umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Telecare of frail elderly: reflections and experiences among health personnel and family members
Umeå University, Faculty of Medicine, Department of Nursing.
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Telecare has been an approach to care that, internationally, has experienced a generally rapid development during the last ten years. There are many examples of successful pilot projects where ICT applications have been used in the care of elderly: for improved remote consultation with health professionals, to improve the communication and support of the elderly person’s social network, and as intelligent sensors intended to improve the safety of the elderly person. Despite these successes, implementation has been slow. This research project was set up to provide additional knowledge on some of the important questions regarding quality and implementation aspects of the use of ICT application on the care of frail elderly persons. The overall aim of the research project is to illuminate reasoning and experiences of using applications of telecare for frail elderly persons.

The research project comprised five studies that were conducted using qualitative research methods. Four of them were carried out within the framework of three telecare projects. Different qualitative research approaches such as content analysis, phenomenological hermeneutics and conversational and discourse analysis were used, in accordance with the research questions of each study. The experiences revealed in the findings of the studies indicate that it is possible to have communication of good quality via videoconferencing with frail elderly persons, even those that have mild or mid-level dementia, provided the conditions are right. Technical limitations of the videoconferencing media in transferring communication cues and the limitations on what the camera can expose place special demands on those communicating with the frail elderly and on the general setting. On the other hand, these limitations on the context of interaction in some situations also seem to be an advantage for demented elderly persons and contribute to increased attention. One example of meaningful remote communication with frail elderly persons was family members’ videophone conversations with their demented relatives when they were placed in nursing homes or homes for respite services. This communication gave new possibilities of being involved in caring for, and of maintaining a relationship with, their demented relative. An introduction of teleconsultations in the care of frail elderly persons will, according to the experiences recorded, affect the professional role and the practical spheres of involved health professionals. The perceptions and experiences of participating health personnel indicate that in order for ICT applications to become valuable assets in the care of frail elderly persons they have to be part of a care alternative that is viewed by all concerned as the best alternative, as a whole, for all affected parties. Further research is needed in order to confirm or refute the findings of this thesis and in order to further broaden our understanding of the use of ICT applications in the care of frail elderly persons. This could facilitate a development of ICT applications suitable for the care of frail elderly persons and their introduction into regular care activities, to the benefit of both the frail elderly persons and their carers.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, Institutionen för omvårdnad , 2004. , 56 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 918
Keyword [en]
Nursing, Telecare, Frail elderly, Nurse-patient interaction, Quality of care, Professional roles, Videoconferensing, Ethical reasoning, Perception of care
Keyword [sv]
Omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-339ISBN: 91-7305-733-9 (print)OAI: oai:DiVA.org:umu-339DiVA: diva2:143155
Public defence
2004-11-05, Vårdvetarhuset, Aulan, Umeå universitet, Umeå, 13:00 (English)
Opponent
Available from: 2004-10-28 Created: 2004-10-28 Last updated: 2010-09-23Bibliographically approved
List of papers
1. The duality of information and communication technology (ICT): Inexperienced health personnel’s reasoning regarding the use of ICT in the care of frail elderly
Open this publication in new window or tab >>The duality of information and communication technology (ICT): Inexperienced health personnel’s reasoning regarding the use of ICT in the care of frail elderly
(English)Manuscript (Other academic)
Identifiers
urn:nbn:se:umu:diva-4163 (URN)
Available from: 2004-10-28 Created: 2004-10-28 Last updated: 2010-09-23Bibliographically approved
2. Nurse-doctor interaction in teleconsultations between a hospital and a geriatric nursing home
Open this publication in new window or tab >>Nurse-doctor interaction in teleconsultations between a hospital and a geriatric nursing home
2002 (English)In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 8, no 1, 11-18 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to elucidate both the interactionbetween a doctor and five registered nurses and the problemsor tasks dealt with in teleconsultations between a universityclinic for geriatric medicine and a nursing home for the elderlyin northern Sweden. The interaction and problems or tasks werestudied through analyses of video-recorded teleconsultationsand through open interviews with the participating staff. Theresults indicated that teleconsultations between a geriatricianand the nurses at a nursing home for the elderly can be a usefultool for providing medical services. Teleconsultations alterboth the 'power-control' and 'practice spheres' for the doctorand the nurses, and must be based on mutual trust. The use ofteleconsultations gives the nurse a larger role as the presenterof medical problems, and gives the doctor the role of remoteconsultant.

Place, publisher, year, edition, pages
Royal Society of Medicine Press, 2002
Identifiers
urn:nbn:se:umu:diva-4164 (URN)10.1258/1357633021937406 (DOI)
Available from: 2004-10-28 Created: 2004-10-28 Last updated: 2017-12-14Bibliographically approved
3. Family members’ narrated experiences of communicating via video-phone with patients with dementia staying at a nursing home
Open this publication in new window or tab >>Family members’ narrated experiences of communicating via video-phone with patients with dementia staying at a nursing home
2003 (English)In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 9, no 4, 216-220 p.Article in journal (Refereed) Published
Abstract [en]

We studied the experience of family members who communicated via video-phones with elderly demented patients who were either staying at a home for temporary respite care or living in a nursing home. The study was based on qualitative data from seven interviews. The interviewees each had three or more months' experience with a video-phone. The open interviews were transcribed. Content analysis showed that video-phone conversations made the relatives of patients at nursing homes more involved in the caring process and that conversation via the video-phone was a different way of communicating. Video-phone conversations with demented patients were in some cases more focused and of better quality than face-to-face conversations. In most cases the video-phone conversations required the assistance of staff at the home in order to be meaningful. Video-phones have the potential to become useful tools for family members caring for elderly relatives.

Place, publisher, year, edition, pages
Royal Society of Medicine Press, 2003
Identifiers
urn:nbn:se:umu:diva-4165 (URN)10.1258/135763303322225544 (DOI)
Available from: 2004-10-28 Created: 2004-10-28 Last updated: 2017-12-14Bibliographically approved
4. Being present in a distant room: A study of the qualitative aspects of teleconsultations with older people in a nursing home
Open this publication in new window or tab >>Being present in a distant room: A study of the qualitative aspects of teleconsultations with older people in a nursing home
2004 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 14, no 8, 1046-1057 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Sage Publications, 2004
Identifiers
urn:nbn:se:umu:diva-4166 (URN)10.1177/1049732304267754 (DOI)
Available from: 2004-10-28 Created: 2004-10-28 Last updated: 2017-12-14Bibliographically approved
5. Establishing joint attention in remote talks with the elderly about health: a study of nurses' conversation with elderly persons in teleconsultations
Open this publication in new window or tab >>Establishing joint attention in remote talks with the elderly about health: a study of nurses' conversation with elderly persons in teleconsultations
2005 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 4, 317-24 p.Article in journal (Refereed) Published
Abstract [en]

This study is a contribution to the sparsely studied field of nurses' teleconsultations with frail elderly people. The aim was to describe how talk and interaction are accomplished and by what means problems are handled that emerge from the fact that the communication is conducted via videoconferencing techniques. Recordings were made of 22 sessions of teleconsultation between nurses and elderly nursing home residents aided by enrolled nurses. The data were analysed with a qualitative method inspired by conversation and discourse analysis. The findings indicate that in order to create a joint attention the participants often had to verbally confirm and reconfirm that contact had been established. The triad of participants played a special part in maintaining the joint attention through compensating for the contextual aspect of the medium's limitations and the demented elderly person's communication problems. 'Talks about the communication' and passages of social talk took place when the nurse or the staff member wanted to re-establish and maintain joint attention. The joint attention seemed connected to a special sort of eye contact and gaze and to the type of camera projection that was used. One conclusion was that to create joint attention in nurses' teleconsultations with frail elderly people, the limitations in transferring communication cues and the limitations of what the camera can reveal of the general context could, to some extent, be made up for by verbal communication within the triad of participants. Another conclusion was that these limitations in the context of interaction in some situations also seemed to be an advantage for the demented elderly and contributed to increased attention

Keyword
Aged, Attention, Communication, Dementia/nursing, Frail Elderly, Humans, Nurse-Patient Relations, Nursing Homes, Remote Consultation, Sweden, Videoconferencing
Identifiers
urn:nbn:se:umu:diva-6756 (URN)doi:10.1111/j.1471-6712.2005.00346.x (DOI)16324054 (PubMedID)
Available from: 2007-12-17 Created: 2007-12-17 Last updated: 2017-12-14Bibliographically approved

Open Access in DiVA

fulltext(224 kB)1492 downloads
File information
File name FULLTEXT01.pdfFile size 224 kBChecksum SHA-1
b624a86ec6a840c3541750dd7d6f3ef33acc9e23a305aaa316d036808decf6c22550286b
Type fulltextMimetype application/pdf

By organisation
Department of Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 1492 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 2970 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf