Article
Medicine, General & Internal
Bill Wang, Haiden A. Huskamp, Sherri Rose, Alisa B. Busch, Lori Uscher-Pines, Pushpa Raja, Ateev Mehrotra
Summary: This study suggests that greater use of telemental health visits in nonmetropolitan counties is associated with improved contact and follow-up with outpatient specialty mental health care professionals, but no substantial changes in medication adherence were observed, and there was an increase in mental health hospitalizations.
Article
Psychology, Multidisciplinary
Bradford S. Pierce, Paul B. Perrin, Carmen M. Tyler, Grace B. McKee, Jack D. Watson
Summary: The COVID-19 pandemic significantly increased psychologists' use of telepsychology, with 85.53% of clinical work conducted via telepsychology during the pandemic. Psychologists projected that they would continue to use telepsychology for 34.96% of their clinical work after the pandemic. Various factors such as training, policies, and clinical focus influenced the adoption of telepsychology among psychologists.
AMERICAN PSYCHOLOGIST
(2021)
Article
Health Care Sciences & Services
Ellen F. Eaton, Kaylee Burgan, Greer McCollum, Sera Levy, James Willig, Michael J. Mugavero, Sushanth Reddy, Eric Wallace, Tom Creger, Stefan Baral, Susanne Fogger, Karen Cropsey
Summary: This study highlights the opportunities to enhance substance use disorder (SUD) and mental health (MH) services in rural areas using technology. Improvements include implementing regular SUD screening, expanding telehealth services while maintaining in-person interaction, and utilizing standardized electronic patient reported outcomes (ePROs) to reduce stigma and bias.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Health Care Sciences & Services
Rachel D'Amico, Patrick M. Schnell, Randi Foraker, J. Nwando Olayiwola, Daniel E. Jonas, Seuli Bose
Summary: This study aimed to characterize sociodemographic differences in primary care via telehealth compared to in-person office visits before and during the COVID-19 pandemic. The study found that during the pandemic, patients who self-identified as Asian and Nepali, Medicare-insured patients, and patients living in areas with low socioeconomic status were less likely to use telehealth. These disparities persisted throughout the year. Therefore, it is important to reassess the use of telehealth and advocate for policy changes to improve equity.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Owen Rhys Hutchings, Cassandra Dearing, Dianna Jagers, Miranda Jane Shaw, Freya Raffan, Aaron Jones, Richard Taggart, Tim Sinclair, Teresa Anderson, Angus Graham Ritchie
Summary: The study described the implementation and early experience of virtual health care for managing patients with COVID-19 in an urban Australian setting. By remotely monitoring skin temperature, pulse rate, and blood oxygen saturation, the study found that community-based virtual health care is safe for managing most patients with COVID-19, with low care escalation rates.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Economics
Lindsay Oluyede, Abigail L. Cochran, Mary Wolfe, Lauren Prunkl, Noreen McDonald
Summary: This research explores how the COVID-19 pandemic has affected transportation barriers to accessing healthcare. The study finds that the pandemic has worsened existing barriers while also expanding the utilization of telehealth. Telehealth offers advantages such as increased access to mental health services in rural areas and reduced exposure to COVID-19 for high-risk patients.
TRANSPORTATION RESEARCH PART A-POLICY AND PRACTICE
(2022)
Article
Dermatology
Marissa L. H. Baranowski, Vijay Balakrishnan, Suephy C. Chen
Summary: This study aimed to assess patient satisfaction with the teledermatology service at the Atlanta Veterans Affairs Medical Center (AVAMC), and the results showed that patients are generally satisfied with teledermatology services. There were no significant differences in satisfaction between the teleconsultative and telemedicine models. However, patients who received appointments for face-to-face evaluation or biopsy were more satisfied than those who received reassurance only. This study demonstrated high patient satisfaction among all cohorts.
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
(2023)
Review
Public, Environmental & Occupational Health
Karuna Nidhi Kaur, Farah Niazi, Ruchi Thakur, Shazina Saeed, Shweta Rana, Harpreet Singh
Summary: This systematic review examines the level of patient satisfaction with telemedicine health services during the COVID-19 pandemic. The findings indicate that the majority of participants were satisfied with the quality of telemedicine services they received.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Geriatrics & Gerontology
Liane Wardlow, Bruce Leff, Kevin Biese, Carly Roberts, Laurie Archbald-Pannone, Christine Ritchie, Linda V. DeCherrie, Neal Sikka, Suzanne M. Gillespie
Summary: The COVID-19 pandemic highlighted the importance of telehealth for older adults, but guidelines and best practices were lacking. The Collaborative for Telehealth and Aging (C4TA) developed principles and guidelines to ensure safe and equitable telehealth for older adults. These include person-centered care, equitable and accessible care, and integrated and coordinated care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Health Care Sciences & Services
Jacob K. Quinton, Michael K. Ong, Catherine Sarkisian, Alejandra Casillas, Sitaram Vangala, Preeti Kakani, Maria Han
Summary: This study evaluated the impact of using telemedicine on the quality of diabetes care at a large academic medical center during the COVID-19 pandemic. The results showed that patients utilizing telemedicine had similar levels of care quality as before the pandemic, while those not utilizing telemedicine experienced reductions in care quality.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Nursing
Phyllis Ann Solari-Twadell, Margaret Flinter, Betty Rambur, Susan Renda, Stephanie Witwer, Patricia Vanhook, Lusine Poghosyan
Summary: This policy paper reviews the history, use, and significance of telehealth in primary care, and discusses the emergence of telehealth as a primary strategy to provide value-based, timely primary care during COVID-19. It also provides recommendations for future applications, payment, and provider preparation to ensure quality care using telehealth.
Article
Rheumatology
Lisa Zickuhr, Daniel A. Albert, Connie Herndon, Lisa F. Imundo, Michael J. Lopker, Bethany Marston, Nabeela Mian, Kenneth O'Rourke, Karina D. Torralba, Tiffany Westrich-Robertson, R. Swamy Venuturupalli, Jason Kolfenbach, Marcy B. Bolster
Summary: This study adapted the telehealth competencies (TCs) defined by the Association of American Medical College to rheumatology, outlining the specific skills and knowledge required for delivering telehealth care to patients with rheumatic diseases. The rheumatology TCs, including 24 essential skills, can guide the training and evaluation of telehealth care delivery in rheumatology practice.
ARTHRITIS CARE & RESEARCH
(2023)
Article
Psychology, Developmental
Dorota Ali, Sarah O'Brien, Laura Hull, Lorcan Kenny, Will Mandy
Summary: The COVID-19 pandemic led to a shift towards remote healthcare delivery. This study examined telehealth experiences of autistic adults and found both positive and negative impacts. On one hand, telehealth improved communication and reduced stress; on the other hand, it increased rigidity and amplified pre-existing barriers. The study suggests that remote delivery can address some healthcare barriers for autistic individuals, but it also has limitations.
Review
Medicine, General & Internal
Parth Patel, Devinder Dhindsa, Danny J. Eapen, Amit Khera, Martha Gulati, Neil J. Stone, Clyde W. Yancy, John S. Rumsfeld, Laurence S. Sperling
Summary: Telehealth in cardiovascular care has the potential to improve access and patient satisfaction, but challenges such as payment models, data security, depersonalization, and disparities need to be addressed for successful implementation and expansion.
AMERICAN JOURNAL OF MEDICINE
(2021)
Article
Health Care Sciences & Services
Ryan N. Hansen, Basil Matthew Saour, Brian Serafini, Blake Hannaford, Lanu Kim, Takayoshi Kohno, Ryan James, Wayne Monsky, Stephen P. Seslar
Summary: This study reports the outcomes of a stakeholder workshop on rural telerobotic surgery. Discussions among stakeholders focused on operating room team interactions, education and training, network and security, and economic issues. Based on stakeholder feedback, the research team has developed a research agenda and suggested strategies to address the research questions.
TELEMEDICINE AND E-HEALTH
(2022)
Review
Rehabilitation
Sanna-Maria Mertala, Outi Kanste, Sirpa Keskitalo-Leskinen, Jonna Juntunen, Pirjo Kaakinen
Summary: Occupational therapy practitioners experienced high job satisfaction, which was associated with lower turnover intention and higher rates of rewards. The relationships between job satisfaction, professional identity, exhaustion, and social environment showed conflicting results.
OCCUPATIONAL THERAPY IN HEALTH CARE
(2022)
Article
Nursing
Minttu Uuksulainen, Mira Rajala, Outi Kanste, Tarja Polkki
Summary: The purpose of this study was to translate and culturally adapt the Family Centered Care Assessment Scale (FCCAS) for Finnish pediatric nursing. The results showed that the scale was successfully translated and culturally adapted, with good evidence of content. The study demonstrates how rigorous methodological approaches can be applied to translation and cultural adaptation of measurement tools, and prepares a Finnish version of the scale for psychometric testing.
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES
(2022)
Article
Nursing
Elina Laukka, Mira Hammaren, Tarja Polkki, Outi Kanste
Summary: This study describes the experiences of hospital nurse leaders with digital technologies. The leaders had diverse experiences with traits, cognition, affect, and behavior concerning digitalization. They recognized the importance of being open-minded towards digitalization, which could enhance work efficiency but also lead to frustration and stress. Collaboration with stakeholders and ensuring nurses' digital competence were important aspects of leading digital technologies.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Nursing
Reetta Kesti, Outi Kanste, Jenni Konttila, Anne Oikarinen
Summary: Work dissatisfaction, burnout, and workforce shortage are significant problems in healthcare globally, associated with quality of working life (QWL). This study aimed to describe the QWL of employees in public healthcare and examine the association between QWL and background variables, using a cross-sectional survey design.
Article
Nursing
Nina Kiviniitty, Suleiman Kamau, Kristina Mikkonen, Mira Hammaren, Miro Koskenranta, Heli-Maria Kuivila, Outi Kanste
Summary: This study aimed to describe nurse leaders' perceptions of culturally and linguistically diverse nurses' competence-based management. The findings showed that competence identification and assessment, competence sharing, and continuous competence development are important aspects in managing CALD nurses. Strategic competence-based management can enhance the utilization of organizational competencies and facilitate the integration of CALD nurses.
Review
Nursing
Tiina Havana, Suvi Kuha, Elina Laukka, Outi Kanste
Summary: This systematic review suggests that the implementation and provision of patient-centred care (PCC) in hospitals is incomplete, and there is a need for improvement and training. Patients emphasized the importance of professionals' presence and communication for PCC, as well as the need for better information delivery and individualized care.
SCANDINAVIAN JOURNAL OF CARING SCIENCES
(2023)
Article
Nursing
Suleiman Kamau, Ashlee Oikarainen, Nina Kiviniitty, Miro Koskenranta, Heli Kuivila, Marco Tomietto, Outi Kanste, Kristina Mikkonen
Summary: This qualitative study aimed to explore nurse leaders' experiences of integrating culturally and linguistically diverse registered nurses into healthcare settings. Thirteen nurse leaders from primary and specialized healthcare organizations in Finland were recruited as participants. Data were collected through individual semi-structured interviews and analyzed using inductive content analysis. The findings identified seven main categories, including leadership, organizational strategy and culture, support strategies, relationships and interactions, nurse competence requirements and development, language competence, and cultural diversity. The study findings can inform healthcare organizations in developing integration strategies and leadership education to support a diverse and competent workforce.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2023)
Article
Nursing
Satu Paatela, Netta Pohjamies, Outi Kanste, Toni Haapa, Ashlee Oikarainen, Maria Kaariainen, Kristina Mikkonen
Summary: The study aims to explore registered nurses' cultural orientation competence profiles for providing orientation to culturally and linguistically diverse (CALD) nurses in hospitals. Three cultural orientation competence profiles were identified, with nurses in Profile A having the highest competence scores. Factors associated with cultural orientation competence profiles include orientation education, support from managers and colleagues, motivation, willingness to act as a preceptor, time to provide orientation, nursing skills, and work title. The findings suggest that cultural diversity and acceptance can be enhanced through accepting culture towards newcomers and offering continuing education for staff to improve their cultural competence.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Nursing
Suvi Kuha, Sanna Rissanen, Merja Harmoinen, Hannu Vaehaenikkilae, Outi Kanste
Summary: This study aimed to investigate the association between appreciative management and work engagement among health and social care professionals. The results indicate a positive relationship between appreciative management, full-time work, and work engagement. Therefore, it is crucial to enhance managers' appreciative management skills and educate them on how it supports professionals' vigor, dedication, and absorption in the healthcare field.
SCANDINAVIAN JOURNAL OF CARING SCIENCES
(2023)
Review
Health Policy & Services
Miro Ahti, Leonie Taipale-Walsh, Suvi Kuha, Outi Kanste
Summary: This paper synthesizes the competencies required for crisis management in healthcare, based on health-care leaders' experiences. Through a systematic review and meta-aggregation analysis, five synthesized findings were developed. This study provides novel information about the competencies needed for crisis management during the acute phase of COVID-19.
LEADERSHIP IN HEALTH SERVICES
(2023)
Article
Nursing
Eevi Karsikas, Kirsi Koivunen, Merja Merilaeinen, Outi Kanste
Summary: Health and social care managers perceive that managers' competence in knowledge management is influenced by their behavioral and attitudinal characteristics, interactive network competence, dimensions of knowledge management competence, knowledge management infrastructure, and organizational learning culture.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Nursing
Suvi Kuha, Pia Vahakangas, Outi Kanste
Summary: This study explored the implementation leadership of the Resident Assessment Instrument in healthcare services for older people from the perspective of specialists. The importance of leaders' support and capabilities, as well as continuous training and communication, was emphasized for a successful implementation process.
JOURNAL OF ADVANCED NURSING
(2023)
Review
Nursing
Kirsi Koivunen, Pirjo Kaakinen, Kati Paeaetalo, Outi Mattila, Anne Oikarinen, Miia Jansson, Kristina Mikkonen, Tarja Polkki, Merja Merilainen, Maria Kaariainen, Arja Holopainen, Anna-Maria Tuomikoski, Outi Kanste
Summary: This study aims to explore the competences of frontline nurse leaders in evidence-based healthcare (EBHC) and the instruments measuring these competences. The findings indicate that although frontline nurse leaders have a positive attitude towards EBHC, they lack the competence to implement it in practice. The study highlights the importance of investing in the development of EBHC competence at all levels of leadership and the need for valid instruments to measure leaders' competence in all segments of EBHC.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Nursing
Mira Hammaren, Tarja Polkki, Outi Kanste
Summary: This study explored the perspectives of managers and professionals on the management of digital competence sharing in healthcare. Results emphasized the importance of management support, resources, and continuous training and development for promoting digital competence sharing. Additionally, creating a collaborative culture and implementing intergenerational learning were identified as crucial factors.
JOURNAL OF ADVANCED NURSING
(2023)
Review
Health Policy & Services
Kevin Ostergard, Suvi Kuha, Outi Kanste
Summary: The purpose of this study is to identify and synthesize the best evidence on health-care leaders' and professionals' experiences and perceptions of compassionate leadership. The review found that compassionate leadership can address human resource-related challenges, such as healthcare professionals' burnout, turnover, and the lack of patient safety. This should be taken into consideration by healthcare leaders, their education, and healthcare organizations when developing their effectiveness.
LEADERSHIP IN HEALTH SERVICES
(2023)
