Exploring Clients' Experiences of Transitioning Mental Health Nursing Care from an In-Person to a Virtual Format due to the COVID-19 Pandemic.

IF 1.7 Q2 NURSING Canadian Journal of Nursing Research Pub Date : 2024-03-01 Epub Date: 2023-12-13 DOI:10.1177/08445621231221033
Jean-Laurent Domingue, Lisa Murata, Chijindu Ukagwu, Billie Pryer, Shruti Patel, Jennifer Neves, Tariq Iqbal
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Abstract

The onset of the COVID-19 pandemic led mental health professionals to change the way they engaged with clients, often replacing in-person consultations with virtual ones via telephone or videoconferencing. While studies have investigated the delivery of virtual physical health care, only a handful have investigated the delivery of virtual mental health. These specifically focussed on the outcomes of virtual care whether experiential, practical, or empirical. The transition from in-person to virtual care delivery due to the COVID-19 pandemic has been unexplored. Accordingly, the purpose of the study was to: (1) Explore the experiences of clients who had to transition from an in-person to a virtual provision of mental health care due to the COVID-19 pandemic, and; (2) Explore the nurses' experiences of this technological transition. Using an interpretive phenomenology methodology, semi-structured interviews were conducted with nurses and clients who have experienced the in-person to virtual transition of service delivery at a tertiary mental health hospital in Ontario, Canada. In this article, we focus on the results stemming from our interviews with clients. The themes generated from the analysis of client experiences are 1) the psychosocial impact of the COVID-19 pandemic on clients, (2) mixed feelings of clients towards nursing care delivered via technological means and (3) the role of nurses regarding transitioning of in-person care to technology-mediated care. These findings are relevant as mental health care hospitals are considering how they will deliver services once concerns with the transmission of the COVID-19 virus are resolved.

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探索客户因 COVID-19 大流行而将心理健康护理从面对面形式过渡到虚拟形式的经历。
COVID-19 大流行病的爆发导致心理健康专业人员改变了与客户接触的方式,通常以电话或视频会议的虚拟咨询取代面对面咨询。虽然已有研究调查了虚拟身体保健的提供情况,但只有少数研究调查了虚拟心理保健的提供情况。这些研究特别关注虚拟医疗的成果,无论是体验性、实用性还是经验性。由于 COVID-19 的流行,从面对面到虚拟医疗服务的转变尚未被研究。因此,本研究的目的是:(1) 探讨因 COVID-19 大流行而不得不从面对面提供心理健康护理过渡到虚拟提供心理健康护理的客户的经历;(2) 探讨护士在这一技术过渡中的经历。我们采用解释现象学的方法,对加拿大安大略省一家三级心理健康医院的护士和客户进行了半结构化访谈,他们都经历了从面对面服务到虚拟服务的转变。在本文中,我们将重点介绍与客户访谈的结果。对客户体验的分析产生了以下主题:1)COVID-19 大流行病对客户的社会心理影响;2)客户对通过技术手段提供护理服务的复杂感受;3)护士在从面对面护理向以技术为媒介的护理过渡中所扮演的角色。这些研究结果具有现实意义,因为心理保健医院正在考虑,一旦 COVID-19 病毒传播问题得到解决,他们将如何提供服务。
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来源期刊
CiteScore
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
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