Telehealth-competentie in de verpleegkunde
Verbeteren van vaardigheden in het verlenen van zorg op afstand
Summary
Telehealth competence in nursing: enhancing skills and practice in providing care remotely
Thijs van Houwelingen
AIM: To understand how nurses could be better prepared to provide telehealth by examining the following four topics: intention, competencies, selfconfidence and training.
METHOD: Telehealth competence in nursing was explored using multiple methods, including both inductive and deductive reasoning.
FINDINGS: Nurses intention to use telehealth is determined by their perceived usefulness, performance expectancy, social influence and costs expectations. To provide telehealth, nurses need 52 different types of knowledge, skills and attitudes. In general, nurses’ confidence in possessing these competencies (self-efficacy) is still limited. Training appears to be an effective strategy to increase nurses’ self-efficacy.
DISCUSSION: Based on six different studies, a five-step model was proposed to prepare nurses for providing telehealth care, which will subsequently transform their profession: 1) improve nurses’ intention, 2) define which Nursing Telehealth Entrustable Professional Activities (NTEPAs) are applicable to the nurse setting, 3) check which specific competencies are required, 4) assess nurses’ self-confidence in possessing these competencies, and 5) deliver training on the NTEPAs.
CONCLUSION: Although several other barriers remain, the results of this thesis can be used to train current and future nurses. Adequate nurse training can accelerate telehealth diffusion and consequently contribute to older peoples’ opportunity to live independently in their own home.
Keywords: Telehealth, competence, entrustable professional activities, nursing education