Matching telehealth technology to the work processes of nurses managing the care of children with complex special health care needs

2.50
Hdl Handle:
http://hdl.handle.net/10755/308069
Category:
Abstract
Type:
Presentation
Title:
Matching telehealth technology to the work processes of nurses managing the care of children with complex special health care needs
Author(s):
Cady, Rhonda Guse
Lead Author STTI Affiliation:
Non-member
Author Details:
Rhonda Guse Cady, PhD, RN, cadyx010@umn.edu
Abstract:

Session presented on: Sunday, November 17, 2013

Background: Incorporating telehealth tools into ambulatory care delivery supports clinician management of consumer health between clinic visits. APRN role autonomy encourages innovative use of telehealth to facilitate care delivery.  Task-technology fit (TTF) is a framework for determining how technology assists a person during work processes. Evaluating the TTF of video telehealth for different types of nurses ensures that the depth and breadth of information available with telehealth technology matches the depth and breadth of information needed for care delivery. 

Methodology: The setting is the pediatric health care home where TeleFamilies took place. The TTF of video telehealth for registered nurses (RN) conducting dedicated telephone triage and the TeleFamilies APRN conducting care coordination employed a mixed methods protocol. Ethnographic data collection and directed content analysis described the work processes of triage and care coordination using telephone and video telehealth. Time-motion methodology measured the time of triage and care coordination activities using the two forms of telehealth. Between-group comparison of activity times from the triage and care coordination time-motion samples used Wilcoxon rank sum.

Results: Video telehealth provided visual and non-verbal information not available during telephone telehealth. The triage RN collected and transferred the additional information to the physician for diagnosis and treatment, with a significant difference in the time of telephone and video telehealth triage activities (p <= 0.05). The care coordination APRN synthesized and used the additional information for autonomous diagnosis and treatment, with no significant difference between telephone and video telehealth care coordination activities. RN and APRN scope of practice differences explain the dissimilar results.

Conclusion: Telehealth must provide the right information to the right clinician at the right time. Evaluating the TTF of video telehealth for RN triage and APRN care coordination provides rigorous analysis of whether technology is the right tool for a work process.

Keywords:
telehealth; ambulatory care nurse; health care home
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleMatching telehealth technology to the work processes of nurses managing the care of children with complex special health care needsen_GB
dc.contributor.authorCady, Rhonda Guseen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsRhonda Guse Cady, PhD, RN, cadyx010@umn.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308069-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p>Background: Incorporating telehealth tools into ambulatory care delivery supports clinician management of consumer health between clinic visits. APRN role autonomy encourages innovative use of telehealth to facilitate care delivery.  Task-technology fit (TTF) is a framework for determining how technology assists a person during work processes. Evaluating the TTF of video telehealth for different types of nurses ensures that the depth and breadth of information available with telehealth technology matches the depth and breadth of information needed for care delivery.  <p>Methodology: The setting is the pediatric health care home where TeleFamilies took place. The TTF of video telehealth for registered nurses (RN) conducting dedicated telephone triage and the TeleFamilies APRN conducting care coordination employed a mixed methods protocol. Ethnographic data collection and directed content analysis described the work processes of triage and care coordination using telephone and video telehealth. Time-motion methodology measured the time of triage and care coordination activities using the two forms of telehealth. Between-group comparison of activity times from the triage and care coordination time-motion samples used Wilcoxon rank sum. <p>Results: Video telehealth provided visual and non-verbal information not available during telephone telehealth. The triage RN <i>collected and</i> <i>transferred</i> the additional information to the physician for diagnosis and treatment, with a significant difference in the time of telephone and video telehealth triage activities (p <= 0.05). The care coordination APRN <i>synthesized and</i> <i>used</i> the additional information for autonomous diagnosis and treatment, with no significant difference between telephone and video telehealth care coordination activities. RN and APRN scope of practice differences explain the dissimilar results. <p>Conclusion: Telehealth must provide the right information to the right clinician at the right time. Evaluating the TTF of video telehealth for RN triage and APRN care coordination provides rigorous analysis of whether technology is the right tool for a work process.en_GB
dc.subjecttelehealthen_GB
dc.subjectambulatory care nurseen_GB
dc.subjecthealth care homeen_GB
dc.date.available2013-12-19T17:26:27Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:27Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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