Successful Teleconsultation - a Process Description for Diabetes Nurses
Madden, Marjo (2024)
2024
All rights reserved. This publication is copyrighted. You may download, display and print it for Your own personal use. Commercial use is prohibited.
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024061323150
https://urn.fi/URN:NBN:fi:amk-2024061323150
Tiivistelmä
The aim of this thesis was to describe and develop a diabetes nurse’s teleconsultation process in Tampere University Hospital diabetes clinic and assess what should be considered before, during and after a teleconsultation. The purpose of this thesis was to gain understanding of the benefits and risks of video consultations and treatment-related phone calls from a diabetes nurse’s perspective and consider in which situations teleconsultation is appropriate.
Diabetes is a rapidly growing global health problem that causes a heavy burden on public health and socioeconomic development. Sufficient diabetes management requires a lot of effort from both the patient and the medical team. Technology can help to produce new and innovative ways to deliver and extend health care. However, setting up teleconsultation includes various steps and requires holistic understanding and consideration.
This study was carried out as a research-based development work. A constructive approach with collaborative methods was used to form a comprehensive perspective of the teleconsultation process in diabetes care and to involve staff in the development process. The data were collected with a developmental peer visit to a peer-reviewing unit and an ideation workshop for diabetes specialists. During the ideation workshop, SWOT analysis was used to discover the strengths, weaknesses, opportunities, threats, and solutions related to video consultation and treatment-related phone calls in diabetes care.
The data were analysed with an abductive content analysis. As a result of this research-based development work, a practical process description and a teleconsultation suitability tool were developed to support the implementation of diabetes nurse’s video consultation and treatment-related phone call. Four phases of teleconsultation were recognised: assessment, preparation, conducting and concluding. The findings indicate that when aiming for successful teleconsultation, all these phases require careful planning and consideration.
Diabetes is a rapidly growing global health problem that causes a heavy burden on public health and socioeconomic development. Sufficient diabetes management requires a lot of effort from both the patient and the medical team. Technology can help to produce new and innovative ways to deliver and extend health care. However, setting up teleconsultation includes various steps and requires holistic understanding and consideration.
This study was carried out as a research-based development work. A constructive approach with collaborative methods was used to form a comprehensive perspective of the teleconsultation process in diabetes care and to involve staff in the development process. The data were collected with a developmental peer visit to a peer-reviewing unit and an ideation workshop for diabetes specialists. During the ideation workshop, SWOT analysis was used to discover the strengths, weaknesses, opportunities, threats, and solutions related to video consultation and treatment-related phone calls in diabetes care.
The data were analysed with an abductive content analysis. As a result of this research-based development work, a practical process description and a teleconsultation suitability tool were developed to support the implementation of diabetes nurse’s video consultation and treatment-related phone call. Four phases of teleconsultation were recognised: assessment, preparation, conducting and concluding. The findings indicate that when aiming for successful teleconsultation, all these phases require careful planning and consideration.