Intention of healthcare providers to use video-communication in terminal care: a cross-sectional study. Richard M. H. Evering, Marloes G. Postel, Harmieke van Os-Medendorp, Marloes Bults and Marjolein E. M. den Ouden BMC Palliative Care volume 21, Article number: 213 (2022) Cite this articleAbstractBackgroundInterdisciplinary collaboration between healthcare providers with regard to consultation, transfer and advice in terminal care is both important and challenging. The use of video communication in terminal care is low while in first-line healthcare it has the potential to improve quality of care, as it allows healthcare providers to assess the clinical situation in real time and determine collectively what care is needed. The aim of the present study is to explore the intention to use video communication by healthcare providers in interprofessional terminal care and predictors herein.MethodsIn this cross-sectional study, an online survey was used to explore the intention to use video communication. The survey was sent to first-line healthcare providers involved in terminal care (at home, in hospices and/ or nursing homes) and consisted of 39 questions regarding demographics, experience with video communication and constructs of intention to use (i.e. Outcome expectancy, Effort expectancy, Attitude, Social influence, Facilitating conditions, Anxiety, Self-efficacy and Personal innovativeness) based on the Unified Theory of Acceptance and Use of Technology and Diffusion of Innovation Theory. Descriptive statistics were used to analyze demographics and experiences with video communication. A multiple linear regression analysis was performed to give insight in the intention to use video communication and predictors herein.Results90 respondents were included in the analysis.65 (72%) respondents had experience with video communication within their profession, although only 15 respondents (17%) used it in terminal care. In general, healthcare providers intended to use video communication in terminal care (Mean (M) = 3.6; Standard Deviation (SD) = .88). The regression model was significant and explained 44% of the variance in intention to use video communication, with ‘Outcome expectancy’ and ‘Social influence’ as significant predictors.ConclusionsHealthcare providers have in general the intention to use video communication in interprofessional terminal care. However, their actual use in terminal care is low. ‘Outcome expectancy’ and ‘Social influence’ seem to be important predictors for intention to use video communication. This implicates the importance of informing healthcare providers, and their colleagues and significant others, about the usefulness and efficiency of video communication.
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Studies uit binnen- en buitenland hebben laten zien dat de staf in de voor- en vroegschoolse periode relatief sterk is in emotionele ondersteuning van jonge kinderen maar duidelijk zwakker bij didactische ondersteuning. In een gecontroleerde experimentele studie onderzochten we de effecten van training voor pedagogisch medewerkers gericht op het verbeteren van de proceskwaliteit, in drie condities: een intensieve vve-variant, video interactiebegeleiding en een combinatie hiervan. De vve-training verbeterde de vaardigheden van de staf bij de didactische ondersteuning. De video- interactiebegeleiding bleek effectief in het verbeteren van de begeleiding tussen kinderen. Een micro-analyse van de interacties tussen de staf en de kinderen liet differentiële effecten zien van beide trainingen. De positieve resultaten uit deze studie onderstrepen het belang van gestructureerde en intensieve trainingen voor het versterken van de educatieve vaardigheden van pedagogisch medewerkers, met aandacht voor intensieve coaching op de werkvloer en video-feedback.
