Cited by 9Telemedicine and Telehealth ImplementationPalliative and Oncologic CarePalliative Care and End-of-Life Issues

Exploring the telehealth readiness and its related factors among palliative care specialist nurses: a cross-sectional study in China

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Guo, Junchen, Dai, Yunyun, Gong, Youwen, Xu, Xianghua, Chen, Yongyi·2023·BMC Palliative Care

Abstract

Backgrounds: The majority of Chinese people who are nearing the end of their lives prefer to receive home-based palliative care. Telehealth, as a new service model, has the potential to meet the increasing demand for this service, especially in remote areas with limited resources. However, nurse-led telehealth-based palliative care services are still in the pilot implementation phase. Assessing the telehealth readiness among palliative care specialist nurses and identifying associated factors is crucial to facilitate the successful implementation of telehealth services. Therefore, this study aimed to examine TH readiness and its related factors among Chinese palliative care specialist nurses. Methods: Four hundred nine Chinese palliative care specialist nurses from 28 provinces or municipalities participated in this study between July and August 2022. The Chinese version of Telehealth Readiness Assessment Tools (TRAT-C), and Innovative Self-Efficacy Scale (ISES-C) were used to assess the degree of TH readiness and the levels of innovative self-efficacy. Results: The total score of the TRAT-C was 65.31 ± 9.09, and the total score of ISES was 29.27 ± 5.78. The statistically significant factors that influenced telehealth readiness were the experience of using telehealth platforms or services, the willingness to provide telehealth to patients, and the level of nurses’ innovative self-efficacy. The innovative self-efficacy is positively correlated to telehealth readiness (r = 0.482, P < 0.01). These related factors could explain 27.3% of the difference in telehealth readiness. Conclusion: The telehealth readiness of Chinese palliative care specialist nurses are at a moderate level. Measures such as providing incentives to promote nurses’ innovation self-efficacy by nurse managers, and establishing a comprehensive telehealth training system for palliative care specialist nurses should be taken to facilitate the implementation of telehealth services in the field of palliative care.

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  • Approximately 53.64% of cancer patients reportedly prefer home care services during the end-of-life stage.

    “Approximately 53.64% of cancer patients reportedly prefer home care services during the end-of-life stage, making home-based palliative care an essential component of end-of-life care for cancer patients [7].”

    From Experiences of family caregivers of patients with end-of-life cancer during the transition from hospital to home palliative care: a qualitative study (2024) · cites this paper as [7]

    The Background says that a majority of people nearing the end of life in China prefer palliative care at home. It does not give the figure 53.64% or identify that group specifically as cancer patients; a search for the figure found no matching passage. (LLM, conf=0.86)

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References 24 · Cited by 9

Research works printed but not linked: 24

  1. [1]Ryan S Wong J Chow R Zimmermann C Evolving definitions of Palliative Care: Upstream Migration or confusion? Curr Treat Options Oncol 2020 21 3 20 10.1007/s11864-020-0716-4 32048055 · DOI
  2. [4]Zhang J Cao Y Su M Cheng J Yao N Challenges faced by chinese community nurses when providing home-based hospice and palliative care: a descriptive qualitative study BMC Palliat Care 2022 21 1 14 10.1186/s12904-022-00905-8 35105360 PMC8805229 · DOI
  3. [6]Lu Y Gu Y Yu W Hospice and Palliative Care in China: Development and Challenges Asia Pac J Oncol Nurs 2018 5 1 26 32 10.4103/apjon.apjon_72_17 29379830 PMC5763435 · DOI
  4. [8]Chaet D Clearfield R Sabin JE Skimming K Ethical practice in Telehealth and Telemedicine J Gen Intern Med 2017 32 10 1136 40 10.1007/s11606-017-4082-2 28653233 PMC5602756 · DOI · Paper page
  5. [9]Hancock S Preston N Jones H Gadoud A Telehealth in palliative care is being described but not evaluated: a systematic review BMC Palliat Care 2019 18 1 114 10.1186/s12904-019-0495-5 31835998 PMC6911274 · DOI
  6. [10]Dolan H Eggett C Holliday L Delves S Parkes D Sutherland K Virtual care in end of life and palliative care: a rapid evidence check J Telemed Telecare 2021 27 10 631 7 10.1177/1357633X211046118 34726997 · DOI
  7. [11]Bonsignore L Bloom N Steinhauser K Nichols R Allen T Twaddle M Bull J Evaluating the feasibility and acceptability of a Telehealth Program in a rural Palliative Care Population: TapCloud for Palliative Care J Pain Symptom Manage 2018 56 1 7 14 10.1016/j.jpainsymman.2018.03.013 29551433 · DOI
  8. [12]Hoek PD Schers HJ Bronkhorst EM Vissers KCP Hasselaar JGJ The effect of weekly specialist palliative care teleconsultations in patients with advanced cancer - a randomized clinical trial BMC Med 2017 15 1 119 10.1186/s12916-017-0866-9 28625164 PMC5474887 · DOI · Paper page
  9. [16]Koivunen M Saranto K Nursing professionals’ experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies Scand J Caring Sci 2018 32 1 24 44 10.1111/scs.12445 28771752 · DOI
  10. [19]Tabachnick BG, Fidell LS. Using multivariate statistics (6th ed.). London: Pearson Education Limited; 2014.
  11. [20]Jennett P Yeo M Pauls M Graham J Organizational readiness for telemedicine: implications for success and failure J Telemed Telecare 2003 9 Suppl 2 27 30 10.1258/135763303322596183 14728753 · DOI
  12. [22]Carmeli A Schaubroeck J The influence of leaders and other referents normative expectation on individual involvement in creative work Leadersh Q 2007 18 35 10.1016/j.leaqua.2006.11.001 · DOI
  13. [23]Gu Y Peng J The Effect of Organizational Creative Climate on Employees’ Creative Behavior: The Moderating Effect of Creative Self-efficacy Nankai Business Review. 2010 13 01 30 41
  14. [24]Prendergast M Honey M The Barriers and Facilitators for Nurse Educators Using Telehealth for Education Stud Health Technol Inform. 2019 264 1323 1326 31438140
  15. [25]List BA Saxon R Lehman D Frank C Toole KP Improving Telehealth Knowledge in Nurse Practitioner Training for Rural and Underserved Populations J Nurs Educ. 2019 58 1 57 60 10.3928/01484834-20190103-10 30673094 · DOI
  16. [26]Muigg D, Kastner P, Duftschmid G, Modre-Osprian R, Haluza D. Readiness to use telemonitoring in diabetes care: a cross-sectional study among Austrian practitioners. BMC Med Inform Decis Mak. 2019;19(1):1–10. PMC6352347 30696444
  17. [27]Tian Y, Zhang Y, Liu Z, Bing X, Cheng Q. Telehealth readiness and its influencing factors among Chinese clinical nurses: a cross-sectional study. Nurse Educ Pract. 2022;58:103278. 34954659
  18. [30]Chen R Jiang Q Evolution of telemedicine in China during COVID-19 pandemic:from 2020 to 2022 J Public Health Policy. 2022 43 3 469 472 10.1057/s41271-022-00353-x 35676328 PMC9174616 · DOI
  19. [31]Hong Z Li N Li D Li J Li B Xiong W Telemedicine During the COVID-19 Pandemic: Experiences From Western China J Med Internet Res. 2020 22 5 19577 10.2196/19577 PMC7212818 32349962 · DOI
  20. [32]Bradford NK, Armfield NR, Young J, Smith AC. Paediatric palliative care by video consultation at home: a cost minimisation analysis. BMC Health Serv Res. 2014;14(1):328. PMC4127437 25069399
  21. [33]Weaver MS Robinson JE Shostrom VK Hinds PS Telehealth Acceptability for Children, Family, and Adult Hospice Nurses When Integrating the Pediatric Palliative Inpatient Provider during Sequential Rural Home Hospice Visits J Palliat Med. 2020 23 5 641 649 10.1089/jpm.2019.0450 31808722 · DOI
  22. [35]Jønsson TF Bahat E Barattucci M How are empowering leadership, self-efficacy and innovative behavior related to nurses’ agency in distributed leadership in Denmark, Italy and Israel? J Nurs Manag. 2021 29 6 1517 1524 10.1111/jonm.13298 33641199 · DOI
  23. [36]Newman A, Round H, Wang S, Mount M. Innovation climate: a systematic review of the literature and agenda for future research. J Occup Organ Psychol. 2020;93(1):73–109.
  24. [37]McHugh MD Aiken LH Sloane DM Windsor C Douglas C Yates P Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals Lancet. 2021 397 10288 1905 1913 10.1016/S0140-6736(21)00768-6 33989553 PMC8408834 · DOI

Authors
Guo, J., Dai, Y., Gong, Y., Xu, X., & Chen, Y.
Affiliations
  • Hunan Cancer Hospital (CN)
  • University of Wollongong (AU)
  • The First People's Hospital of Changde (CN)
Corresponding author
Chen, Yongyi
Venue
BMC Palliative Care
Published
2023-06-28
Volume
22
Issue
1
Pages
82-82
ISSN
1472-684X (ISSN-L)
OpenAlex
W4382195966
Cited by
9
References
24
Citations by year
2026: 3 · 2025: 3 · 2024: 3
FWCI
2.29
Type
journal article
Language
en
Open access
Locations
  • BMC Palliative Care (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Online (University of Wollongong) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
home-based palliative care, telehealth education, Chinese nurses
MeSH terms
China, Cross-Sectional Studies, Humans, Nurse Administrators, Nurses, Palliative Care, Telemedicine

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