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Full-Text Articles in Medicine and Health Sciences
A Quality Improvement Evaluation Of A Hospitalist Telemedicine Program, Kelly Marie Awes
A Quality Improvement Evaluation Of A Hospitalist Telemedicine Program, Kelly Marie Awes
Walden Dissertations and Doctoral Studies
Critical access hospitals (CAHs) encounter unique challenges in terms of providingquality resources to their community, often lacking quality measures and continuity comparable to larger regional and tertiary hospitals. One CAH in rural Minnesota implemented an overnight hospitalist telemedicine service to address concerns with provider resources and quality practice. An evaluation of quality improvement implementation was completed to address data regarding ER transfers and inpatient length of stay (LOS). Following the triple aim framework to improve patient care, population health, and decrease costs, Donabedian’s model of quality improvement was utilized. Three months of pre and postimplementation data were collected one year …
Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas
Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas
Walden Dissertations and Doctoral Studies
AbstractHeart failure (HF) is a progressive and life -threatening disease that places a large burden on the health care systems worldwide with increased rates of re-hospitalization, readmissions, and outpatient visits. With the use of telehealth monitoring and support from nursing case managers, HF patients are able to manage this disease at home. The focus of this project was to evaluate a home health agency (HHA) telehealth program, exploring if there was an improvement in 30-day readmission rates, and patient satisfaction scores for the HHA telehealth program one year after revising the program incorporating nursing virtual case managers. This project used …
Educational Intervention To Increase Telemedicine Knowledge In Nurses, Jean Sylvestre Ayissi Essono
Educational Intervention To Increase Telemedicine Knowledge In Nurses, Jean Sylvestre Ayissi Essono
Walden Dissertations and Doctoral Studies
Limited access to healthcare services is a factor that can reduce quality of care, and it is more pronounced in rural settings. One plausible solution to this concern is telemedicine, the use of electronic information and telecommunication technologies to provide care when an individual and provider are not in the same location. Although telemedicine has been suggested as a solution to the access to care concern, it is not widely integrated into the nursing practice. Using Nightingale’s holistic theory of caring, the purpose of this DNP project was to determine if an educational study geared towards telemedicine increased knowledge and …
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Walden Dissertations and Doctoral Studies
Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Walden Dissertations and Doctoral Studies
Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …
Applying A Staff Education Project To Increase Telemedicine Patient Safety, Kristy Michelle Wolff
Applying A Staff Education Project To Increase Telemedicine Patient Safety, Kristy Michelle Wolff
Walden Dissertations and Doctoral Studies
A telemedicine education module (TEM) was designed and developed for this staff education project to improve the knowledge of nurses and providers about best practices in telemedicine and patient safety. A pretest and posttest design was used to evaluate if a gain in knowledge occurred after participants reviewed the TEM, which was designed and developed using Knowles theory of andragogy for adult learning outcomes. Thirty-seven potential participants who currently work as clinicians that provide telemedicine services were provided access to the pretest, TEM, and posttest. Nine participants responded, but only three participants’ scores could be used for analysis since there …