Evidence map›Paper›PMID 39137026›Full record

ArticleJMIR medical education2024

Resources to Support Canadian Nurses to Deliver Virtual Care: Environmental Scan.

Manal Kleib, Antonia Arnaert, Lynn M Nagle, Elizabeth Mirekuwaa Darko, Sobia Idrees, Daniel da Costa, Shamsa Ali

Abstract read
In one paragraph

Article in JMIR medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Manal KleibFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-4680-6750
Antonia ArnaertIngram School of Nursing, McGill University, Montreal, QC, Canada.ORCID 0000-0001-8086-7058
Lynn M NagleFaculty of Nursing, University of New Brunswick, Fredericton, NB, Canada.ORCID 0000-0002-4129-7117
Elizabeth Mirekuwaa DarkoFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-1394-3641
Sobia IdreesFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-4451-4359
Daniel da CostaIngram School of Nursing, McGill University, Montreal, QC, Canada.ORCID 0000-0001-7971-6287
Shamsa AliFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0001-9653-8427

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegulatory and professional nursing associations have an important role in ensuring that nurses provide safe, competent, and ethical care and are capable of adapting to emerging phenomena that influence society and population health needs. Telehealth and more recently virtual care are 2 digital health modalities that have gained momentum during the COVID-19 pandemic. Telehealth refers to telecommunications and digital communication technologies used to deliver health care, support health care provider and patient education, and facilitate self-care. Virtual care facilitates the delivery of health care services via any remote communication between patients and health care providers and among health care providers, either synchronously or asynchronously, through information and communication technologies. Despite nurses' adaptability to delivering virtual care, many have also reported challenges.

objectiveThis study aims to describe resources about virtual care, digital health, and nursing informatics (ie, practice guidelines and fact sheets) available to Canadian nurses through their regulatory and professional associations.

methodsAn environmental scan was conducted between March and July 2023. The websites of nursing regulatory bodies across 13 Canadian provinces and territories and relevant nursing and a few nonnursing professional associations were searched. Data were extracted from the websites of these organizations to map out educational materials, training opportunities, and guidelines made available for nurses to learn and adapt to the ongoing digitalization of the health care system. Information from each source was summarized and analyzed using an inductive content analysis approach to identify categories and themes. The Virtual Health Competency Framework was applied to support the analysis process.

resultsSeven themes were identified: (1) types of resources available about virtual care, (2) terminologies used in virtual care resources, (3) currency of virtual care resources identified, (4) requirements for providing virtual care between provinces, (5) resources through professional nursing associations and other relevant organizations, (6) regulatory guidance versus competency in virtual care, and (7) resources about digital health and nursing informatics. Results also revealed that practice guidance for delivering telehealth existed before the COVID-19 pandemic, but it was further expanded during the pandemic. Differences were noted across available resources with respect to terms used (eg, telenursing, telehealth, or virtual care), types of documents (eg, guideline vs fact sheet), and the depth of information shared. Only 2 associations provided comprehensive telenursing practice guidelines. Resources relative to digital health and nursing informatics exist, but variations between provinces were also noted.

conclusionsThe use of telehealth and virtual care services is becoming mainstream in Canadian health care. Despite variations across jurisdictions, the existing nursing practice guidance resources for delivering telehealth and virtual care are substantial and can serve as a beginning step for developing a standardized set of practice requirements or competencies to inform nursing practice and the education of future nurses.

Indexed as

COVID-19TelemedicineCanadaHumansPandemicsSARS-CoV-2Canadadigital healthenvironmental scanhealth carenursesnursing practicetelehealthvirtual care

Identifiers

PMID39137026
PMCPMC11350304

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.