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Competencies required for nursing telehealth activities: A Delphi-study

Background: Telehealth is viewed as a major strategy to address the increasing demand for care and a shrinking care professional population. However, most nurses are not trained or are insufficiently trained to use these technologies effectively. Therefore, the potential of telehealth fails to reach full utilization. A better understanding of nursing telehealth entrustable professional activities (NT-EPAs) and the required competencies can contribute to the development of nursing telehealth education. Method: In a four-round Delphi-study, a panel of experts discussed which NT-EPAs are relevant for nurses and which competencies nurses need to possess to execute these activities effectively. The 51 experts, including nurses, nursing faculty, clients and technicians all familiar with telehealth, were asked to select items from a list of 52 competencies based on the literature and on a previous study. Additionally, the panelists could add competencies based on their experience in practice. The threshold used for consensus was set at 80%. Results: Consensus was achieved on the importance of fourteen NT-EPAs, requiring one or more of the following core competencies; coaching skills, the ability to combine clinical experience with telehealth, communication skills, clinical knowledge, ethical awareness, and a supportive attitude. Each NT-EPA requires a specific set of competencies (at least ten). In total, 52 competencies were identified as essential in telehealth. Discussion/Conclusion: Many competencies for telehealth, including clinical knowledge and communication skills, are not novel competencies. They are fundamental to nursing care as a whole and therefore are also indispensable for telehealth. Additionally, the fourteen NT-EPAs appeared to require additional subject specific competencies, such as the ability to put patients at easewhen they feel insecure about using technology. The NT-EPAs and related competencies presented in this study can be used by nursing schools that are considering including or expanding telehealth education in their curriculum.

Hospital Nurses’ Self-Reported Confidence in Their Telehealth Competencies

Background: The diffusion of telehealth into hospital care is still low, partially because of a lack of telehealth competence among nurses. In an earlier study, we reported on the knowledge, skills, and attitudes (KSAs) nurses require for the use of telehealth. The current study describes hospital nurses' confidence in possessing these telehealth KSAs. Method: In a cross-sectional study, we invited 3,543 nurses from three hospitals in the Netherlands to rate their self-confidence in 31 telehealth KSAs on a 5-point Likert scale, using an online questionnaire. Results: A total of 1,017 nurses responded to the survey. Nine KSAs were scored with a median value of 4.0, 19 KSAs with a median value of 3.0, and three KSAs with a median value of 2.0. Conclusion: Given that hospital nurses have self-confidence in only nine of the 31 essential telehealth KSAs, continuing education in additional KSAs is recommended to support nurses in gaining confidence in using telehealth.

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Internet-Generation Nursing Students' View of Technology-Based Health Care

BACKGROUND: Today's nursing school applicants are considered “digital natives.” This study investigated students' views of new health care technologies. METHOD: In a cross-sectional survey among first-year nursing students, 23 common nursing activities and five telehealth nursing activities were presented along with three statements: “I consider this a core task of nursing,” “I look forward to becoming trained in this task,” and “I think I will do very well in performing this task.” RESULTS: Internet-generation nursing students (n = 1,113) reported a significantly (p ⩽ .001) less positive view of telehealth activities than of common nursing activities. Median differences were 0.7 (effect size [ES], −0.54), 0.4 (ES, −0.48), and 0.3 (ES, −0.39), measured on a 7-point scale. CONCLUSION: Internet-generation nursing students do not naturally have a positive view of technology-based health care provision. The results emphasize that adequate technology and telehealth education is still needed for nursing students. [J Nurs Educ. 2017;56(12):717–724.]

Interview met eTutor Jaap Jansen

In drie interviews komt in dit Lectoraatsjaar een aantal aspecten van eTutoring aan de orde. Het eerste interview betrof een gesprek met een ervaren eTutor in de Digipaboopleiding; dit keer komt een eTutor van een van de INHOLLAND masteropleidingen aan het woord. Het derde interview vindt plaats in juni 2006. Informatie over het onderzoek naar de competenties van eTutoren vind je op de website van het Lectoraat eLearning. Het gesprek met Jaap Jansen vindt plaats op de locatie Rotterdam op 3 april 2006. Het gaat over eTutoring, ‘begeleiden op afstand door een eTutor1 met behulp van een elektronische leeromgeving’. Naar aanleiding van de ervaringen van het eerste semester van de internationale masteropleiding Visual Knowledge Building (VKB) beschrijft Jaap zijn persoonlijke reflecties op de startfase van de opleiding en de rol van de eTutor in een notitie.

Video interactie begeleiding

Video Interactie Begeleiding (VIB) is een begeleidingsvorm die zijn wortels heeft in de video home training. Met de video worden hulpverlenerssituaties opgenomen en daarna geanalyseerd teneinde de hulpverlening te optimaliseren. Hierbij maakt de VIB gebruik van de zogenaamde interactieprincipes. Hoewel de methode haar oorsprong heeft in de video home training en dus in gezinssituaties of aanverwante situaties haar toepassing vindt, richt de VIB zich vooral op de interactie tussen de hulpverlener en de client. De VIB kent toepassingen in de jeugdhulpverlening, maar ook in de ouderenzorg en de hulp aan verstandelijke gehandicapten.