Evidence map›Paper›PMID 41814951›Full record

ArticleJournal of nursing management2026

Sustainability in Telehomecare: Exploring Practical Nurses' Perceptions, Engagement, and Leadership Implications.

Melanie Rydgren, Anna Anåker, Linda Estman, Malin Andtfolk, Lisbeth Fagerström

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Melanie RydgrenDepartment of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland, abo.fi.ORCID https://orcid.org/0009-0007-4726-8003
Anna AnåkerSchool of Health and Welfare, Dalarna University, Falun, Sweden, du.se.ORCID https://orcid.org/0000-0002-8694-3127
Linda EstmanDepartment of Caring and Ethics, University of Stavanger, Stavanger, Norway, uis.no.ORCID https://orcid.org/0000-0002-3324-5966
Malin AndtfolkDepartment of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland, abo.fi.ORCID https://orcid.org/0000-0001-9380-3619
Lisbeth FagerströmDepartment of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland, abo.fi.ORCID https://orcid.org/0000-0002-9932-3592

Funding

Åbo Akademi 179/2023
6 · The paper itself

Abstract

backgroundHealthcare systems are adapting to environmental challenges and digital transformations. Practical nurses' perceptions and engagement are key to advancing sustainability in everyday care in a digital setting. Hence, it is essential to explore whether practical nurses within telehomecare settings are prepared for the adoption of sustainable practices and the implications of their perceptions of sustainability within nursing practice for nursing leadership.

aimTo explore how practical nurses perceive and engage with sustainability within telehomecare.

designThis study had a qualitative exploratory design.

methodsTen practical nurses working in telehomecare were interviewed between February and April 2024 in Finland. The interviews were individual and semistructured. Data were analyzed through reflexive thematic analysis.

resultsThe main themes identified in this study, Emerging Eco-Consciousness in Telehomecare and Constrained Eco-Engagement in Telehomecare, encapsulate the tension between emerging environmental awareness and the limitations of telehomecare settings. The participants demonstrated limited awareness of and engagement with sustainability in their professional roles. Moreover, they regarded the concept of sustainability as ambiguous and had a fragmented understanding of what it entails in the context of healthcare. Their capacity to actively engage in sustainable practices was shaped by challenges related to assuming responsibility, the need to balance professional values with the potential negative outcomes of sustainable digital practices, and limited opportunities for involvement in key organizational decision-making processes.

conclusionThis study highlights a need to cultivate greater consciousness among healthcare professionals and leaders of the critical role of sustainability in healthcare delivery. The results highlight the importance of integrating targeted education and training on environmental issues and sustainable practices to foster climate-health literacy and deepen engagement and of equipping leaders to champion green transitions. Enhancing knowledge and competence in sustainability can, in combination with an ethical, green, transformational leadership style, support organizational shifts toward more environmentally sustainable healthcare systems.

Indexed as

LeadershipNursesPerceptionTelemedicineAdultAttitude of Health PersonnelFemaleFinlandHumansInterviews as TopicMaleMiddle AgedQualitative Research

Identifiers

PMID41814951
PMCPMC13140304

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.