Experiences, impacts, and requirements of synchronous video consultations between nurses, allied health professionals, psychological therapists, and adult service-users: A review of the literature
Mcvey, Lynn Montague, Jane Chater, Michael Edwards, Lisa Eyers, Emma Khan, Karen
Mcvey, Lynn
Montague, Jane
Chater, Michael
Edwards, Lisa
Eyers, Emma
Khan, Karen
Publication Date
2024-12-04
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(c) 2024 The Authors. This is an Open Access article distributed under the Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/)
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Abstract
Background: Telemedicine is increasingly used within healthcare worldwide. More is known about its efficacy in treating different conditions and its application to different contexts than about service-users’ and practitioners’ experiences or how best to support implementation.
Aims: To review adult service-users’ experiences of synchronous video consultations with nurses, allied health professionals and psychological therapists, find out how consultations impact different groups of service-users and identify requirements for the conduct of VCs at individual, organisational, regional, and national levels.
Method: CINAHL, Embase, Medline, PsycINFO Scopus were searched for papers published between 01/01/2018 and 19/03/2021. One reviewer independently reviewed citations and a second reviewed those excluded by the first reviewer, in a liberal accelerated approach. Quality assessment was undertaken using the Mixed Methods Appraisal Tool and data were synthesised narratively.
Results: 65 papers were included. Service-users’ experiences of video consultations ranged from feelings of connection to disconnection and ease of access to challenges to access. Many service-users were excluded from video consultation services or research, based on mental health, language or access to technology. Requirements at individual practitioner level included providing clear orientation and ongoing technical support and developing technical and relational skills. At organisational levels, requirements involved making technology available to users through equipment loan or service models such as hub-and-spoke; planning services carefully; integrating them within organisational systems; and assuring security. Regional and national requirements related to inter-organisational co-operation and developing functionality.
Conclusion: To support safe and equitable video consultation provision, we recommend: (1) providers and researchers consider carefully how to maximise participation, for example through more inclusive consent processes; (2) sharing video consultation user guides and technical support documentation; and (3) continuing professional development for practitioners, focusing on the technical and relational skills that service-users value, such as the ability to convey empathy online.
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Mcvey L, Fitzgerald M, Montague J et al (2024) Experiences, impacts, and requirements of synchronous video consultations between nurses, allied health professionals, psychological therapists, and adult service-users: A review of the literature. Digital Health. 3(12): e0000654.
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