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Accepted for/Published in: JMIR Human Factors

Date Submitted: Oct 7, 2023
Date Accepted: Dec 9, 2024

The final, peer-reviewed published version of this preprint can be found here:

Leveraging Smart Telemedicine Technology to Enhance Nursing Care Satisfaction and Revolutionize COVID-19 Care: Prospective Cohort Study

Chang YL, Lin CY, Hsu J, Liao SL, Yu CT, Peng HC, Chen CY, Ma MHM, Hwang JJ

Leveraging Smart Telemedicine Technology to Enhance Nursing Care Satisfaction and Revolutionize COVID-19 Care: Prospective Cohort Study

JMIR Hum Factors 2025;12:e53456

DOI: 10.2196/53456

PMID: 39838732

PMCID: 11774322

Revolutionizing COVID-19 Care: Leveraging Smart Telemedicine Technology to Enhance Nursing Care Satisfaction: Prospective Cohort Study

  • You-Lung Chang; 
  • Chi-Ying Lin; 
  • Jiun Hsu; 
  • Sui-Ling Liao; 
  • Chun-Ti Yu; 
  • Hung-Chueh Peng; 
  • Chung-Yu Chen; 
  • Matthew Huei-Ming Ma; 
  • Juey-Jen Hwang

ABSTRACT

Background:

Telemedicine has been utilized in the care of COVID-19 patients, allowing real-time remote monitoring of vital signs. This technology reduces the risk of transmission while providing high-quality care to both self-quarantined patients with mild symptoms and critically ill patients in hospitals.

Objective:

This study aims to investigate the application of telemedicine technology in screening and treating COVID-19 patients, both at home and in the hospital setting.

Methods:

Over 800 cases were monitored using the QOCA remote home care system. Of these, 36 individuals voluntarily participated in the isolation ward, while 21 individuals were in home isolation. The QOCA remote care system monitored isolated cases through remote care packages and a 4G tablet. Case managers and physicians provided telemedicine appointments and medication. Innovative methods were developed to enhance usage, including online health education, remote care equipment instructions through QR core links, and video consultations for patients without smartphones.

Results:

A satisfaction survey among clinical nursing staff revealed that most respondents found the content of the remote care package comprehensive and the interface easy to learn. They expressed a desire to continue using the system. The majority also agreed that using the remote care system and package would reduce their workload and that patients/caregivers could easily learn to use the package. While some respondents expressed concerns about network and Bluetooth connections, the majority agreed to include the remote device as part of their routine equipment, with an average score of 84.7 points.

Conclusions:

The integration of telemedicine technology improves the quality of care while reducing the workload and exposure of medical staff to viruses.


 Citation

Please cite as:

Chang YL, Lin CY, Hsu J, Liao SL, Yu CT, Peng HC, Chen CY, Ma MHM, Hwang JJ

Leveraging Smart Telemedicine Technology to Enhance Nursing Care Satisfaction and Revolutionize COVID-19 Care: Prospective Cohort Study

JMIR Hum Factors 2025;12:e53456

DOI: 10.2196/53456

PMID: 39838732

PMCID: 11774322

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