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Nurses' and Nursing Assistants' Experiences With Teleconsultation in Small Rural Long-Term Care Facilities:

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  • 1Département des sciences administratives, Université du Québec en Outaouais, Gatineau, QC, Canada.

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Summary

Teleconsultation in rural Quebec nursing homes improved care quality and workflow by enhancing nurse and nursing assistant collaboration. This technology addresses nurse shortages and ensures continuous, safe resident care during night shifts.

Keywords:
Quebeclong-term care facilitiesnursingnursing practicesresidentsruralteleconsultationtelehealthworkflow optimization

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Area of Science:

  • Healthcare innovation
  • Nursing practice
  • Telehealth implementation

Background:

  • Rural Quebec nursing homes face night shift nurse shortages impacting resident care quality and safety.
  • Existing challenges necessitate innovative solutions like teleconsultation to ensure continuous nursing presence.
  • On-call telephone services were previously used, highlighting the need for more robust support.

Purpose of the Study:

  • To explore nurses' and nursing assistants' experiences with integrating teleconsultation during night shifts.
  • To assess the impact of teleconsultation in small rural residential and long-term care centers (CHSLDs) with 50 or fewer residents.
  • To understand the practical application and perceived benefits of teleconsultation in a challenging healthcare setting.

Main Methods:

  • A 6-month pilot project involving teleconsultation was implemented sequentially in 3 rural CHSLDs.
  • Data collection involved 18 semistructured interviews with 9 participating nurses and nursing assistants.
  • Interviews were conducted between February and July 2023, following the project's rollout from July 2022 to March 2023.

Main Results:

  • Teleconsultation significantly enhanced clinical, administrative, and organizational practices, improving care continuity and safety.
  • Workflow optimization occurred through an expanded scope of practice, leading to efficient and safe care delivery.
  • Improved collaboration, communication, and role clarity among healthcare professionals were key outcomes, supported by leadership.

Conclusions:

  • The teleconsultation pilot project successfully addressed nurse recruitment challenges and ensured night shift coverage in rural CHSLDs.
  • Teleconsultation optimizes professional practices, enhances care coordination, and maintains high standards of resident safety and quality.
  • This initiative represents a significant advancement in providing consistent and quality care to residents in underserved areas.