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Using telemedicine in nursing homes during the COVID-19 pandemic: A multi-perspective view on the implementation
Petra Plunger1, Magdalena Eitenberger1, Maria Kletecka-Pulker1
1Ludwig Boltzmann Institute for Digital Health & Patient Safety, Medical University of Vienna, Vienna, Austria.
Aim:
Centring on nursing homes, we analysed the implementation process of a tablet- and videoconferencing-based telemedicine application from the perspectives of management, nursing staff and physicians.
Design:
We used a qualitative design based on interviews to explore diverse perspectives on the implementation of telemedicine.
Methods:
We conducted fourteen face-to-face or online interviews with a purposeful sample of five managers, six nurses and three general practitioners treating residents in Austrian nursing homes during the COVID-19 pandemic. We condensed data using thematic analysis.
Results:
Nursing home management implemented telemedicine rapidly, using a top-down approach met with ambivalence by staff. On the part of nurses, their professional understanding of person-centred care was challenged. Telemedicine also impacted cooperation between nurses and physicians, influencing their respective understanding of their roles. Working experience with digital nursing documentation had a positive effect on users' acceptance of the telemedicine solution.
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