Nurses' experiences with virtual care during the COVID-19 pandemic: a qualitative study in primary care.

Autor: Vaughan C; Faculty of Nursing, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada., Hedden L; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada., Lukewich J; Faculty of Nursing, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada. jlukewich@mun.ca., Mathews M; Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada., Marshall EG; Department of Family Medicine Primary Care Research Unit, Dalhousie University, 1465 Brenton Street, Suite 402, Halifax, NS, B3J 3T4, Canada., Meredith L; Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada., Ryan D; Faculty of Nursing, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada., Spencer S; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada., Braithwaite S; School of Nursing, Trent University, 1600 West Bank Drive, Peterborough, ON, Canada., Wickett J; Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada., Marchuk S; Faculty of Human and Social Development, School of Nursing, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada., Dufour E; Faculty of Nursing, Université de Montréal, 2375 Chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1A8, Canada.
Jazyk: angličtina
Zdroj: BMC nursing [BMC Nurs] 2024 Dec 18; Vol. 23 (1), pp. 896. Date of Electronic Publication: 2024 Dec 18.
DOI: 10.1186/s12912-024-02540-5
Abstrakt: Background: During the COVID-19 pandemic, virtual care was used to deliver primary care services. Nurses contributed to primary care teams' capacity to deliver care virtually. This study explored nurses' roles in virtual care delivery in primary care and the barriers and facilitators that influenced their contributions.
Methods: We employed a qualitative descriptive approach and conducted semi-structured interviews with nurses representing each regulatory designation (i.e., Nurse Practitioners, Registered Nurses, Licensed/Registered Practical Nurses) working in primary care in four Canadian provinces (i.e., British Columbia, Ontario, Nova Scotia, and Newfoundland and Labrador). We performed thematic analysis on data related to the delivery of virtual care.
Results: We interviewed seventy-six nurses and identified three key themes and various sub-themes related to virtual nursing practice during the COVID-19 pandemic: (1) variable adoption of virtual care among nurses, (2) facilitators and barriers to virtual nursing practice, and (3) impacts of virtual delivery on care provision by nurses. Nurses' involvement in virtual care varied across designations and nurses recalled various facilitators and impediments that influenced their virtual care experience, such as guidance documents, funding models, and the availability of equipment. Virtual care influenced nurses' workflow, their ability to deliver patient-centred care, and their ability to bridge the care gap.
Conclusions: Primary care teams are increasingly relying upon nurses to support virtual care delivery, emphasizing the need to understand nursing roles in virtual care. Primary care funding models should be leveraged to support nurses in virtual care delivery; and standardized learning opportunities and guidance documents focused on virtual care should be available to support primary care nurses and strengthen their contributions in future primary care teams that involve virtual nursing care.
Competing Interests: Declarations. Ethics approval and consent to participate: We obtained ethics approval from each of the regional research ethics boards: Simon Fraser University and the University of British Columbia (File: H20-02998); Western University Research Ethics Board (File: 120519); the Nova Scotia Health Authority Research Ethics Board (File: 1027959); and the Health Research Ethics Board of Newfoundland and Labrador (File: 20222815). Prior to initiating any interviews, we shared an information and consent form with all participants which outlined the voluntary nature of their involvement in the study, the risks and benefits associated with their involvement, and the confidentiality of information collected. As per approval from the above ethics review boards, we obtained verbal informed consent from all participants prior to initiating interviews. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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