Guide feedback from registered nurse
On this page
Section Navigation
Feedback from Alec Sison
Structure
- Title suggestion:
- "Guide for Reducing Barriers to Virtual Healthcare" → "Guide for Barrier Reduction to Optimize Virtual Healthcare Delivery"
- Table of Contents is hard to navigate/parse.
- Lots of repetition in structure/section names. e.g. each guideline has the same/similar sections listed.
- "Guidelines..." is the starting name for each Guideline category
- perhaps flipping the order of the name "[person/group] Guideline"
- "Guidelines concerning recipients of care" → "Recipients of Care Guidelines"
- "Guidelines concerning practitioners" → "Healthcare Practitioner Guidelines"
- etc.
- perhaps flipping the order of the name "[person/group] Guideline"
- Does the order of the guideline subsections (Functional need, Clarifying questions, Practices, Software approaches, also see) matter, and does the it make sense as is?
- Practices subsection
- Is this supposed to address what is currently available or brainstorm new and alternative approaches? If the latter this would need continual updating as new therapies and treatment options become available)
- If this list becomes exhaustive overtime, would it make reading through all available therapies and treatments difficult.
Terms
- In the Glossary for "Practitioner", suggested to change "medical practitioner" to "healthcare practitioner" to be more inclusive.
- "Interaction of systems" section name is vague.
- "Technical Literacy" section name. Is this the same as Technological literacy?
- "Community" section name is ambiguous.
Values
- Human Diversity
- Is it possible for the Guide to satisfy?
- i.e. stating that everyone is unique but defining standards to address all those unique needs?
- Is it possible for the Guide to satisfy?
Guiding principles
- Contextualization can individualize healthcare experiences
- How can individuals share contexts? forms, surveys, tests, etc.?
- Understandability is fundamental to quality care
- Are individuals overwhelmed by too many questions, surveys and forms?
Guidelines
Place of Care
- Functional needs
- Additions
- comfort and security in a particular environment
- may not receive adequate internet speeds to accommodate virtual visit
- may not have adequate phone connectivity (e.g. rural area)
- habits of always doing things in a particular way
- seeing doctor in person vs new virtual healthcare method
- Additions
- Clarifying Questions
- Additions
- Can anything be done to address lack of connectivity in the recipient of care's place of care
- Additions
- Software Approaches
- Comments
- "Have a way for individuals to discover alternate locations for having virtual healthcare visits. This could be a searchable index of possible locations that match different criteria"
- Assumes literacy (digital, etc.) to be able to search for alternative locations.
- Assumes they know the area well enough to find suitable alternative locations.
- Assumes their health permits the searching and discovery of alternative locations.
- "Have a way for individuals to discover alternate locations for having virtual healthcare visits. This could be a searchable index of possible locations that match different criteria"
- Comments
Physical supports for using technology
- Functional needs
- Additions
- Assistive technologies (e.g. hearing aids, corrective lenses, etc.)
- blue light glasses
- ergonomic devices if the technology requires repetition
- Additions
- Clarifying Questions
- Additions
- Is there access/availability to ergonomic devices?
- Comments
- Consider repetitive stress injuries from overuse of mouse and keyboard
- Additions
- Software Approaches
- Additions
- Ensure dependability/reliability to prevent crashes due to overuse, bandwidth limits/throttling, etc.
- Additions
Booking and attending a virtual meeting
- Also see:
- Comments
- Consider that the Personal Health Information Protection Act (PHIPA) is adhered to and that clients are aware that their information is safe and secure.
- Comments
Humanizing wait queues
- Functional needs
- Additions
- callback option
- e-mail back option
- Additions
- Software Approaches
- Additions
- Robo-assistant that answers FAQs and generic questions
- Additions
Building and nurturing trust through feedback
- Clarifying Questions
- Comments
- Who looks at the feedback?
- How is the feedback used to inform future practices and delivery methods?
- Comments
- Software Approaches
- Comments
- Can a simplified form (like a Likert scale or rating) be used to limit user fatigue?
- Comments
Enhancing intake process to personalize service delivery
- Clarifying Questions
- Comments
- How much information is too much information?
- How does the review of an exhaustive amount of information affect practitioners and their speed of delivery?
- How much information is too much information?
- Comments
- Software Approaches
- Comments
- Keep forms easy to fill out. Prioritize speed over details, as details can be retrieved during the actual appointment.
- This may also reduce the need to provide detailed information multiple times.
- Keep forms easy to fill out. Prioritize speed over details, as details can be retrieved during the actual appointment.
- Comments
Improving service by storing and sharing complimentary information
- Introduction
- Comments
- Beware of potential privacy and security breaches of stored and shared patient information.
- Comments
- Practices
- Comments
- If a patient is of sound judgement, having others within their circle of care decide on their behalf limits the patient's ability to advocate for themselves.
- For patients who cannot advocate for themselves, this allows for substitute decision makers from their circle of care to advocate for them.
- Comments
- Software Approaches
- Comments
- How feasible is this?
- What if the journal is misplaced or stolen?
- Is this a breach of privacy?
- Comments
Addressing financial barriers
- Functional needs
- Additions
- Lower socioeconomic status preventing access to internet
- rural settings
- Additions
- Practices
- Comments
- Are resources easy to understand?
- Are there options for various languages and formats?
- Comments
- Software Approaches
- Additions
- Ensure dependability/reliability to prevent crashes due to overuse, bandwidth limits/throttling, etc.
- Additions
Virtual meeting connectivity
- Clarifying questions
- Comments
- Is it possible to secure the connection to ensure that it doesn't disconnect?
- Comments
Technical literacy
- Clarifying questions
- Additions
- What are the minimum requirements for connectivity?
- Additions
Understandable communication
- Functional needs
- Additions
- Being ready to answer any and all questions asked to promote empowerment in health journey.
- Additions
- Clarifying questions
- Additions
- Would the use of pictures be helpful?
- Additions
- Practices
- Additions
- Provide "normal" ranges for lab values to promote understanding of the readings.
- Additions
Provide extra opportunities for questions and feedback
- Clarifying questions
- Comments
- Will this information change with the next appointment?
- What is the turnaround time reading feedback and implementing changes to foster a therapeutic relationship?
- Comments
- Software Approaches
- Additions
- Include a summary of things discussed during the appointment to potentially allow the client to ask more questions for a deeper understanding for future appointments.
- Additions
Encourage self-documentation and personal data logging
- Clarifying questions
- Comments
- Something like the health app on iOS that logs regular exercise activities, heart rates, etc.
- Comments
- Practices
- Additions
- Possible integration of nutrition and meal planning with lab values and future medical testing.
- Additions
Understandable healthcare processes
- Clarifying questions
- Comments
- Each person's illness trajectory may be different.
- Ascribing a generalized sequence of events may do more harm than good if the patient is not at specific steps at particular times; causing them much anxiety and stress.
- Comments
Establishing and expanding the circle of care
- Introduction
- Comments
- How often are contacts updated?
- Comments
Nurture reassurance
- Introduction
- Comments
- Does this apply to the healthcare practitioner?
- Who is cultivating a reassuring environment during virtual healthcare delivery?
- Comments
- Clarifying questions
- Comments
- Who is responsible for this?
- Comments
Welcoming and supporting caregiver involvement
- Introduction
- Comments
- How can this be promoted without the caregiver taking up too much responsibility and limiting the client's agency?
- Comments
- Clarifying questions
- Comments
- If an unreasonable request is made with regards to support preferences, who has the final say?
- Comments
- Practices
- Comments
- Consider financial constraints for engaging support services.
- Consider mental capacity of clients requiring support.
- Comments
Additional Guidelines
Healthcare practitioner hesitancy to adopt changing to virtual model
- age of healthcare practitioner
- refusal to learn new systems
- difficulty assessing patients virtually
- camera, computer and sound issues making it difficult to conduct thorough assessments virtually