University of Twente Student Theses
Experiences of nurses working at a virtual care centre: barriers and facilitators associated with the use of telemonitoring.
Wegman, Alyssa (2023) Experiences of nurses working at a virtual care centre: barriers and facilitators associated with the use of telemonitoring.
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| Abstract: | Background: The healthcare sector is facing massive challenges for several years now, which is going to exceed in the future. To organize healthcare provision differently, innovative care models, like virtual care centres, are necessary for the accessibility of care. Virtual care centres focus on delivering medical specialist care at home. To establish the delivery from care at home telemonitoring is used. Currently, it is unclear how nurses who only deliver virtual healthcare experience the use of telemonitoring, because virtual care centres in the Netherlands are a relatively new concept. The aim of this study is therefore to provide insight into the experienced barriers and facilitators in the use of telemonitoring according to nurses working at a virtual care centre. Methods: A qualitative study design was applied using semi-structured interviews to identify the experienced barriers and facilitators in the use of telemonitoring at a virtual care centre. The interviews were conducted with nurses working at a virtual care centre in Isala, Rijnstate, Jeroen Bosch Hospital and Albert Schweitzer Hospital. An interview guide was established using topics of literature research on telemonitoring and the Unified Theory of Acceptance and Use of Technology (UTAUT) model. The interviews were conducted online as well as physical. For the data analysis, thematic analysis was applied. Codes were formed openly, followed by the subsequent categorization of these codes into themes. Results: In total, thirteen interviews were conducted, four at Rijnstate, one at Albert Schweitzer Hospital, three at Jeroen Bosch Hospital and five at Isala. These interviews resulted in six themes, with associated barriers and facilitators in the use of telemonitoring; 1) possible effects of telemonitoring; 2) changing job content nurses; 3) influence of hospital staff on the use of telemonitoring; 4), patientnurse relationship; 5) required skills and knowledge nurses; and 6) required resources and technology. The use of telemonitoring at virtual care centres is overall experienced as positive, wherein more facilitators than barriers are experienced. Important barriers that were found are 1) (no) connection between the telemonitoring application and the electronic patient record system; 2) the balance between work tasks and insufficient capacity; 3) little trust in virtual care centre executive staff; 4) lack of training about managing patients via telephone calls. A key facilitator that was found is ‘the more profound contact with the patient.’ Discussion: This study addressed the need for further theory development about the experiences of virtual care nurses. The experienced barriers and facilitators can give guidance in certain choices hospitals have to make when setting up a virtual care centre or give guidance to current virtual care centres in improving their centre. The factors facilitating conditions, effort expectancy, and social influence of the UTAUT model have played a crucial role in uncovering barriers and facilitators that may have been overlooked with other models. Inclusion of virtual care nurses in the decision-making process regarding potential changes within the virtual care centre is crucial. |
| Item Type: | Essay (Master) |
| Faculty: | TNW: Science and Technology |
| Subject: | 01 general works |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/96261 |
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