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Nursing practice and teleconsultations in a pandemic context: A mixed-methods study.

Safa Regragui1, Sabina Abou Malham2, Isabelle Gaboury3

  • 1Département des sciences de la santé communautaire, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec, Canada.

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|May 19, 2023
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Summary

Primary care nurses rapidly adopted telephone teleconsultations during the COVID-19 pandemic. Enhancing nursing education and technology is crucial for sustainable teleconsultation use in primary health care.

Keywords:
COVID-19nurse cliniciansnurse practitionerprimary health careteleconsultationstelehealth

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Area of Science:

  • Nursing Practice
  • Digital Health
  • Primary Health Care

Background:

  • Teleconsultation use surged during the COVID-19 pandemic.
  • Physician and specialist teleconsultation implementation is documented, but nursing practice remains under-researched.
  • Limited knowledge exists on teleconsultation adoption by primary care nurses.

Purpose of the Study:

  • To explore the utilization and implementation of teleconsultations by primary care nurses.
  • To identify facilitators and barriers to teleconsultation use in nursing practice.
  • To suggest solutions for sustainable teleconsultation integration post-pandemic.

Main Methods:

  • Sequential mixed-methods study design.
  • Phase 1: Cross-sectional e-survey with 98 nurses (nurse clinicians [NCs] and nurse practitioners [NPs]).
  • Phase 2: Semi-structured interviews with 10 nurses (4 NCs, 6 NPs).

Main Results:

  • Telephone was the primary teleconsultation modality used by nurses.
  • Nurse clinicians (NCs) were more likely to use teleconsultations.
  • Facilitators included web platforms and work-life balance; barriers involved resources and systemic integration.
  • Positive impacts (e.g., cognitive deficiency assessment) and negative impacts (e.g., rural population access) were reported.

Conclusions:

  • Nurses have significant potential to utilize teleconsultations in primary care.
  • Updated nursing education, user-friendly technology, and supportive policies are essential.
  • Teleconsultations can be sustainably integrated into primary health care nursing practice.