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PubMedDate not supplied

Integrating Web-based instruction into a graduate nursing program taught via videoconferencing. Challenges and solutions.

This article describes the methods used, problems encountered, and solutions that were generated while integrating Web-based instruction (WBI) into a Master of Science in Nursing Leadership and Case Management, and a Post-Master's Case Management certificate distance education program taught via video-conferencing. The writer describes the use of computer-mediated communication to enhance collaboration between and among students at 11 video-conferencing sites. The integration of WBI to support collaboration was successful because students and faculty could complete their academic activities in the locations and times that were most convenient to them. The tools that WBI provided were instrumental in helping students submit collaborative work that faculty often identified as far exceeding their expectations.

Computer-Assisted Instruction↗
PubMed1997

Telepsychotherapy. Psychotherapy by telephone, videotelephone, and computer videoconferencing.

Telepsychotherapy is defined as psychotherapy conducted by a therapist at a location different from the patient's through bidirectional communication technology supporting real-time interactivity in the audio, audiovisual, or text modalities. Various types of telecommunication equipment are considered. Vignettes of 2 cases treated by means of the AT&T Videophone 2500 are presented. Medicolegal aspects and clinical issues, including ethics, confidentiality, patient selection, and therapy technique, are addressed.

Computer Systems↗
PubMed2003

Clinicians' and patients' experiences and satisfaction with unscheduled, nighttime, Internet-based video conferencing for assessing acute medical problems in a nursing facility.

Videoconferencing between patients and their physicians can increase patients' access to healthcare. Unscheduled videoconferencing can benefit patients with acute medical problems but has not been studied extensively. We conducted a clinical trial of unscheduled, nighttime videoconferencing in a nursing home, where on-call physicians usually provide care by telephone from remote locations. Although most calls for medical problems did not lead to videoconferencing, physicians and nursing-home residents were satisfied with videoconferencing when it did occur, and physicians reported that making medical decisions was easier with videoconferencing. Videoconferencing was most often conducted to assess residents with changes in mental status, abnormal laboratory values, or falls. Physicians often lacked immediate access to videoconferencing equipment when medical problems with residents occurred. This application could benefit from improved access and portability of equipment.

Adult↗
PubMed2003

Preliminary experience of allied health assessments delivered face to face and by videoconference to a residential facility for elderly people.

We investigated whether allied health assessments carried out via videoconferencing were comparable to assessments carried out face to face. Five allied health therapists (in dietetics, occupational therapy, physiotherapy, podiatry and speech pathology) conducted an assessment of 12 high-dependency residents both face to face and by videoconferencing. On a five-point Likert scale, the therapists' mean ratings for the efficiency and suitability of videoconferencing for assessment were significantly lower than for face to face. Their mean rating for the adequacy of their care plans was also significantly lower for videoconferencing than for face to face. However, in each case the dietician's assessments did not differ significantly between the two modalities. In 35 cases out of 60, two independent raters agreed that the therapists' care plans after the videoconferencing and face-to-face assessments were the same. However, the level of agreement between raters was only moderate (kappa=0.31). Despite the therapists' (natural) preference for face-to-face working, care plans formulated via videoconferencing were reasonably similar to those formulated in face-to-face assessment. Allied health assessments carried out by videoconferencing would therefore seem to be feasible.

Aged↗
PubMed2002

The North Lewisham telepsychiatry project: beyond the pilot phase.

The integration of a telepsychiatry application into an inner-city community mental health service was evaluated over 10 months. ISDN videoconferencing at 128 kbit/s was employed for psychiatric consultation between a primary care centre and a community mental health centre. A convenience sample of patients and referrals seen by videoconferencing was compared with a sample seen face to face. During the study period 19 patients were managed by videoconferencing and 12 face to face. There were 162 consultations, comprising 81 prearranged teleconsultations and 81 prearranged face-to-face consultations. There was no significant difference in attendance between videoconferencing and face-to-face consultations. Nine of the videoconferencing new referrals had not completed their treatment at the end of the study period, compared with only three in the face-to-face group. This implies that it takes longer to complete treatment for new referrals managed by videoconferencing.

Adult↗
PubMed2000

A community-based approach to evaluation of health outcomes and costs for telepsychiatry in a rural population: preliminary results.

A pilot trial was established to support visiting psychiatric services and local public and private practitioners through the use of videoconferencing. The purpose of the trial was to determine whether people in the community received better health-care with telemedicine. A community-based approach was used to evaluate health outcomes, costs, utilization, accessibility, quality and needs for such services in a rural community in Queensland. Over a two-year period data were collected from 124 subjects who met the criteria of having a mental health problem or mental disorder. Nine further subjects refused to participate in the study. Only 32 subjects used videoconferencing to receive mental health services. Preliminary results did not show any significant improvements in wellbeing or quality of life, although the time span was relatively short. However, the results confirmed that the people were no worse off from a consumer or a practitioner perspective from using videoconferencing. Most consumers found that videoconferencing with a psychiatrist moderately or greatly helped them in managing their treatment, with 98% of them preferring to be offered videoconferencing in combination with local services. Overall, videoconferencing is a crucial part of enhancing psychiatry services in rural areas. However, it is not necessarily cost-effective for all consumers, general practitioners, psychiatrists, or the public mental health service.

Humans↗
PubMed2005

Teaching by videoconference: a commentary on best practice for rural education in health professions.

This article offers a primer on how to get started in videoconferencing, focusing on practical approaches to technical and protocol issues. The technical capabilities of videoconferencing systems, linked with initiatives supporting greater rural access to broadband, means videoconferencing is expanding rapidly as a health education tool. Forethought allows the purchase of the most appropriate equipment, reducing costs overall and increasing the functionality of the system. Adherence to simple matters, including etiquette, ensures the experience is enjoyable as well as educational. Consideration should be given to the role of videoconferencing in expanding the social as well as academic opportunities for rural clinicians and students. Videoconferencing is a useful adjunct to traditional educational delivery modes, and can enable quality education opportunities that would be prohibitive due to time, travel, and cost constraints.

Computer Communication Networks↗
PubMed2001

The provision of a telepsychology service to Shetland: client and therapist satisfaction and the ability to develop a therapeutic alliance.

We conducted a pilot study to assess the feasibility and acceptability of videoconferencing as a means of providing a clinical psychology service in the Shetland Islands. A general practitioner was equipped with a desktop PC-based system connected to a mainland hospital videoconferencing system by ISDN at 128 kbit/s. Qualitative methods were used to assess user satisfaction, the ability to form a therapeutic relationship and client improvement. Over one year, 10 patients (eight female, two male) participated in the videoconferencing therapy sessions. The psychologist and all but one of the clients were highly satisfied with the videoconferencing therapy sessions. The clients were able to develop a positive therapeutic relationship with the psychologist and all reported some improvement from therapy. The results showed that videoconferencing is a feasible and acceptable means of providing therapy to patients in remote areas.

Female↗