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'It was like he was in the room with us': Patients' and carers' perspectives of telemedicine in acute stroke

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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'It was like he was in the room with us': Patients' and carers' perspectives of telemedicine in acute stroke. / Gibson, Josephine; Lightbody, Elizabeth; Mcloughlin, Alison et al.
In: Health Expectations, Vol. 19, No. 1, 01.02.2016, p. 98-111.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Gibson, J, Lightbody, E, Mcloughlin, A, Mcadam, J, Gibson, A, Day, E, Fitzgerald, J, May, C, Price, C, Emsley, H, Ford, GA & Watkins, C 2016, ''It was like he was in the room with us': Patients' and carers' perspectives of telemedicine in acute stroke', Health Expectations, vol. 19, no. 1, pp. 98-111. https://doi.org/10.1111/hex.12333

APA

Gibson, J., Lightbody, E., Mcloughlin, A., Mcadam, J., Gibson, A., Day, E., Fitzgerald, J., May, C., Price, C., Emsley, H., Ford, G. A., & Watkins, C. (2016). 'It was like he was in the room with us': Patients' and carers' perspectives of telemedicine in acute stroke. Health Expectations, 19(1), 98-111. https://doi.org/10.1111/hex.12333

Vancouver

Gibson J, Lightbody E, Mcloughlin A, Mcadam J, Gibson A, Day E et al. 'It was like he was in the room with us': Patients' and carers' perspectives of telemedicine in acute stroke. Health Expectations. 2016 Feb 1;19(1):98-111. Epub 2015 Jan 8. doi: 10.1111/hex.12333

Author

Gibson, Josephine ; Lightbody, Elizabeth ; Mcloughlin, Alison et al. / 'It was like he was in the room with us' : Patients' and carers' perspectives of telemedicine in acute stroke. In: Health Expectations. 2016 ; Vol. 19, No. 1. pp. 98-111.

Bibtex

@article{fdb794b239fb42cc86cb08050fa32a1e,
title = "'It was like he was in the room with us': Patients' and carers' perspectives of telemedicine in acute stroke",
abstract = "Background: Telemedicine can facilitate delivery of thrombolysis in acute stroke. The aim of this qualitative study was to explore patients' and carers' views of their experiences of using a stroke telemedicine system in order to contribute to the development of reliable and acceptable telemedicine systems and training for health-care staff. Method: We recruited patients who had, and carers who were present at, recent telemedicine consultations for acute stroke in three hospitals in NW England. Semi-structured interviews were conducted using an interview guide based on normalization process theory (NPT). Thematic analysis was undertaken. Results: We conducted 24 interviews with 29 participants (16 patients; 13 carers). Eleven interviews pertained to 'live' telemedicine assessments (at the time of admission); nine had mock-up telemedicine assessments (within 48 h of admission); four had both assessments. Using the NPT domains as a framework for analysis, factors relating to coherence (sense making) included people's knowledge and understanding of telemedicine. Cognitive participation (relational work) included interaction between staff and with patients and carers. Issues relating to collective action (operational work) included information exchange and support, and technical matters. Findings relating to reflexive monitoring (appraisal) included positive and negative impressions of the telemedicine process, and emotional reactions. Conclusion: Although telemedicine was well accepted by many participants, its use added an additional layer of complexity to the acute stroke consultation. The 'remote' nature of the consultation posed challenges for some patients. These issues may be ameliorated by clear information for patients and carers, staff interpersonal skills, and teamworking.",
keywords = "Acute stroke, Carer satisfaction, Patient satisfaction, Remote consultation, Telemedicine, Thrombolysis",
author = "Josephine Gibson and Elizabeth Lightbody and Alison Mcloughlin and Joanna Mcadam and Alison Gibson and Elaine Day and Jane Fitzgerald and Carl May and Chris Price and Hedley Emsley and Ford, {Gary A.} and Caroline Watkins",
year = "2016",
month = feb,
day = "1",
doi = "10.1111/hex.12333",
language = "English",
volume = "19",
pages = "98--111",
journal = "Health Expectations",
issn = "1369-6513",
publisher = "Wiley",
number = "1",

}

RIS

TY - JOUR

T1 - 'It was like he was in the room with us'

T2 - Patients' and carers' perspectives of telemedicine in acute stroke

AU - Gibson, Josephine

AU - Lightbody, Elizabeth

AU - Mcloughlin, Alison

AU - Mcadam, Joanna

AU - Gibson, Alison

AU - Day, Elaine

AU - Fitzgerald, Jane

AU - May, Carl

AU - Price, Chris

AU - Emsley, Hedley

AU - Ford, Gary A.

AU - Watkins, Caroline

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Background: Telemedicine can facilitate delivery of thrombolysis in acute stroke. The aim of this qualitative study was to explore patients' and carers' views of their experiences of using a stroke telemedicine system in order to contribute to the development of reliable and acceptable telemedicine systems and training for health-care staff. Method: We recruited patients who had, and carers who were present at, recent telemedicine consultations for acute stroke in three hospitals in NW England. Semi-structured interviews were conducted using an interview guide based on normalization process theory (NPT). Thematic analysis was undertaken. Results: We conducted 24 interviews with 29 participants (16 patients; 13 carers). Eleven interviews pertained to 'live' telemedicine assessments (at the time of admission); nine had mock-up telemedicine assessments (within 48 h of admission); four had both assessments. Using the NPT domains as a framework for analysis, factors relating to coherence (sense making) included people's knowledge and understanding of telemedicine. Cognitive participation (relational work) included interaction between staff and with patients and carers. Issues relating to collective action (operational work) included information exchange and support, and technical matters. Findings relating to reflexive monitoring (appraisal) included positive and negative impressions of the telemedicine process, and emotional reactions. Conclusion: Although telemedicine was well accepted by many participants, its use added an additional layer of complexity to the acute stroke consultation. The 'remote' nature of the consultation posed challenges for some patients. These issues may be ameliorated by clear information for patients and carers, staff interpersonal skills, and teamworking.

AB - Background: Telemedicine can facilitate delivery of thrombolysis in acute stroke. The aim of this qualitative study was to explore patients' and carers' views of their experiences of using a stroke telemedicine system in order to contribute to the development of reliable and acceptable telemedicine systems and training for health-care staff. Method: We recruited patients who had, and carers who were present at, recent telemedicine consultations for acute stroke in three hospitals in NW England. Semi-structured interviews were conducted using an interview guide based on normalization process theory (NPT). Thematic analysis was undertaken. Results: We conducted 24 interviews with 29 participants (16 patients; 13 carers). Eleven interviews pertained to 'live' telemedicine assessments (at the time of admission); nine had mock-up telemedicine assessments (within 48 h of admission); four had both assessments. Using the NPT domains as a framework for analysis, factors relating to coherence (sense making) included people's knowledge and understanding of telemedicine. Cognitive participation (relational work) included interaction between staff and with patients and carers. Issues relating to collective action (operational work) included information exchange and support, and technical matters. Findings relating to reflexive monitoring (appraisal) included positive and negative impressions of the telemedicine process, and emotional reactions. Conclusion: Although telemedicine was well accepted by many participants, its use added an additional layer of complexity to the acute stroke consultation. The 'remote' nature of the consultation posed challenges for some patients. These issues may be ameliorated by clear information for patients and carers, staff interpersonal skills, and teamworking.

KW - Acute stroke

KW - Carer satisfaction

KW - Patient satisfaction

KW - Remote consultation

KW - Telemedicine

KW - Thrombolysis

U2 - 10.1111/hex.12333

DO - 10.1111/hex.12333

M3 - Journal article

AN - SCOPUS:84956733132

VL - 19

SP - 98

EP - 111

JO - Health Expectations

JF - Health Expectations

SN - 1369-6513

IS - 1

ER -