Authors (including presenting author) :
Chan WY, Wong KTY, Tang OY, Ng ML, Ng LKM, Leung MF
Affiliation :
Department of Orthopaedics & Traumatology, Ruttonjee & Tang Shiu Kin Hospitals
Introduction :
Introduction:
Due to Novel Coronavirus epidemic, Hospital Authority activated “Emergency” response level since Jan 2020. One of the policies changed was “No visiting in all public hospitals”. As an Orthopaedic nurses, we anticipated the possible adverse responses to our elderly fracture hip patients / long stay patients and their families. Our nursing team initiated the Tele-communication care services. Nurses would update patient’s general condition, rehabilitation pathway & discharge plan to family to enhance nurse-patient-family communication. In addition, nurses encouraged patient / family using tele-communication with three main components: Phone call, WhatsApp video call, Face time via Human Resource Center.
Objectives :
To enhance three parties – nurse, patient & family‘s communication needs during Covid-19 Pandemic.
Methodology :
Methodology:
The Tele-communication care program was conducted from July 2021 to November 2021 at RTSKH Orthopaedic & Traumatology ward. The selected patient & family on admission and twice weekly would receive nurse initiating call, and assist patient using self-phone and WhatsApp call, and also book Human Resource Center Face time service if needed.
I. Inclusion Criteria:
• All fracture hip without / with operation done or long stay patient (e.g. fracture public rami) was selected by team nurse or ward in-charge.
II. Exclusion Criteria:
• No relatives
• Patient / Family refused services
Interventions:
On admission, team nurses would screen whether patient and family needing this Tele-communication care service. After introducing and obtaining verbal consent team nurse would update patient’s condition, rehabilitation pathway, explore any financial & placement problem, and plan discharge plan, nurse would also assist patient using self-phone and WhatsApp call, and book Human Resource Center Face time service if needed. Nurse would compromise with family about the contact schedule to facilitate the process. Tele-communication care services target twice weekly + prn.
Result & Outcome :
Results:
I. Tele-communication care service record & evaluation:
A “Tele-communication care service Record sheet” was used to record patient demographic data, number of call, what kinds of information / education given to family, what types of tele-communication used.
Clerk would phone contact patient / family to conduct “Patient / Family Evaluation Survey” after patient discharged.
A total of 79 patients received Tele-communication care services. 58 surveys were obtained. 1 patient died. 5 refused to answer the survey. 15 cannot be contacted.
Gender: Male / Female: 25 / 54; Age: 62 – 99, Average: 82.1, Diagnosis: Fracture Hip / Non-Fracture Hip: 73 / 6, Number of call: 379; Average: 4.7 call per patient, Type of Tele-communication: Phone (88.6%) / WhatsApp (8.7%) / Face time (3.7%).
II. Overall evaluation result:
家屬問卷 - 問題
1. 在現時醫院探病時間受限的情況下, 您認為透過這項 護士同家屬更新病人情況 可以減少您的擔心
65% agreed, 30% strongly agreed.
2. 您認為另一項透過 病人與家屬視像/電話通訊 可以減少您的擔心
56% agreed, 40% strongly agreed.
3. 您對這兩項服務 (護士同家屬更新病人情況 /病人與家屬視像,電話通訊) 感到滿意
65% agreed, 27% strongly agreed.
4. 您對護士的協助及提供這兩項服務感到滿意
67% agreed, 30% strongly agreed.
III. 病人 / 家屬 意見:
最好日日有 ; 我想探病, 不是通電話, 不是視像 ; 我想自己約時間, 不是姑娘 打 電話 比我 ; 我想醫生打 電話比我 ; 周圍好嘈, 聽得唔清楚 ; 多謝多謝 ; 非常滿意 .
Conclusion:
There are various benefits in using nurses initiated Tele-communication care service. It address three parties – nurse, patient & family‘s communication needs. Technology provides different options, not only phone call but also face time. These communications decrease our elderly fracture hip patient & family anxiety, enhance patient rehabilitation motivation, and shorten length of stay. Tele-communication care service is more than a phone call. It is a very meaningful and affordable service to our patients & family.
