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首页> 外文期刊>Nursing forum >Special populations: telehealth advance practice nursing: the lived experiences of individuals with acute infections transitioning in the home.
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Special populations: telehealth advance practice nursing: the lived experiences of individuals with acute infections transitioning in the home.

机译：特殊人群：远程医疗高级实践护理：急性感染患者的生活经历在家里过渡。

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AIM: This paper aims to describe the "lived experience" of individuals with acute infections transitioning in the home with support by an advance practice nurse using telehealth. BACKGROUND: The use of telehealth in individuals' homes in the United States is increasing in an effort to cut cost by limiting admissions to hospitals and/or reducing length of stay. This increase has not been driven by conclusive research findings in support of this technology; furthermore, the majority of research conducted has been in the area of chronic disease management. METHOD: A qualitative approach was used to describe the essential structure of the lived experience as told during taped interviews by individuals who had been enrolled in a pilot quantitative telehealth study over the past 2 years. FINDINGS: Major findings consisted of three theme categories: Initial response, Engaging in care, and Experiencing the downside. The transition that occurred when an individual with an acute infection was discharged from thehospital to the home supported by telehealth technology revealed an overall positive experience from the 10 participants. There was one negative experience in a participant who had two separate telehealth enrollments. CONCLUSIONS: The findings add valuable insight for advanced practice nurses into the experience of participants with acute illness who are receiving telehealth as they transition from hospital care to home care. The findings highlighted the importance of the participants having a sense of control when recovering from their illness, which could be achieved at home with a family member acting as a substitute nurse. The participants shared that the hospital environment may not be optimal for recovering from an illness. This provides the advanced practice nurse with information on risk and benefits of telehealth from the individuals' perspective.
机译：目的：本文旨在描述在远程护理的高级实践护士的支持下，急性感染个体在家庭中转移的“生活经历”。背景技术：在美国，通过限制进入医院和/或减少住院时间来减少成本，远程医疗在个人家庭中的使用正在增加。支持这项技术的结论性研究结果并未推动这种增长;此外，所进行的大多数研究都在慢性疾病管理领域。方法：定性方法被用来描述生活经验的基本结构，正如在过去两年中参加定量远程医疗试点研究的个人在录音采访中所说的那样。结果：主要发现包括三个主题类别：初始响应，参与护理和经历负面影响。在远程医疗技术的支持下，当急性感染者从医院出院到家中时发生的过渡显示出10名参与者的总体积极经历。参加过两次远程医疗注册的参与者有一个负面经历。结论：这些发现为高级执业护士提供了宝贵的见解，帮助他们了解急性病参与者从医院护理过渡到家庭护理时正在接受远程医疗的经验。调查结果强调了参与者从疾病中恢复过来时要有控制感的重要性，这可以在家里由一名家庭成员担任替代护士来实现。参加者分享了医院环境可能不是从疾病中恢复的最佳环境。这从个人的角度为高级实践护士提供了有关远程医疗风险和收益的信息。

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