NDLI: Competencies required for nursing telehealth activities: A Delphi-study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Van Houwelingen, Cornelis T. M. Moerman, Anna H. Ettema, Roelof G. A. Kort, Helianthe S. M. Ten Cate, Olle
Description	Author Affiliation: van Houwelingen CT ( Research Center for Innovations in Health Care, Faculty of Health Care, Utrecht University of Applied Sciences, The Netherlands. Electronic address: thijs.vanhouwelingen@hu.nl.); Moerman AH ( Bachelor of Nursing, Faculty of Health Care, Utrecht University of Applied Sciences, The Netherlands.); Ettema RG ( Research Center for Innovations in Health Care, Faculty of Health Care, Utrecht University of Applied Sciences, The Netherlands); Kort HS ( Research Center for Innovations in Health Care, Faculty of Health Care, Utrecht University of Applied Sciences, The Netherlands); Ten Cate O ( Medical Education at University Medical Center Utrecht, Utrecht, The Netherlands.)
Abstract	BACKGROUND: Telehealth is viewed as a major strategy to address the increasing demand for care and a shrinking care professional population. However, most nurses are not trained or are insufficiently trained to use these technologies effectively. Therefore, the potential of telehealth fails to reach full utilization. A better understanding of nursing telehealth entrustable professional activities (NT-EPAs) and the required competencies can contribute to the development of nursing telehealth education. METHOD: In a four-round Delphi-study, a panel of experts discussed which NT-EPAs are relevant for nurses and which competencies nurses need to possess to execute these activities effectively. The 51 experts, including nurses, nursing faculty, clients and technicians all familiar with telehealth, were asked to select items from a list of 52 competencies based on the literature and on a previous study. Additionally, the panelists could add competencies based on their experience in practice. The threshold used for consensus was set at 80%. RESULTS: Consensus was achieved on the importance of fourteen NT-EPAs, requiring one or more of the following core competencies; coaching skills, the ability to combine clinical experience with telehealth, communication skills, clinical knowledge, ethical awareness, and a supportive attitude. Each NT-EPA requires a specific set of competencies (at least ten). In total, 52 competencies were identified as essential in telehealth. DISCUSSION/CONCLUSION: Many competencies for telehealth, including clinical knowledge and communication skills, are not novel competencies. They are fundamental to nursing care as a whole and therefore are also indispensable for telehealth. Additionally, the fourteen NT-EPAs appeared to require additional subject specific competencies, such as the ability to put patients at ease when they feel insecure about using technology. The NT-EPAs and related competencies presented in this study can be used by nursing schools that are considering including or expanding telehealth education in their curriculum.
File Format	HTM / HTML
ISSN	02606917
Journal	Nurse Education Today
Volume Number	39
e-ISSN	15322793
Language	English
Publisher	Elsevier
Publisher Date	2016-04-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nursing
Content Type	Text
Resource Type	Article
Subject	Nursing Education

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