Veteran and healthcare team perspectives on the TeleWound Practice Program within the Veterans Health Administration.

IF 1.5 4区医学 Q3 DERMATOLOGY Journal of wound care Pub Date : 2025-01-02 DOI:10.12968/jowc.2022.0205

Marissa Wirth, Bella Etingen, Timothy P Hogan, Bridget M Smith, Elizabeth Tarlov, Kevin Stroupe, Rebecca Kartje, Frances M Weaver

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Abstract

Objective: The Veterans Health Administration (VHA) recently piloted the implementation of the TeleWound Practice Program (TWP), which provides interprofessional wound care to Veterans remotely. We assessed the perceptions of Veterans and healthcare team members (HCTMs), and their experiences with the TWP.

Method: We surveyed Veterans from four VHA medical centres who had received at least one TWP visit between 1 May 2020 and 31 May 2021, and HCTMs associated with any TWP encounter between 1 September 2019 and 31 March 2021. Survey data were summarised using descriptive statistics and open-ended question responses were analysed using thematic coding.

Results: Out of 534 Veterans approached, 194 completed the survey (a 36% response rate). Most were interested in continuing to use TeleWound care (66%), felt more motivated to participate in their wound care due to the TWP (70%), and reported reductions in travel distance (81%) and cost (81%) related to wound care. Of the 32 HCTMs approached, 19 completed the TWP survey (a 59% response rate). Respondents indicated that the TWP improved their own professional decision-making skills (82%) and supported Veterans to take a more active role in their health (100%). Challenges included insufficient training for HTCMs, lack of stakeholder buy-in, and logistical and technical issues. Suggestions for improvement related to equipment, additional training and dedicated TWP staff.

Conclusion: In this study, the Veterans were satisfied with the TWP and were more motivated to engage in wound self-management after receiving care through the TWP. HCTMs also perceived the TWP as beneficial to Veterans. However, additional efforts are needed to address barriers to TWP implementation across the VHA system of care.

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退伍军人和医疗团队对退伍军人健康管理局远程创伤实践计划的看法。

目的：退伍军人健康管理局（VHA）最近试点实施了远程创伤实践计划（TWP），该计划为退伍军人远程提供跨专业的伤口护理。我们评估了退伍军人和医疗团队成员（HCTMs）的看法，以及他们使用TWP的经验。方法：我们调查了来自四个VHA医疗中心的退伍军人，他们在2020年5月1日至2021年5月31日期间至少接受过一次TWP就诊，以及与2019年9月1日至2021年3月31日期间任何TWP就诊相关的HCTMs。使用描述性统计对调查数据进行总结，使用主题编码对开放式问题的回答进行分析。结果：在接受调查的534名退伍军人中，有194人完成了调查（回复率为36%）。大多数人有兴趣继续使用远程伤口护理（66%），由于TWP(70%)，他们更有动力参与伤口护理，并报告减少了与伤口护理相关的旅行距离（81%）和成本（81%）。在接触的32家中医中，有19家完成了TWP调查（应答率为59%）。受访者表示，TWP提高了他们自己的专业决策技能（82%），并支持退伍军人在他们的健康中发挥更积极的作用（100%）。挑战包括htcm培训不足，缺乏利益相关者的支持，以及后勤和技术问题。有关设备改进的建议，额外的培训和专门的TWP人员。结论：在本研究中，退伍军人对TWP感到满意，并在接受TWP护理后更有动力参与伤口自我管理。HCTMs还认为TWP对退伍军人有益。然而，需要作出更多努力，以解决在VHA保健系统中实施TWP的障碍。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.