Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Oct 7, 2022
Date Accepted: May 9, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Therapeutic Relational Connection in Telehealth: A Concept Analysis
ABSTRACT
Background:
Therapeutic relational connection (TRC) is a concept that refers to the intentional use of relationship connection between healthcare providers and their patients towards a therapeutic aim. TRC affects patient-centered outcomes including adherence, self-management, and satisfaction with care. What is not known are best practices for establishing TRC during telehealth visits.
Objective:
This article aims to explore the concept of TRC in telehealth. The purpose of this manuscript is to provide a concept analysis of TRC during telehealth interactions between providers and patients through a comprehensive review of the existing published literature.
Methods:
Rodgers’ evolutionary concept analysis method was used to guide this study. Pubmed, Embase, PsychINFO, and Cumulative Index of Nursing and Allied Health (CINAHL) were used to search for relevant publications. An integrative review strategy aided by Rayyan software was employed to identify a final sample of 13 articles for analysis.
Results:
The proposed definition of TRC is the experience of a mutually responsive patient-provider relationship that is built on mutual respect and understanding and informed by cultural awareness, presence, empathy and ability to effectively evaluate patient concerns to work towards a therapeutic aim. The key attributes of TRC are provider ability to evaluate patient concerns, interpersonal communication, knowledge of patient community and culture, mutual trust and respect, presence, bidirectional responsiveness, empathy and relationship. Clinical presence, proper environment, knowledge about use of technology (both patient and provider), and use of verbal and nonverbal communication are important antecedents of TRC.
Conclusions:
Telehealth necessitates alternative modes of connection and relationship development as compared to face-to-face clinic visits. With the rapid expansion of telehealth platforms and a heightened acceptance of the technology, there is a need to integrate knowledge and provide a clear conceptualization of TRC. This work will enable the development of guidelines and educational interventions aimed at improving patient-provider relationships during telehealth visits and guiding future research with the goal of optimizing patient-centered outcomes. Clinical Trial: Not Applicable
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Copyright
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