breast cancer patients. 56% thought video visits were inferior to in-person, 47% did not know if insurance covered telehealth, 42% lacked home internet for video telehealth, and 14% did not understand how telehealth works. In February 2021, we initiated, in partnership with over 20 health and community organizations, Access to Telehealth for Underserved Breast Cancer Patients (AcT), a multipronged, multilingual telehealth navigation program. Since January 2022, 154 patients have been screened for telehealth needs;111 needed and were provided with navigation;and 78 needed and were provided with mostly donated refurbished devices (25 smartphones, 28 laptops, 25 tablets) to enable telehealth visits. Over 250 healthcare professionals and 80 community organizations have received AcT information/education sessions. Because 68% of AcT patients need patient portal navigation, this has become a key AcT focus. AcT has demonstrated the importance of a culturally and linguistically tailored telehealth access program, built on strong partnerships, to facilitate telehealth access. At the health systems level, AcT has also helped to identify and disseminate potential evidence-based policy solutions, such as the provision of patient portal services in multiple languages and the ensuring of telehealth readiness among vulnerable patients. Information technology partnerships can make refurbished devices available to patients who do not have telehealth-ready devices of their own. [ABSTRACT FROM AUTHOR] Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
ABSTRACT
Objective: To evaluate the effect of a telenursing intervention in the context of the pandemic to prevent childhood anemia in Peru. Material and Method: Pilot, analytical, quasi-experimental study with pre-and post-test. The sample consisted of 60 mothers from a primary health care facility in Lambayeque, Peru, who were selected at convenience and then assigned to a control group (30) and an experimental group (30), with the latter being subjected to a 4 months telenursing intervention. The effect was measured by comparing the average hemoglobin and dietary iron intake before and after the intervention. Hemoglobin level was determined biochemically through blood analysis. Dietary iron intake was collected through telephone interviews following a 24-hour recall. Results: The average hemoglobin level in the experimental group did not show significant differences between the beginning and the end of the intervention (p= 0.199);whereas in the control group, the average hemoglobin level showed significant differences between the beginning and the end of the intervention (p= 0.013). The average dietary intake of iron among the children of the control group (p= 0.049) and the experimental group (p= 0.000) had a significant difference between the beginning and the end of the intervention. Conclusion: The children who received the telenursing intervention suffered no anemia and the dietary iron intake increased, thus corroborating that telenursing programs have the potential of offering more information on nutrition, favoring the health of the child, the mother and the family. © 2022, Universidad de Concepcion. All rights reserved.
ABSTRACT
PURPOSE: This study was conducted to determine if postoperative nurse-driven telehealth visits for patients undergoing septorhinoplasty decreased patient anxiety while improving comfort and satisfaction levels. DESIGN: The present study was an intervention-control study completed with a total of 320 participants (n = 160, intervention group; n = 160, control group). The intervention postseptorhinoplasty training using the telenursing method was conducted at three time points in this study; preoperatively-postoperatively, on days 3, and 10. METHODS: Data were collected from a group of patients undergoing septorhinoplasty in the Ear, Nose, and Throat department of a University Hospital in Turkey between October 2021 and February 2022. The data collected in the study were evaluated with the SPSS 23.00 program and were analyzed with the independent sample t-test for two independent groups and the F-test (ANOVA) for more than two groups. Correlation analysis was performed to examine the relationship between scales, and P < .05 was considered statistically significant. FINDINGS: In the postoperative period, the mean anxiety inventory score of the experimental group was found to be significantly lower than that of the control group (P < .01). Telenursing increased the satisfaction and comfort of the patients and shortened the discharge time. There was a negative and statistically significant relationship between satisfaction and State Anxiety Inventory and Trait Anxiety Inventory (r = -0.715, r = -0.739, P < .01). CONCLUSIONS: This study confirms the importance of postoperative telenursing for septorhinoplasty patients in promoting continuity of care, reducing anxiety and discharge time, improving comfort and satisfaction levels during the Covid-19 pandemic. Remote care was well received during the study and should be used more frequently. There is a need for further research regarding telehealth; and the international incentives and regulations which will be needed to make telenursing a standard of care should be pursued.
ABSTRACT
INTRODUCTION: Multiple sclerosis is associated with decrease in health-promoting behaviors (HPBs) and require appropriate nursing interventions. Telenursing can play an important role in education of patients during the COVID-19 pandemic in which face-to-face education is limited. This study aimed to investigate the effect of self-care education with telenursing approach on HPBs in patients with MS. MATERIALS AND METHODS: In this clinical trial, 68 patients with MS were selected using simple random sampling from Jahrom MS Society and randomly assigned to the intervention (n = 34) and control (n = 34) groups. In the intervention group, educational sessions were held three days a week for six weeks. Data were collected using demographic information and Walker's Health-Promoting Lifestyle questionnaires before and immediately after the intervention. Data were analyzed by Mann-Whitney and Wilcoxon tests using SPSS software (Ver. 21). RESULTS: Based on the findings, immediately after the intervention, the mean score of HPBs was significantly higher (p = 0.005) in the intervention group (145.38 ± 26.66) than the control group (129.18 ± 22.35). The means of nutrition, exercise, health responsibility, and stress management were significantly different between the intervention and control groups immediately after the intervention (p < 0.05). CONCLUSION: results this study indicated that self-care education with telenursing approach was effective on HPBs in patients with MS. It can be beneficial to employ as an educative-supportive approach in MS patients.
Subject(s)
COVID-19 , Multiple Sclerosis , Telenursing , Humans , Pandemics , Self CareABSTRACT
BACKGROUND: The nursing role significantly changed following reforms in the nurse training process. Nowadays, nurses are increasingly trained to promote and improve the quality of clinical practice and to provide support in the assistance of patients and communities. Opportunities and threats are emerging as a consequence of the introduction of new disruptive technologies in public health, which requires the health care staff to develop new digital skills. OBJECTIVE: The aim of this paper is to review and define the role of nurses and the skills they are asked to master in terms of new methodological approaches and digital knowledge in a continuously evolving health care scenario that relies increasingly more on technology and digital solutions. METHODS: This scoping review was conducted using a thematic summary of previous studies. Authors collected publications through a cross-database search (PubMed, Web of Science, Google Scholar) related to new telemedicine approaches impacting the nurses' role, considering the time span of 2011-2021 and therefore including experiences and publications related to the first phase of the COVID-19 pandemic. RESULTS: The assessment was completed between April and July 2021. After a cross-database search, authors reviewed a selection of 60 studies. The results obtained were organized into 5 emerging macro areas: (1) leadership (nurses are expected to show leadership capabilities when introducing new technologies in health care practices, considering their pivotal role in coordinating various professional figures and the patient), (2) soft skills (new communication skills, adaptiveness, and problem solving are needed to adapt the interaction to the level of digital skills and digital knowledge of the patient), (3) training (specific subjects need to be added to nursing training to boost the adoption of new communication and technological skills, enabling health care professionals to largely and effectively use new digital tools), (4) remote management of COVID-19 or chronic patients during the pandemic (a role that has proved to be fundamental is the community and family nurse and health care systems are adopting novel assistance models to support patients at home and to enable decentralization of services from hospitals to the territory), and (5) management of interpersonal relationships with patients through telemedicine (a person-centered approach with an open and sensitive attitude seems to be even more important in the framework of telemedicine where a face-to-face session is not possible and therefore nonverbal indicators are more problematic to be noticed). CONCLUSIONS: Further advancing nurses' readiness in adopting telemedicine requires an integrated approach, including combination of technical knowledge, management abilities, soft skills, and communication skills. This scoping review provides a wide-ranging and general-albeit valuable-starting point to identify these core competences and better understand their implications in terms of present and future health care professionals' roles.
ABSTRACT
Background: Telemedicine is a fast-emerging health sector in India. While nurses play an important role in delivering healthcare services through telemedicine, little is known about whether nursing interns are prepared adequately. Aim: To evaluate nursing interns’ perceptions of telenursing and to find out their opinion on whether telenursing should be added to the curriculum. Methods: This was a cross-sectional descriptive survey carried out among conveniently selected nursing interns (N = 183) from renowned colleges in Bangalore, South India. The data were collected using a self-reported questionnaire. Results: In this study, a majority of the participants had smartphones (74.8%), were accessible to the internet (96.7%), and were using the internet for more than 3 h/day (73.3%). While a majority (65.6%) of the participants were able to correctly identify the definition of telenursing, only 33.9% of them rightly answered the definition of telemedicine. Most of the participants indicated that the inclusion of telenursing in undergraduate studies would be useful for future healthcare workers (92.4%), and telenursing can be practiced in all the medical specialties. Conclusion: The majority of the nursing interns hold positive perceptions of telenursing and acknowledge its usefulness in nursing practice. However, their knowledge of telenursing is limited. Hence, the findings strongly suggest the need to introduce concepts of telenursing in curricula to prepare future healthcare providers to be able to provide safe and competent care in a highly technical and digital environment.
ABSTRACT
Background: During the COVID-19 pandemic, cancer patients became reluctant to come to the hospital, receive cancer treatment, and were willing to interrupt or postpone treatment due to concerns about infection. The purpose of this study was to discuss effective treatment strategy decision making support for cancer patients during the COVID-19 pandemic. Methods: An online survey was conducted on decision making support among nurses who worked at a cancer care hospital in Japan from May to July 2021. Results: Forty-nine facilities were asked to participate in the survey, and replies were received from 728 respondents;185 (26.8%) were nurses engaged in the decision making. The most common treatment choice was postponement in 132 patients (73.3%). Nurses who “provided information on measures to prevent COVID-19 infection” were more likely to recognize that “the patient was satisfied with the treatment” (p < 0.05). Nurses who “listened to the patient's thoughts” were less likely to perceive that the patient was “not convinced and continued with the previous treatment” (p < 0.05). Nurses who “listened to the patient's intentions and thoughts after the decision was made,” “followed up on the patient's symptoms and changes in perceptions by telephone,” “followed up on the patient's symptoms and changes in perceptions by videophone”, and “assured the patient that they could take immediate action if symptoms worsened with the physician's permission” more often recognized that the patient “accepted the treatment recommended by the physician although they were not convinced” (p < 0.05). Conclusions: Effective treatment strategy decision making support for cancer patients during the COVID-19 pandemic includes lifestyle guidance for infection prevention, listening to identify the reasons behind patients' choices, and telenursing for follow-up decision.
ABSTRACT
Practice nurse Maggi Bradley was featured on the BBC's The One Show for her work with video group consultations. Here she talks to Practice Nursing about her innovative digital work, as well as projects to encourage student nurses into primary care
ABSTRACT
Background: Promoting self-efficacy behaviors in self-care and people's true understanding of these behaviors are effective in controlling the disease, reducing the rate of transmission, and empowering patients. The aim of this study was to determine the effect of telephone counseling on self-efficacy in self-care behaviors of patients with coronavirus disease 2019 (COVID-19). Methods: This experimental study was conducted on patients with COVID-19 who had been referred to Shahid Beheshti hospital in Kashan, Iran, from May 2020 to August 2020. Eligible patients were recruited through convenience sampling and then allocated into an experimental (n=30) and a control (n=30) group using block randomization. In the experimental group, patients were trained through telephone counseling one, five, and 10 days after discharge. The control group received the usual training in the hospital. Data were gathered using a self-care questionnaire at different time intervals. The collected data were analyzed with SPSS software (version 11.5) using the Chi-square, one-way analysis of variance (ANOVA), and t-test. The significance level was set at 0.05. Results: The mean score of self-care at time of discharge and two and four weeks later were 47.86±6.84, 62.23±5.24 and 78.46±3.38, respectively. There was a significant difference in self-efficacy scores between the study groups at time of discharge (P=0.29). In addition, there was a significant difference in self-efficacy scores two weeks (P=0.01) and four weeks (P=0.001) after discharge from the hospital. The self-efficacy score in the experimental group increased significantly over time. Furthermore, group and time had significant effects on the self-efficacy score (P<0.05) two weeks (P=0.01) and four weeks (P=0.001) after discharge from the hospital between two groups. Conclusion: Telenursing could improve COVID-19 patients' self-efficacy in self-care. Therefore, it is recommended to use telenursing in the treatment protocol of COVID-19 patients for improving self-care. © The author.
ABSTRACT
Background: Gestational Diabetes is considered to be a serious health problem among pregnant women in Egypt. The seriousness, dramatically increasing and incidence of this disease make its management more essential and need more attention. Applying Tele-nursing in healthcare is increasingly prioritized to reduce maternal mortality, morbidity and improve newborns’ survival. Aim of the study: was to evaluate the effect of Tele-nursing guidelines on health lifestyle and self-efficacy among women with gestational diabetes during COVID-19 pandemic. Research design: Quazi experimental design was adopted to carry out this study. Setting: The study was conducted at family planning and antenatal care unit in outpatient clinic, at Zagazig University Hospital. Subjects: Purposive sample of 5o pregnant women with gestational diabetes. Tools of data collection: Four tools were used for data collection. Tool I: A structured interviewing questionnaire, Tool II: Health Promotion Lifestyle Profile scale (HPLP), Tool III: Self-efficacy scale in gestational diabetes and Tool IV: An educational nursing guidelines booklet for pregnant women with gestational diabetes. Results: There was a statically significant difference regarding mean score of all domains of the health promotion lifestyle profile throughout the intervention phase (p<0.001).Also;a statistically significant relation (p<0.05) was found between post self-efficacy score and post-knowledge score through post-intervention phase, Conclusion: it was concluded that;there was a highly statistical significant improvement among the studied women regarding total knowledge, health promotion life style and self-efficacy about GDM at pre and post intervention. In addition;there was a positive correlation coefficient (r =0.336), with statistically significant p (0.017) between self-efficacy and health promotion lifestyle throughout study phases Recommendations: Tele-nursing should be programmed, implemented and applied as a part of health plan with the routine nursing care in antenatal unites.
ABSTRACT
Primary Objective: Determine the principal actions of Teletriage /teleorientation of pediatric nursing during the Covid-19 pandemic. Method: Exploratory, longitudinal, documentary study, with 349 registration cards, in a specialized institute from Lima, Peru, during the months of May to July in the year 2020. Principal results: 28.4% of the patients attended were breastfeeding;54.4% were male;47.3% with Insurance (Seguro Integral de Salud);89.1% were from the capital;66.9% were connected through a phone call;20.9% presented skin problems. The primary identified diagnostic of nursing was Safety and Protection (38.1%);87.4% were referred to medical specialties and 100 % of users expressed their agreement. Main conclusion: Pediatric nursing teletriage/teleorientation, efficient assistance procedure that initiates virtual or face-to-face outpatient consultation, selecting pediatric specialties and providing counseling. This procedure achieved social recognition.
ABSTRACT
Background & Aim: Nurses constitute the majority of the workforce in the healthcare system. The use of digital technologies, including mHealth applications, is essential and effective in improving the quality level of healthcare services provided by nursing staff. Therefore, the primary purpose of this study is to investigate the use of mHealth applications for professional purposes by nurses during the COVID-19 pandemic. Methods & Materials: This is an applied study conducted using the descriptive, cross-sectional method in 2021. The study population was nurses in four public hospitals in Isfahan. The sampling method was a one-stage cluster sampling. The data collection tool was a questionnaire whose validity and reliability was assessed. Data analysis was performed using descriptive and inferential statistics on the SPSS software version 26. Results: The data of 93 questionnaires were analyzed. About 63 percent of nurses answered (with a reason) that they did not use these applications. This study showed that the use of mHealth applications is not common among the nurses. They need the training to use the applications. There were concerns regarding the mHealth applications' quality. The nurses believed that using a mHealth application would help them perform their nursing duties during the COVID-19 pandemic. Conclusion: Based on the study results, planning for the development of mHealth applications tailored to the nurses' needs and training nurses to use the applications in clinical settings are recommended. There is also a need to provide and develop specialized evaluation tools and working groups to review and report on the quality of mHealth applications. © 2022 The Authors. Published by Tehran University of Medical Sciences.
ABSTRACT
Objective: to assess the suitability of the mock teleconsultation methodology as a tool for the teachinglearning process in the Nursing University degree, according to professors and students. Method: a cross-sectional descriptive study, including 32 mock teleconsultations with actors, with 48 students and 6 professors assigned to different arms of six students and a professor, where different subjects were dealt with. In order to assess the suitability of this methodology, two focus groups were conducted: one with six professors and another one with six students, who were encouraged to describe the strengths and weaknesses of remote interaction. The information was analyzed through noun coding, based on grounded theory, with open coding and selective coding, in order to extract central themes and subthemes. Results: two subthemes were generated from the analysis of the speech of students: collective training and limited learning. In the first one, the teacher-student relationship and interventions by other students stood out, as well as the ability to continue training during the COVID-19 pandemic;and as weaknesses, they highlighted that this was not a useful methodology for face-to-face activities, and that it did not help to acquire skills. Professors generated two subthemes: horizontal and collaborative learning, and limitation for comprehensive care. In the first one, it was highlighted that this tool should be implemented in the future as one more creative method within the teaching-learning process;it encouraged supervision and follow-up of the training process of students by professors, and the improvement in willingness and commitment of students was highlighted. As a limitation, professors stated their concern with the evaluation process for students, with the technological and connectivity quality of teleconsultations, and coincided with students in the lack of ability of this methodology to replace face-to-face physical examination processes. Conclusions: mock teleconsultations represent a useful methodology for training future Nursing professionals, but are not able to replace face-to-face care activities in some cases. © 2021 DAE Editorial, Grupo Paradigma. All rights reserved.
ABSTRACT
The aim of this study was to evaluate the satisfaction of the use of telemedicine and telenursing in children and young adults with Type 1 Diabetes and their families followed in the Regional Pediatric Diabetes Center of Giannina Gaslini Institute (Liguria, Italy). An anonymous survey form was administered to 290 patients (138 filled out by caregivers and 152 by patients). The questionnaire consisted of two parts: the first one included a series of questions related to the patient's personal and medical data; the second one was directed toward the satisfaction in the use of telemedicine and telenursing during Covid-19 pandemic. The data collected showed that 92.4% of the population was overall very satisfied with the quality of the service provided. Satisfaction was much higher especially in those who live outside of the province of Genoa (p = 0.017) and in those on insulin pump treatment (p = 0.037). Telemedicine and telenursing have an essential role in diabetology and are highly appreciated in our Center, where most patients prefer to continue regular follow-up via video-call as well as in person. Telenursing was also proved to be an effective and appreciated tool for educating and supporting patients using insulin pumps and glucose sensors.
Subject(s)
COVID-19 , Diabetes Mellitus, Type 1 , Telemedicine , COVID-19/epidemiology , Child , Diabetes Mellitus, Type 1/therapy , Humans , Insulin , Pandemics , Patient Satisfaction , SARS-CoV-2 , Young AdultABSTRACT
Background: Considering the complications of coronavirus disease 2019 (COVID-19), it is necessary to implement telenursing in order to improve the quality of the healthcare services and ensure the continuity of these healthcare services out of the hospital. Aim: This study aimed to evaluate the effect of telenursing on the self-efficacy of the COVID-19 patients after discharge from the hospital. Method: This clinical trial was conducted on 66 COVID-19 patients in Vasei Hospital, Sabzevar, Iran, in 2021. The participants were divided into intervention and control groups using the random permuted block technique. The required data were collected through a demographic form and the COVID-19 Prevention, Recognition, and Home-Management Self-Efficacy Scale completed online by the participants before and 1 month after the intervention. A telenursing workshop was performed through an online platform to educate the patient in the intervention group for 1 month. Finally, the data were analyzed in SPSS software (version 24) using the independent t-test, paired t-test, Chi-square test, and Fisher's exact test. Results: The mean scores of self-efficacy were estimated at 165.66±15 and 159.69±21 21.73 in the control group before and after routine training, respectively, while they were obtained at 144.24±20.58 and 172.15±13.28 in the experimental group before and after telenursing, which was significantly different (P<0.001). Implications for Practice: It seems that telenursing was effective on the self-efficacy of patients. Accordingly, the nursing team is recommended to use telenursing to improve the self-efficacy of the COVID-19 patients. © 2021 Mashhad University of Medical Sciences. All rights reserved.
ABSTRACT
OBJECTIVE: To evaluate telenursing for caregivers (CGs) to treat and prevent pressure injury (PI) in bedridden patients (BPs) during the COVID-19 pandemic in Thailand. METHODS: Purposive sampling of 70 CGs [intervention group (i-group): n = 35 and control group (c-group): n = 35)] using an embedded approach was conducted from August 2020 to February 2021. The QUAN data were concurrently collected via online semi-structured interviews (OSIs) and video in-depth interviews (VIIs), then analysed using multivariate analysis of variance and thematic analysis. RESULTS: The QUAN data showed that CGs treating and preventing PI in BPs has a significant and positive effect (p < 0.01). The qual data illustrates that telenursing for CGs treating and preventing PI in BPs is associated with training and education, skin cleaning, repositioning, monitoring, and assessment of PI during the COVID-19 pandemic. CONCLUSION AND IMPLICATIONS: Telenursing for CGs treating and preventing PI in BPs is valuable to the professional consultation during the COVID-19 pandemic. Telenursing can reduce the CG burden, instructing them how to visually examine, clean, monitor, and risk assess the skin of BPs to prevent PIs.
ABSTRACT
AIMS: The aims of the Asthma Academy study were to (1) evaluate the telehealth performance of DNP students, (2) evaluate the perceived learning experience of DNP students and (3) investigate whether an association exists related to student performance and family caregiver outcomes. DESIGN: A descriptive study was conducted with doctor of nursing practice students. METHODS: Students conducted telehealth visits to help family caregivers of children with asthma and were rated on their performance by two faculty members using a rubric. Student perception data were gathered via survey. RESULTS: Out of a total possible score of 15 points, the mean telehealth performance score of students was 13.38 points. Students indicated the telehealth experience was valuable and that they were satisfied with their learning. This model of leveraging telehealth to bridge nursing students to the community may be adapted to help family caregivers of children with various disease foci.