Please use this identifier to cite or link to this item:
http://hdl.handle.net/11375/28279
Title: | Patient and clinician experiences of post-discharge virtual care following non-elective surgery: A qualitative descriptive study |
Authors: | Levesque, Kelsea |
Advisor: | Carter, Nancy McGillion, Michael |
Department: | Nursing |
Publication Date: | 2022 |
Abstract: | Remote patient monitoring (RPM) and virtual care is a burgeoning field, with considerable uptake within chronic medical populations and recently expanding to include surgical populations. Patient and clinician experiences of participating in at-home, postoperative RPM or virtual care interventions are not well described in the current literature. The objective of this study was to understand the experience of patients and clinicians who participated in a 30-day RPM and virtual care program following non-elective surgery at the beginning of the COVID-19 pandemic in Canada. The study also aimed to identify ways to improve postoperative RPM programs for future interventions. Qualitative descriptive methodology was used to describe the participants experiences of the phenomena in everyday language. Purposive, maximum variation sampling was used to recruit a heterogenous sample that included participants from all five sites of the trial and focused on recruiting patients with prior surgery. Forty-three participants (21 patients, two patient spouses, 10 nurses, 10 physicians) took part in semi-structured telephone interviews, approximately 30 minutes in length. Data was transcribed by an independent transcriptionist and confirmed by the researcher. Reflexive thematic analysis was employed, and analysis was completed by the primary researcher and triangulated with two additional researchers, guided by the Conceptual Model for Telehealth Nursing. Themes generated include: ‘Virtual care is valued and holistic care, at home’, ‘From a wide scope towards a refined intervention’, and ‘A shared responsibility: Significance of interdisciplinary collaboration’. Postoperative RPM and virtual care provides an opportunity for patients to recover at home with skilled clinical oversight, with patients and clinicians highlighting reassurance and access to clinicians during a vulnerable period, particularly within the context of the COVID-19 pandemic. Improvement for the future may include more patient-centred scheduling for interventions including reduced video calls and vital signs measurements. |
URI: | http://hdl.handle.net/11375/28279 |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Levesque_Kelsea_LG_finalsubmission2022December_MScNursing.pdf | 674.64 kB | Adobe PDF | View/Open |
Items in MacSphere are protected by copyright, with all rights reserved, unless otherwise indicated.