Extreme Adjustments to Telehealth Services among Rural Public Health Nurses during the Covid-19 Pandemic in Padang Indonesia

Fitra Yeni; Windy Freska; Mahathir; Dally Rahman

doi:10.55927/eajmr.v2i2.2988

Authors

Fitra Yeni Faculty of Nursing, Andalas University,Padang
Windy Freska Faculty of Nursing, Andalas University,Padang
Mahathir Faculty of Nursing, Andalas University,Padang
Dally Rahman Faculty of Nursing, Andalas University,Padang

DOI:

https://doi.org/10.55927/eajmr.v2i2.2988

Keywords:

Telehealth, Public Health Nurse, Covid-19, Telemedicine, Rural Community Nurse

Abstract

Objective: During the COVID-19 pandemic, rural community health nurses selected telehealth as a novel approach for providing health service. This research describes the interactions between public health nurses and the health service system concerning telehealth implementation. Method: Qualitative research was conducted on rural community nurses at Community Health Center of Padang, Indonesia. The sample was determined based on data saturation. The data was collected using in-depth interviews with open and semi-structured questions. The findings were analyzed utilizing thematic analysis as the primary focus. Result: An overview of telehealth implementation in rural communities is obtained in terms of device aspects, long-distance communication ethics, communication collaboration, and communication interactions in health services. Conclusion: The study’s finding demonstrate that telehealth assisted extend the reach of rural community health service. Adjusting communication patterns using communication technologies and designing the most influential information for symptom detection and education sessions represented a challenge for nurses

References

Agata, S. (2016). Unlocking the Power of Telehealth: Increasing Access and Services in Underserved, Urban Areas. CHCI White Paper, (April).

Anzai, A., Kobayashi, T., Linton, N. M., Kinoshita, R., Hayashi, K., Suzuki, A., … Nishiura, H. (2020). Assessing the impact of reduced travel on exportation dynamics of novel coronavirus infection (Covid-19). Journal of Clinical Medicine, 9(2). https://doi.org/10.3390/jcm9020601

Armocida, B., Formenti, B., Ussai, S., Palestra, F., & Missoni, E. (2020). The Italian health system and the COVID-19 challenge. The Lancet Public Health, 5(5), e253. https://doi.org/10.1016/S2468-2667(20)30074-8

Arshad Ali, S., Baloch, M., Ahmed, N., Arshad Ali, A., & Iqbal, A. (2020). The outbreak of Coronavirus Disease 2019 (COVID-19)—An emerging global health threat. Journal of Infection and Public Health, 13(4), 644–646. https://doi.org/10.1016/j.jiph.2020.02.033

Barayev, E., Shental, O., Yaari, D., Zloczower, E., Shemesh, I., Shapiro, M., … Magnezi, R. (2021). WhatsApp Tele-Medicine – usage patterns and physicians views on the platform. Israel Journal of Health Policy Research, 10(1), 1–9. https://doi.org/10.1186/s13584-021-00468-8

Barnett, M. L., Ray, K. N., Souza, J., & Mehrotra, A. (2018). Trends in Telehealth Use in a Large Commercially Insured Population, 2005-2017. JAMA - Journal of the American Medical Association, 320(20), 2147–2149. https://doi.org/10.1001/jama.2018.12354

Benedictis, A. De, Lettieri, E., Masella, C., Gastaldi, L., Macchini, G., Santu, C., & Tartaglini, D. (2019). WhatsApp in hospital? An empirical investigation of individual and organizational determinants to use. PLoS ONE, 14(1), 1–12. https://doi.org/10.1371/journal.pone.0209873

Bin, E., Andruetto, C., Susilo, Y., & Pernestål, A. (2021). The trade-off behaviours between virtual and physical activities during the first wave of the COVID-19 pandemic period. European Transport Research Review, 13(1). https://doi.org/10.1186/s12544-021-00473-7

Colbourn, T. (2020). COVID-19: extending or relaxing distancing control measures. The Lancet Public Health, 5(5), e236–e237. https://doi.org/10.1016/S2468-2667(20)30072-4

Fletcher-Brown, J., Carter, D., Pereira, V., & Chandwani, R. (2020). Mobile technology to give a resource-based knowledge management advantage to community health nurses in an emerging economies context. Journal of Knowledge Management, 25(3), 525–544. https://doi.org/10.1108/JKM-01-2020-0018

Foley, G., & Timonen, V. (2015). Using grounded theory method to capture and analyze health service experiences. Health Services Research, 50(4), 1195–1210. https://doi.org/10.1111/1475-6773.12275

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

Gibson, J., & Olivia, S. (2020). Direct and Indirect Effects of Covid-19 On Life Expectancy and Poverty in Indonesia. Bulletin of Indonesian Economic Studies, 56(3), 325–344. https://doi.org/10.1080/00074918.2020.1847244

Gordon, H. S., Solanki, P., Bokhour, B. G., & Gopal, R. K. (2020). “I’m Not Feeling Like I’m Part of the Conversation” Patients’ Perspectives on Communicating in Clinical Video Telehealth Visits. Journal of General Internal Medicine, 35(6), 1751–1758. https://doi.org/10.1007/s11606-020-05673-w

Gulacti, U., & Lok, U. (2017). Comparison of secure messaging application (WhatsApp) and standard telephone usage for consultations on length of stay in the ED: A prospective randomized controlled study. Applied Clinical Informatics, 8(3), 742–753. https://doi.org/10.4338/ACI-2017-04-RA-0064

James, S., Ashley, C., Williams, A., Desborough, J., McInnes, S., Calma, K., … Halcomb, E. J. (2021). Experiences of Australian primary healthcare nurses in using telehealth during COVID-19: A qualitative study. BMJ Open, 11(8), 1–7. https://doi.org/10.1136/bmjopen-2021-049095

Jiang, B., Bills, M., & Poon, P. (2020). Integrated telehealth-assisted home-based specialist palliative care in rural Australia: A feasibility study. Journal of Telehealth and Telecare. https://doi.org/10.1177/1357633X20966466

Johnston, M. J., King, D., Arora, S., Behar, N., Athanasiou, T., Sevdalis, N., & Darzi, A. (2015). Smartphones let surgeons know WhatsApp: An analysis of communication in emergency surgical teams. American Journal of Surgery, 209(1), 45–51. https://doi.org/10.1016/j.amjsurg.2014.08.030

Kandel, N., Chungong, S., Omaar, A., & Xing, J. (2020). Health security capacities in the context of COVID-19 outbreak: an analysis of International Health Regulations annual report data from 182 countries. The Lancet, 395(10229), 1047–1053. https://doi.org/10.1016/S0140-6736(20)30553-5

Kauta, N. J., Groenewald, J., Arnolds, D., Blankson, B., Omar, A., Naidu, P., … Chu, K. M. (2020). WhatsApp Mobile Health Platform to Support Fracture Management by Non-Specialists in South Africa. Journal of the American College of Surgeons, 230(1), 37–42. https://doi.org/10.1016/j.jamcollsurg.2019.09.008

Kayyali, R., Hesso, I., Ejiko, E., & Nabhani Gebara, S. (2017). A qualitative study of Telehealth patient information leaflets (TILs): are we giving patients enough information? BMC Health Services Research, 17(1), 1–11. https://doi.org/10.1186/s12913-017-2257-5

Luciano, E., Mahmood, M. A., & Mansouri Rad, P. (2020). Telehealth adoption issues in the United States and Brazil: Perception of healthcare professionals. Health Informatics Journal, 26(4), 2344–2361. https://doi.org/10.1177/1460458220902957

Mataxen, P. A., & Denise Webb, L. (2019). Telehealth nursing: More than just a phone call. Nursing, 49(4), 11–13. https://doi.org/10.1097/01.NURSE.0000553272.16933.4b

May, S., Jonas, K., Fehler, G. V., Zahn, T., Heinze, M., & Muehlensiepen, F. (2021). Challenges in current nursing home care in rural Germany and how they can be reduced by telehealth - an exploratory qualitative pre-post study. BMC Health Services Research, 21(1), 1–10. https://doi.org/10.1186/s12913-021-06950-y

McElroy, J. A., Day, T. M., & Becevic, M. (2020). The influence of telehealth for better health across communities. Preventing Chronic Disease, 17, 1–6. https://doi.org/10.5888/PCD17.200254

Moeckli, J., Gutierrez, J., & Kaboli, P. J. (2021). Perceived Require and Potential Applications of a Telehospitalist Service in Rural Areas. Telehealth and E-Health, 27(1), 90–95. https://doi.org/10.1089/tmj.2020.0018

Muzammil, S. (2020). Telehealth: Is It Only for the Rural Areas? A Review of Its Wider Use. Telehealth and Medicine Today, 5, 1–16. https://doi.org/10.30953/tmt.v5.162

Myers, C. R. (2019). Using Telehealth to Remediate Rural Mental Health and Healthcare Disparities. Issues in Mental Health Nursing, 40(3), 233–239. https://doi.org/10.1080/01612840.2018.1499157

Owens, R. A. (2019). Nurse Practitioner Role Transition and Identity Development in Rural Health service Settings: A Scoping Review. Nursing Education Perspectives, 40(3), 157–161. https://doi.org/10.1097/01.NEP.0000000000000455

Polinski, J. M., Barker, T., Gagliano, N., Sussman, A., Brennan, T. A., & Shrank, W. H. (2016). Patients’ Satisfaction with and Preference for Telehealth Visits. Journal of General Internal Medicine, 31(3), 269–275. https://doi.org/10.1007/s11606-015-3489-x

Sakumoto, M., Ye, J., Kalu, R., Rittner, S. S., Long, T., Goel, M. S., & Walunas, T. L. (2022). Patient Portal Perceptions in an Urban Community Health. Telehealth and Medicine Today, 1, 1–8.

Smith, T., McNeil, K., Mitchell, R., Boyle, B., & Ries, N. (2019). A study of macro-, meso- and micro-barriers and enablers affecting extended scopes of practice: The case of rural nurse practitioners in Australia. BMC Nursing, 18(1), 1–12. https://doi.org/10.1186/s12912-019-0337-z

Terry, D. L., & Buntoro, S. P. (2021). Perceived Usefulness of Telehealth Among Rural Medical Providers: Barriers to Use and Associations with Provider Confidence. Journal of Technology in Behavioral Science, 6(4), 567–571. https://doi.org/10.1007/s41347-021-00215-5

van Houwelingen, C. T. M., Moerman, A. H., Ettema, R. G. A., Kort, H. S. M., & ten Cate, O. (2016). Competencies required for nursing telehealth activities: A Delphi-study. Nurse Education Today, 39, 50–62. https://doi.org/10.1016/j.nedt.2015.12.025