Introduction
The objectives of this study were to describe the perspectives of caregivers of children
with medical complexity on telemedicine video visits (TMVV) for posthospitalization
care and determine whether TMVV may be a viable alternative to in-person follow-up.
Method
Our qualitative descriptive study included semistructured telephone interviews with
12 caregivers. Data analysis was conducted using an adapted Colaizzi's descriptive
phenomenological method for thematic construction.
Results
Results were organized into four themes describing caregivers' experiences with TMVV:
(1) promoted caregiver self-efficacy and sense of independence; (2) TMVV as convenient,
cost-effective, comprehensive, and acceptable; (3) supported caregiver decision-making
and problem-solving; and (4) fostered delivery of family-centered care.
Discussion
Although in-person visits are necessary for some circumstances, TMVV can serve as
a convenient and acceptable alternative for posthospitalization follow-up in children
with medical complexity. Overall, caregivers in this study were satisfied with the
quality of care and individualized experience of TMVV.
KEY WORDS
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Article info
Publication history
Published online: January 18, 2023
Publication stage
In Press Corrected ProofFootnotes
This study was approved by the Duke Institutional Review Board. This study was supported by Children's Miracle Network Hospitals, the Derfner Foundation, and Gordon Worley, MD. David Y. Ming's contributions were supported by the National Institutes of Health, the National Heart, Lung, and Blood Institute (K12HL13830), and the Academic Pediatric Association Research Scholars Program.
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2023 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
