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.
From the article: "ABSTRACT: The research group Supply Chain Redesign in the Built Environment of HU University of Applied Sciences is working on research that combines principles of the circular economy with open source architectural design & urban planning. The aim is finding new ways to re-use demolition waste and recycled materials in small scale urban area developments. And to “democratize” traditional processes in the built environment. Different recent studies have shown the potential benefits, such as a reduction of emissions. In “Hof van Cartesius”, a practical case-study in Utrecht, the ambitions and implications of this approach are being questioned, investigated and tested."
Internet on the Outstation provides a new take on the digital divide. Why do whole communities choose to go without the internet when the infrastructure for access is in place? Through an in-depth exploration of the digital practices occurring in Aboriginal households in remote central Australia, the authors address both the dynamics of internet adoption and the benefits that flow from its use. The book challenges us to think beyond the standard explanations for the digital divide, arguing that digital exclusion is not just another symptom of social exclusion. At its heart, Internet on the Outstation is a compelling examination of equality and difference in the digital age, asking: Can internet access help resolve the disadvantages associated with remote living?Internet on the Outstation is the result of a multi-year research collaboration, which included a trial of internet infrastructure, training and maintenance in three small Aboriginal communities (known as outstations). During the research phase, Ellie Rennie, Eleanor Hogan and Julian Thomas were based at the Swinburne Institute for Social Research in Melbourne. Robin Gregory and Andrew Crouch worked at the Centre for Appropriate Technology, an Indigenous-owned research and training organization in Alice Springs. Alyson Wright worked for the Central Land Council, the representative body for traditional owners of the central Australia region.
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