Barriers and Facilitators in Implementing Overnight Nursing Teleconsultation in Rural Small Long-Term Care Facilities: Qualitative Study (Preprint)
Опубликована: Янв. 30, 2025
BACKGROUND
Teleconsultation
has
expanded
rapidly
in
recent
years,
especially
during
the
COVID-19
pandemic,
and
become
standard
practice
among
physicians.
The
benefits
of
teleconsultation,
namely
improving
access
to
care,
ensuring
continuity
quality
increasing
patient
satisfaction,
as
well
reducing
costs
wait
times,
are
documented.
However,
its
use
nursing
practice,
long-term
care
settings,
remains
under-researched
despite
significant
transformative
potential,
particularly
resource-limited
rural
where
it
could
address
major
challenges
such
shortages
care.
OBJECTIVE
This
study
aimed
identify
barriers
facilitators
implementing
overnight
teleconsultation
Quebec’s
residential
centers
(“Centres
d’hébergement
et
de
soins
longue
durée”;
CHSLDs)
with
≤50
beds.
METHODS
A
six-month
pilot
project
was
rolled
out
sequentially
three
CHSLDs
two
administrative
regions
Quebec
between
July
2022
March
2023.
total
38
semi-structured
interviews
were
conducted
managers
(27/38),
staff
members
(9/38),
resident
committee
presidents
(2/38)
February
RESULTS
results
highlight
several
teleconsultation.
Among
main
identified
by
union
opposition,
network
instability,
limited
technology
skills,
a
perceived
increase
workload
for
staff,
low
volume
teleconsultations.
participants
also
number
facilitators,
setting,
on-call
culture,
buy-in
from
senior
management
managers,
support
leaders
site
managers.
Collaboration
Nursing
Department
(ND)
Support
Autonomy
Seniors
(SASD),
transfer
knowledge
experience,
motivation,
development
roles
improved
professional
practices
engines
success.
Finally,
relative
enhanced
mutual
vision,
faster
assessment
clinical
situations,
management,
greater
flexibility
safety,
played
role
acceptability
potential
CONCLUSIONS
provides
an
in-depth
understanding
small
CHSLDs.
constitutes
sound
basis
developing
tailored
strategies
at
overcoming
optimizing
facilitators.
provide
practical
guidelines
decision-makers,
highlighting
need
adapt
implementation
approaches
unique
context
each
facility.
Furthermore,
highlights
importance
further
research
broaden
our
on
dissemination
scale-up
healthcare
innovations.
includes
learning
health
systems
capable
responding
agile
effective
way
needs
vulnerable
populations,
both
elsewhere.
Язык: Английский
Consumer resistance to mobile health consultation: the role of IT affordances and IT identity
Aslib Journal of Information Management,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 27, 2024
Purpose
As
the
new
frontier
in
online
healthcare
innovation,
mobile
health
consultation
(MHC)
is
transforming
how
traditional
delivered.
Despite
being
known
on
a
large
scale
for
its
benefits,
MHC
still
faces
consumer
resistance.
technology-enabled
service,
so
an
in-depth
analysis
of
resistance
from
perspective
technology
crucial
to
enhance
service
adoption.
This
study
sought
determine
mechanism
by
which
two
information
(IT)-specific
traits
–
IT
affordance
and
identity
influence
during
consumer–platform
interactions.
Design/methodology/approach
We
used
Credamo
platform
gather
data
786
users
with
medical
consulting
experience
validate
resulting
relationships.
Findings
Based
partial
least
squares
structural
equation
modeling,
three
six
affordances
(visibility,
searching
guidance
shopping)
exerted
significant
positive
identity,
while
trigger
attending
association
had
no
effect
identity.
Persistence
was
negatively
associated
influenced
MHC.
Originality/value
Academically,
this
empirical
paper
primarily
contributes
literature
theory
Practically,
several
valuable
platforms
provided.
Язык: Английский
THE RISE OF VIRTUAL FOOD TOURISM EXPERIENCES: INTEGRATING DIFFUSION OF INNOVATION THEORY AND SELF-DETERMINATION THEORY
Tourism and hospitality management,
Год журнала:
2024,
Номер
30(2), С. 249 - 258
Опубликована: Янв. 1, 2024
Purpose
–
The
COVID-19
pandemic
has
had
a
significant
impact
on
the
food
tourism
industry,
leading
to
business
closures
and
drop
in
demand.
In
response
this
challenge,
virtual
experiences
such
as
VR
have
emerged
an
alternative
traditional
in-person
experiences.
Aim
of
paper
is
model
consumer
adoption
by
integrating
Diffusion
Innovation
Theory
Self-determination
Theory.
Methodology/Design/Approach
explains
process
innovation
adoption,
while
focuses
motivation.
This
article
proposes
that
intrinsic
(autonomy,
relatedness,
competence)
extrinsic
(relative
advantage,
complexity,
compatibility,
trialability,
observability)
motivating
factors
influence
adoption.
Findings
study
suggests
motivators
can
act
mediators
between
motivation
intention.
Integrating
these
two
theories
provides
comprehensive
understanding
motivations
mechanisms
driving
It
also
paves
way
for
exploration
specific
underlying
behaviours.
Originality
research
Destinations,
businesses,
policy
makers
better
navigate
changing
landscape
leverage
potential
create
engaging,
accessible,
culturally
enriching
Язык: Английский