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'Empowering clinicians in smaller sites': A qualitative study of clinician's experiences with a rural Virtual
Georgina M Luscombe1, Juliet Hawthorn2, Alison Wu2
1School of Rural Health, The University of Sydney, Orange, NSW, Australia.
Objective:
To explore the experiences of 'spoke site' allied health and child and family health clinicians in the provision of care through a pilot 'hub and spoke' model Virtual Paediatric Feeding Clinic (VPFC) outreach service.
Design:
The study was qualitative, with data from virtual interview transcripts analysed using thematic analysis.
Setting:
Orange Health Service ('hub site') and seven community health centres within the Western NSW Local Health District ('spoke sites').
Participants:
Nine 'spoke site' clinicians (from dietetics, speech pathology, occupational therapy and child and family health nursing), who had participated in the pilot clinic.
Interventions:
Participants took part in a semi-structured interview with a member of the research team.
Main Outcome Measures:
Spoke site clinicians experiences and perceptions of the VPFC.
Results:
Four key themes emerged: (1) impact of the VPFC on 'spoke site' clinicians, (2) benefits for clients and families, (3) perceptions of the virtual model of care and (4) VPFC service challenges.
Conclusion:
The expansion of an existing interdisciplinary Paediatric Feeding Clinic into a virtual service demonstrates the use of technology to bridge a gap in healthcare. Clinicians reported benefits not only for families, but for their own knowledge and confidence in provision of care and reduced professional isolation through connection with discipline-specific colleagues.
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