Browsing by Author "Oliver, Debra Parker"
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- ItemEthical considerations for the utilization of tele-health technologies in home and hospice care by the nursing profession.(2006-02-01) Demiris, George; Oliver, Debra Parker; Courtney, Karen LHome care including hospice care is a growing component of the current healthcare system and pertains to care services that are provided to individuals their family members and caregivers in their own residence Both domains face funding limitations as life expectancy and the segment of the population older than 65 years increase Tele health defined as the use of advanced telecommunication technologies to enable communication between patients and healthcare providers separated by geographic distance is perceived as a concept that can enhance both home and hospice care and address some of the current challenges This article discusses ethical challenges associated with the utilization of tele health technologies by the nursing profession in the home setting These factors form a framework for the ethical considerations that result from the introduction of these technologies in nursing practice Specifically the article discusses the issue of privacy and confidentiality of patient data informed consent equity of access promoting dependency versus independence the lack of human touch and the impact of technology on the nurse patient relationship and the medicalization of the home environment These issues constitute a road map both for nursing practitioners who are aiming to provide an efficient delivery of services in the home and for nursing administrators who are asked to make judgments about the use of tele health technology as a supplement to traditional care and as a cost saving tool
- ItemInternet use by hospice families and providers: a review.(2007-05-10) Willis, Lia; Demiris, George; Oliver, Debra ParkerThis literature review explores the current evidence related to use of the Internet by hospice patients or families and palliative care hospice professionals The research questions guiding this study pertain to the current Internet based interventions in hospice and palliative care and the evidence of their effectiveness Six studies were identified as a result of an extensive literature review These studies included research about web based clinical interventions for patients and patients caregivers and hospice palliative care providers use of the Internet The majority of interventions involve accessing information via the Internet Participants among the studies included patients caregivers family members and health care professionals Findings overall indicate effectiveness of Internet based interventions Both patients and professionals are using the Internet to find answers to healthcare questions communicate and or deliver healthcare interventions
- ItemA telehealth case study of videophone use between family members.(2007-01-22) Hensel, Brian K; Oliver, Debra Parker; Demiris, George; Willis, LiaThis case study extends beyond the institution centric provider patient dyad to examine telehealth communication between a nursing home resident and a geographically distant family member The participants communicated regularly for three months by videophone They found technical performance and usability acceptable and were generally satisfied with this application of telehealth technology They assumed a strong role in self remedying technical and usability problems they experienced Potential implications associated with such use of telehealth technology by residence based patients and their significant others and the self directedness displayed by participants in this case study are discussed
- ItemUse of videophones to deliver a cognitive-behavioural therapy to hospice caregivers.(2011-04-04) Demiris, George; Oliver, Debra Parker; Wittenberg-Lyles, Elaine; Washington, KarlaWe investigated the feasibility of videophones for the delivery of problem solving therapy PST for informal hospice caregivers Informal hospice caregivers were randomly assigned to receive PST from researchers using videophones instead of communicating in face to face sessions Outcome measures included caregiver anxiety quality of life and problem solving abilities technical quality of videosessions and satisfaction of participants including both subjects and researchers A total of 42 hospice caregivers were enrolled mean age 62 years A total of 112 videocall attempts were documented Of these 100 89 resulted in successful videocalls and 12 11 were cases in which a call was not established The average videocall duration was 38 min range 18 84 min The overall technical quality of the videocalls was very good Caregivers reported a slightly higher quality of life post intervention than at baseline although this was not significant Caregivers reported lower levels of anxiety post intervention than at baseline P 0 04 The subjects were generally satisfied with the videophones during their exit interviews