Best Practices for Telehealth in Nurse-Led Care Settings—A Qualitative Study

Author:

Weiss Charlotte R.1ORCID,Roberts Mia1,Florell Melissa1,Wood Rachel1,Johnson-Koenke Rachel1,Amura Claudia R.1,Kissler Katherine1,Barton Amy J.1,Jones Jacqueline1

Affiliation:

1. College of Nursing, University of Colorado, Denver - Anschutz Medical Campus, Denver, CO, USA

Abstract

The COVID-19 pandemic in the US prompted a sudden shift to telehealth in nurse-led care sites which provide services to diverse geolocations. Using a lens of intersectionality, this study characterizes provider and patient-perceived best and promising practices emerging from geographical variation. The aim of this study was to identify best practices of implementing telehealth in nurse-led care models in Colorado through patient and provider experiences of the sudden implementation of telehealth that can enhance health equity. In this exploratory/descriptive qualitative study, a purposive sample of 18 providers and 30 patients were interviewed using a guide informed by the RE-AIM implementation and evaluation framework to capture the contextual experiences related to the sudden shift to telehealth. Textual theme analysis and reflexive team strategies guided the interpretation. Four primary themes of perceived best practices were identified: using multiple modalities, tailoring triage and scheduling, cultivating safety through boundaries and expectations, and differentiating established versus new patient relationships. The findings suggest that telehealth is a flexible and powerful tool to enhance the delivery of equitable care through nurse-led care models within diverse communities such as the one represented in this study. Nurse leaders are positioned to participate in innovative research and create policies and protocols to ensure telehealth is a viable resource to deliver equitable, safe, and accessible high-quality healthcare.

Funder

Agency for Healthcare Research and Quality

Publisher

SAGE Publications

Subject

General Medicine,Issues, ethics and legal aspects,Leadership and Management

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