Telenursing: The view of care professionals in selected EU countries. A pilot study

Background: With the growth of digital nursing, several studies have focused on recording patients' views on remote care, or specialised nurse staffing aspects. This is the first international survey on telenursing focused exclusively on clinical nurses that analyses the dimensions of usefulnes...

Full description

Bibliographic Details
Main Authors: Julio Emilio Marco-Franco, Margarida Reis-Santos, Isabel Barrachina-Martinez, Alina Jurewicz, Ramón Camaño-Puig
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023039671
_version_ 1797812021463351296
author Julio Emilio Marco-Franco
Margarida Reis-Santos
Isabel Barrachina-Martinez
Alina Jurewicz
Ramón Camaño-Puig
author_facet Julio Emilio Marco-Franco
Margarida Reis-Santos
Isabel Barrachina-Martinez
Alina Jurewicz
Ramón Camaño-Puig
author_sort Julio Emilio Marco-Franco
collection DOAJ
description Background: With the growth of digital nursing, several studies have focused on recording patients' views on remote care, or specialised nurse staffing aspects. This is the first international survey on telenursing focused exclusively on clinical nurses that analyses the dimensions of usefulness, acceptability, and appropriateness of telenursing from the staff point of view. Methods: A previously validated structured questionnaire including demographic variables, 18 responses with a Likert-5 scale, three dichotomous questions, and one overall percentual estimation of holistic nursing care susceptible to being undertaken by telenursing, was administered (from 1 September to 30 November 2022) to 225 clinical and community nurses from three selected EU countries. Data analysis: descriptive data, classical and Rasch testing. Results: The results show adequacy of the model for measurement of the domains of usefulness, acceptability, and appropriateness of telenursing (overall Cronbach's alpha 0.945, Kaiser-Meyer-Olkin 0.952 and Bartlett's p < 0.001). Answers in favour of telenursing ranked 4 out of 5 in Likert scale, both globally and by the three domains. Rasch: reliability coefficient 0.94, Warm's main weighted likelihood estimate reliability 0.95. In the ANOVA analysis, the results for Portugal were significantly higher than those for Spain and Poland, both overall and for each of the dimensions. Respondents with bachelor's, master's and doctoral degrees score significantly higher than those with certificates or diplomas. Multiple regression did not yield additional data of interest. Conclusions: The tested model proved to be valid, but although the majority of nurses are in favour of telenursing, given the nature of the care, which is mainly face-to-face, according to the respondents, the chances of carrying out their activities by telenursing is only 35.3%. The survey provides useful information on what can be expected from the implementation of telenursing and the questionnaire proves to be a useful tool to be applied in other countries.
first_indexed 2024-03-13T07:32:22Z
format Article
id doaj.art-49c8eb8d8dae470e83f4e9fb4cd83040
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-03-13T07:32:22Z
publishDate 2023-06-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-49c8eb8d8dae470e83f4e9fb4cd830402023-06-04T04:24:12ZengElsevierHeliyon2405-84402023-06-0196e16760Telenursing: The view of care professionals in selected EU countries. A pilot studyJulio Emilio Marco-Franco0Margarida Reis-Santos1Isabel Barrachina-Martinez2Alina Jurewicz3Ramón Camaño-Puig4Faculty of Nursing and Podiatry, Valencia University, Spain; Centre of Economic Engineering (INECO), Unit of Investigation in Economy and Healthcare Management (CIEGS), Department of Economy and Social Sciences, Faculty of Business Administration and Management, Polytechnic University of Valencia, SpainCenter for Health Technology and Services Research, Higher School of Nursing Porto, Portugal; Abel Salazar Biomedical Sciences Institute - University of Porto, PortugalCentre of Economic Engineering (INECO), Unit of Investigation in Economy and Healthcare Management (CIEGS), Department of Economy and Social Sciences, Faculty of Business Administration and Management, Polytechnic University of Valencia, SpainDepartment of Specialized Nursing, Faculty of Health Sciences, Pomeranian Medical University of Szczecin, PolandFaculty of Nursing and Podiatry, Valencia University, Spain; Corresponding author.Background: With the growth of digital nursing, several studies have focused on recording patients' views on remote care, or specialised nurse staffing aspects. This is the first international survey on telenursing focused exclusively on clinical nurses that analyses the dimensions of usefulness, acceptability, and appropriateness of telenursing from the staff point of view. Methods: A previously validated structured questionnaire including demographic variables, 18 responses with a Likert-5 scale, three dichotomous questions, and one overall percentual estimation of holistic nursing care susceptible to being undertaken by telenursing, was administered (from 1 September to 30 November 2022) to 225 clinical and community nurses from three selected EU countries. Data analysis: descriptive data, classical and Rasch testing. Results: The results show adequacy of the model for measurement of the domains of usefulness, acceptability, and appropriateness of telenursing (overall Cronbach's alpha 0.945, Kaiser-Meyer-Olkin 0.952 and Bartlett's p < 0.001). Answers in favour of telenursing ranked 4 out of 5 in Likert scale, both globally and by the three domains. Rasch: reliability coefficient 0.94, Warm's main weighted likelihood estimate reliability 0.95. In the ANOVA analysis, the results for Portugal were significantly higher than those for Spain and Poland, both overall and for each of the dimensions. Respondents with bachelor's, master's and doctoral degrees score significantly higher than those with certificates or diplomas. Multiple regression did not yield additional data of interest. Conclusions: The tested model proved to be valid, but although the majority of nurses are in favour of telenursing, given the nature of the care, which is mainly face-to-face, according to the respondents, the chances of carrying out their activities by telenursing is only 35.3%. The survey provides useful information on what can be expected from the implementation of telenursing and the questionnaire proves to be a useful tool to be applied in other countries.http://www.sciencedirect.com/science/article/pii/S2405844023039671TelenursingNursing careEnursingQuestionnaireRasch tests
spellingShingle Julio Emilio Marco-Franco
Margarida Reis-Santos
Isabel Barrachina-Martinez
Alina Jurewicz
Ramón Camaño-Puig
Telenursing: The view of care professionals in selected EU countries. A pilot study
Heliyon
Telenursing
Nursing care
Enursing
Questionnaire
Rasch tests
title Telenursing: The view of care professionals in selected EU countries. A pilot study
title_full Telenursing: The view of care professionals in selected EU countries. A pilot study
title_fullStr Telenursing: The view of care professionals in selected EU countries. A pilot study
title_full_unstemmed Telenursing: The view of care professionals in selected EU countries. A pilot study
title_short Telenursing: The view of care professionals in selected EU countries. A pilot study
title_sort telenursing the view of care professionals in selected eu countries a pilot study
topic Telenursing
Nursing care
Enursing
Questionnaire
Rasch tests
url http://www.sciencedirect.com/science/article/pii/S2405844023039671
work_keys_str_mv AT julioemiliomarcofranco telenursingtheviewofcareprofessionalsinselectedeucountriesapilotstudy
AT margaridareissantos telenursingtheviewofcareprofessionalsinselectedeucountriesapilotstudy
AT isabelbarrachinamartinez telenursingtheviewofcareprofessionalsinselectedeucountriesapilotstudy
AT alinajurewicz telenursingtheviewofcareprofessionalsinselectedeucountriesapilotstudy
AT ramoncamanopuig telenursingtheviewofcareprofessionalsinselectedeucountriesapilotstudy