Accepted for/Published in: JMIR Medical Education
Date Submitted: Oct 21, 2024
Open Peer Review Period: Oct 21, 2024 - Dec 16, 2024
Date Accepted: Jan 30, 2025
(closed for review but you can still tweet)
Evaluation of a simulation program for training nursing students to provide nursing care from a distance (telenursing)
ABSTRACT
Background:
Tele-nursing has become prevalent in providing care to diverse populations and health conditions in Israel and globally. The nurse-patient relationship aims to improve the condition of individuals requiring health services.
Objective:
To evaluate the existing skills and knowledge of nursing graduates regarding remote nursing care before and after a training program on tele-nursing through simulation as part of a nursing undergraduate degree.
Methods:
A cohort study assessed knowledge, skills, attitudes, self-efficacy and clinical skills for remote nursing care, as well as readiness to work with this method, among 114 third-year nursing students. Evaluations occurred at two points in time: before and after training.
Results:
Participants were predominantly female (88.6%), aged 20-50 (M=25.68, SD=4.59), with moderate to advanced computer and internet knowledge. Most had no prior exposure to tele-nursing (91.2%), but expressed interest in training (75.4%). Significant improvements were observed across all variables with moderate to high effect sizes. Awareness, knowledge, skills, attitudes and self-efficacy in tele-nursing significantly increased, while perceived barriers decreased. Higher awareness and knowledge were associated with more positive attitudes and higher self-efficacy. Positive attitudes correlate with higher self-efficacy and lower perceived barriers. Change scores indicated that increased awareness and knowledge led to more positive attitudes, while higher awareness and positive attitudes were linked to lower perceived barriers. Improved skills, positive attitudes and lower barriers were associated with higher self-efficacy.
Conclusions:
Incorporating tele-nursing training into nursing education will enable students to provide optimal care for patients requiring this service. The COVID-19 pandemic has emphasized that remote nursing care will be central to future healthcare delivery, underscoring the importance of preparing nursing students for this reality.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.