Dissertation/Thesis Abstract

Utilizing Telehealth Training to Increase Nurse Self-Efficacy and Reduce Costs by Assigning Appropriate Level of Care
by Frohling, Colleen M., D.N.P., McKendree University, 2019, 112; 13878738
Abstract (Summary)

• Patients and families demand effective and safe healthcare instructions. • Health care providers have a duty to provide evidence-based advice and care. • The use of telehealth (electronic information and telecommunications technology to support long-distance clinical care) is an expanding healthcare strategy. • Ineffective telehealth direction results in poor patient satisfaction and outcomes, as well as elevated healthcare costs. • The project focus was educating telehealth nurses based on the evidence. • Evidence-based education increased nurse satisfaction and self-efficacy. • Project structure entailed pre-assessment, education, post-assessment. • Patricia Benner’s Novice to Expert model provided underpinnings for project structure and design model. • Nursing self-efficacy levels impacted delivery of care. • In telehealth, nursing self-efficacy was critical to promote skill performance. • Defense Health System’s (DHS) historic transformation process necessitated support of the military mission and sustainment of patient-centered care. • The Military Health System (MHS) transformation required evidence-based policies and practices that are standardized throughout the services. • Schmidt-Thompson protocols were significant to this DNP project with application of evidence in practice. • Centered on the goal of assuring the appropriate level of care is given to telephone triaged patients. • Patients enrolled at two different Air Force clinics experienced a decrease in the use of emergency room and urgent care when triaged by nurses who received telehealth standardized training. • The use of telehealth supported protocols and training is postulated to improve nurse self-efficacy. • Empowered nurses in the triage role effectively instructed patients to seek the right level of care. • Implementation of innovative training techniques improved nursing self-efficacy.

Indexing (document details)
Advisor: Albers, Janice
Commitee: Rennegarbe, Richelle, Rutenberg, Carol
School: McKendree University
Department: Nursing and Health Professions
School Location: United States -- Illinois
Source: DAI-B 80/09(E), Dissertation Abstracts International
Subjects: Nursing, Military studies
Keywords: Military health, Telehealth, Telehealth training, Telephone protocols
Publication Number: 13878738
ISBN: 978-1-392-16221-7
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