遠距護理之虛擬訪視概念分析

Conceptual Analysis and Knowledge Development in Nursing - Virtual Visit of Telephone Nursing Care

背景：Telephone-Nursing care是一種虛擬訪視，缺乏面對面的溝通，可能因訊息遺漏或流失（估計約50%）而無法了解來電者真正理解與否，因而影響後續人員決策、遵從性與滿意度等安全議題。目的：經由概念分析產生Telephone-Nursing care概念知識與研究假設。方法：從臨床訪談及觀察現象，採用Norris Method概念分析法分析虛擬訪視(Virtual Visit)現象，並以系統性文獻回顧法進行現象之歸納和演譯。結果：歸納和演譯形成三個層面；五個類別含可近性、安全性、科技衍生對護理專業後果、科技進入之護理專業發展契機、監控追蹤、支持網絡、六十三項的屬性(attributes)。結論：Telephone-Nursing care是一種虛擬訪視，其屬性的知識建構得以跨越另一階段的護理專業研究的開始，可謂研究之基石。

Background: Telephone-nursing care is a virtual visits. The lack of face-to-face communication could lead to message omission or lost (estimated at 50%), and in turn misinterpret the callers' instructions or the speakers' understanding. The discrepancy in understanding could adversely influence nurse's decision, and patient's compliance, satisfaction, and safety. Purpose: Develop conceptual knowledge and research hypothesis on telephone-nursing care through concept analysis. Methods: Applying concept analysis using Norris method on data from clinical interviews and observation to analyze the virtual visit phenomenon, and to conduct a systematic literature review to summarize and interpret the clinical phenomenon. Results: The summary and interpretation formed 3 levels, 5 categories, and 63 attributes. The 5 categories are accessibility, security; the consequence on nursing profession from the derivation of technology; development opportunities for nursing profession from the introduction of technology; monitoring and tracking; and support network. Conclusion: Telephone -Nursing care is a virtual visit composed of five categories. The knowledge built upon its attributes is could serve as a research foundation to the beginning of nursing study on a whole new level.