The Experiences Of New Zealand Nurses Using Teleconsultation: Caring At A Distance

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dc.contributor.advisor Lim, G en
dc.contributor.advisor Honey, M en Wright, Jane en 2014-10-01T18:58:05Z en 2014 en
dc.identifier.citation 2014 en
dc.identifier.uri en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract BACKGROUND The advancement of communication tools and its application to healthcare have seen the emergence of telemedicine. One aspect of telemedicine is teleconsultation which involves the use of information technology to provide medical advice or information from a distance (Nerlich et al., 2002). It is timely to examine the impact this will have on nurses, the largest health professional group, and their nursing practice. AIM The aim of the study was to explore the nurse experience regarding participation and use of teleconsultation and what factors are considered important to confidently and competently participate in teleconsultation. METHODS The design was a qualitative study using a general inductive approach. Single semistructured interviews were undertaken with nine New Zealand registered nurses currently practicing teleconsultation. The findings were derived from a thematic analysis of the transcribed interviews which identified five overarching themes and sixteen subthemes. FINDINGS The use of teleconsultation created a strong sense of connection within the relationships of the health care team particularly those working in remote areas. Teleconsultation provided opportunity for more timely care for patients with increased access to specialist support and expertise and proved more convenient with a patient and family focus. Participants reported a high level of confidence and competence practicing teleconsultation. Their journey from novice to expert related to organisational factors, the skill set and the specialty experience they already possessed. Participants adapted quickly to the technological aspects when adequate training and support was provided. All participants were strong advocates for the use of teleconsultation within their practice. The nurse’s role within teleconsultation was important with participants involved in co-ordination, advocacy and support to ensure a positive experience for the patient. Participants described the practicalities of offering teleconsultation and made a number of recommendations to ensure the smooth transition from face to face to distance consultation. These included having adequate infrastructure and facilities to provide quality services. Deficits were identified in aging equipment, inadequate rooms for consultation and delayed progress in the electronic sharing of health information. CONCLUSION The study produced many similar findings to previous research regarding teleconsultation. The experiences of the study participants also provided important information on the benefits and challenges associated with teleconsultation and what is required for nurses to adapt to this modality. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri en
dc.rights.uri en
dc.title The Experiences Of New Zealand Nurses Using Teleconsultation: Caring At A Distance en
dc.type Thesis en The University of Auckland en Masters en
dc.rights.holder Copyright: The Author en
pubs.elements-id 457243 en
pubs.record-created-at-source-date 2014-10-02 en

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