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Telemedicine entrustable professional activities for nurses in long-term care: A modified Delphi study.
Apphia Jia Qi Tan1, Lisa McKenna2, Andrea Bramley3
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nurse Education Today
|June 1, 2024
Summary
This study developed six core entrustable professional activities (EPAs) for nurses providing telemedicine in nursing homes. These EPAs ensure consistent, high-quality, and safe patient care during virtual consultations.
Area of Science:
- Nursing
- Health Informatics
- Geriatric Care
Background:
- Telemedicine use is increasing in community and long-term care settings.
- Guidelines are needed to support healthcare providers in delivering effective telemedicine care.
- Nursing home nurses require specific competencies for successful telemedicine consultations.
Purpose of the Study:
- To develop entrustable professional activities (EPAs) for nursing home nurses.
- To define core competencies for nurses engaged in telemedicine consultations within long-term care facilities.
Main Methods:
- A modified Delphi study involving two stages.
- Initial EPAs were developed through content analysis of interviews and literature review.
- An international expert panel refined EPAs using a three-round e-Delphi technique.
Main Results:
- Six core telemedicine EPAs, encompassing 28 specific descriptors, were successfully developed.
- The EPAs cover the entire teleconsultation process, from preparation to follow-up care.
- High agreement coefficients were achieved across all Delphi rounds, indicating consensus.
Conclusions:
- Identified core functions for long-term care nurses in telemedicine consultations.
- Developed EPAs are adaptable for designing telemedicine training and assessments for nurses.
- These EPAs can enhance nursing workflow, consistency, patient safety, and quality in telemedicine services.
Keywords:
Delphi studyEntrustable professional activitiesLong-term careNursingNursing homeTeleconsultationTelehealthTelemedicineMore Related Videos
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