Professional Documents
Culture Documents
Minesingern
Minesingern
(Seton, n.d.)
(Gavin, 2020)
Support for Virtual Visitation
(Kebapçı & Türkmen, 2021; Rose et al., 2021; Wendlandt et al., 2022)
Strengths & Limitations
Strengths
○ Cost-effectiveness (Downar & Kekewich, 2021)
■ Little resources needed to conduct surveys and interviews
○ Versatility
■ Insight into valuable creation
○ Reliability
■ Qualitative, cross-sectional, & quantitative studies
○ Generalizability
■ Studies done in: US, UK, Netherlands, Canada (Kebapci & Turkmen, 2021; Maaskant et al., 2021;
Mohammed et al., 2021; Rose et al., 2021;
Sasangohar et al., 2021’; Wendlandt et al., 2022)
Strengths & Limitations
Limitations
○ Cost-effectiveness
■ Time of hospital staff
○ Versatility (Matsos, 2020)
The best practice during times of restricted in-person visitations would be virtual
communication via HIPAA compliant video chat software to increase patient
health outcomes, decrease levels of anxiety, as well as increase satisfaction with
care by both the family and patient.
● Patients who utilize the virtual visitation system will be asked to answer a
survey to assess levels of psychological distress and perception on quality
of care.
○ Utilize the hospital anxiety-depression scale (HADS) to quantify levels of anxiety in
hospitalized patients.
○ Include questions that assess overall satisfaction, ease of usage, staff engagement, and any
suggestions for improvement.
● Compare values to pre-implementation to evaluate effectiveness of
intervention.
Software- Doxy.me
● HIPAA compliant
● No download required
● Free
● Accessible on desktop, tablet or smartphone
● Easiest telemedicine solution (Doxy.me, n.d.)
Internet
● Need 1,000 mbps
● Each iPad uses 200 mb/hour for FaceTime (Wright, 2018).
(Doxy.me, n.d.)
Electricity
● 12.kWh/year= $1.50 x 20= $30/year (Smith, 2016)
Cost Analysis
Hardware
● Mobile Device
(Multiple Devices. n.d.)
○ Cell Phone plan: $113/month (patient’s family)
○ Average price of a cell phone: $363 (patient’s family) (Lake, 2022)
● Tablet vs iPad for the hospital?
○ Apple iOS is better than Android operating system (Franklin, 2020)
○ Cost:
■ $349 x 20 (# of beds in ICU)= $6,980 (Apple, n.d.)
● Joy Factory aXtion Pro MPA Antimicrobial Healthcare Case (Amazon.com. n.d.)
○ $189.99 x 20= $3,799.80
■ Waterproof, Shockproof, Built-in screen protector
■ C-Clamp to attach to a hospital bed
■ Easy cleaning and sanitizing (Amazon.com. n.d.)
● iPad Charging Station
○ $67.99 x 2= $135.98 (Amazon.com. n.d.)
Cost Analysis
IT Staff for training
● $63,742/year Salary (Indeed.com, 2022)
● 1-4 hours a month = $33.20 - $132.80/month = $398.40 - $1,593.60/year
Nurses & Chaplains
● 1-2 nurses/week
● 2 Chaplains- $23/hr
● 3-6 hours per day time commitment (Pickell et al., 2020)
Pamphlets and flyers to inform patients in ICU
● Qty 1000: $299.99 of pamphlets
● Qty 250: $119.99 of flyers (Staples.com, n.d.)
Risks Associated with Virtual Visitations
Institution
● Connectivity - especially, in rural areas
● Cost/resources - hardware, software, staff
Nursing Staff
● Staff availability for facilitating virtual visits
● Dissatisfaction & increased workload
Patient & Family
● Varying levels of technological literacy
● Barriers for those with visual or auditory impairments
● Confidentiality - PHI protection within the software
(Ersek et al., 2021; Maaskant et al., 2021)
Benefits of Virtual Visitations
Institution
● Alternative means of communication with families
● Improved patient and family satisfaction
Nursing Staff (Young & McMahon, 2020)
● Patient will be given the option to communicate at least once a day to their
families via a mobile device provided by the hospital.
○ Chart when virtual visits are offered to evaluate
■ I.e., “Patient/family participated in virtual visit.” or “Patient/family refused
virtual visitation at this time.”
● By the end of hospitalization, at least one in every two patients who utilize
virtual visitation will report being satisfied with their quality of care in the
post-care survey.
Summary & Final Thoughts
https://www.amazon.com/Antimicrobial-Healthcare-CWA639MPA-Joy-Factory/dp/B08BBNLSN6/ref=sr_1_2?keywords=Joy+
Factory+aXtion+Pro+MPA+Antimicrobial+Healthcare+Case&qid=1650301227&sr=8-2.
Apple. (n.d.). 10.2-inch iPad Wi‑Fi 64GB - Space Gray. Apple. https://www.apple.com/shop/buy-ipad/ipad-10-2/64gb-space-gray-wifi
Bazargard, P. (2020). Milad Hospital during Covid-19 pandemic. Mehr News Agency. Photograph.
https://www.mehrnews.com/photo/5025532/.
County of Los Angeles . (2020) [photograph of tele-visitation via iPad ] Annenberg Foundation.
https://annenberg.org/news/ipad-donation-to-county-hospitals-allows-isolated-covid-19-patients-to-virtually-visit-friends-and-f
amily/.
Downar, J., & Kekewich, M. (2021). Improving family access to dying patients during the COVID-19 pandemic. The Lancet
Ersek, M., Smith, D., Griffin, H., Carpenter, J. G., Feder, S. L., Shreve, S. T., Nelson, F. X., Kinder, D., Thorpe, J. M., & Kutney-Lee, A. (2021).
End-of-life care in the time of COVID-19: Communication matters more than ever. Journal of Pain and Symptom management, 62(2),
213–222. https://doi.org/10.1016/j.jpainsymman.2020.12.024.
Franklin, R. (2020). Apple vs. Android: Which smartphone is most secure for clinicians? Mobius MD.
https://mobius.md/2020/01/14/apple-vs-android-which-device-offers-the-best-healthcare-data-security/
Heyward, G., & Wood, D. S. (2020). They couldn't say goodbye in person, so ICU patients are using tablets instead. CNN.
https://www.cnn.com/2020/12/06/health/icu-tablet-pandemic-trnd/index.html.
https://www.indeed.com/career/information-technology-specialist/salaries/Tucson--AZ
References
Lake, R. (2022). Is Having a Smartphone a Requirement in 2021? Investopedia.
https://www.investopedia.com/is-having-a-smartphone-a-requirement-in-2021-5190186
Kebapçı, A., & Türkmen, E. (2021). The effect of structured patient visits (sVPVs) on COVID-19 patients and relatives’ anxiety levels in
Maaskant, J.M., Jongerden, I.P., Bik, J., Joosten, M., Storm-Versloot, M.N., Wielenga, J., & Eskes, A.M. (2021). Strict isolation requires a
different approach to the family of hospitalized patients with COVID-19: A rapid qualitative study. International Journal of Nursing
Matsos, S. (2020). Johns Hopkins helps patients and families stay connected when covid-19 prohibits visits. Johns Hopkins Helps Patients and
Mohammed, H. T., Hyseni, L., Bui, V., Gerritsen, B., Fuller, K., Sung, J., & Alarakhia, M. (2021). Exploring the use and challenges of
implementing virtual visits during COVID-19 in primary care and lessons for sustained use. PLOS ONE, 16(6).
https://doi.org/10.1371/journal.pone.0253665
References
Multiple Devices - Multi Platform Clipart | Full Size PNG Download | SeekPNG. (n.d.). SeekPNG.com.
https://www.seekpng.com/ima/u2e6w7e6t4o0o0i1/
Pickell, Z., Gu, K., & Williams, A. M. (2020). Virtual volunteers: the importance of restructuring medical volunteering during the COVID-19
Rose, L., Yu, L., Casey, J., Cook, A., Metaxa, V., Pattison, N., Rafferty, A. M., Ramsay, P., Saha, S., Xyrichis, A., & Meyer, J. (2021).
Communication and Virtual Visiting for Families of Patients in Intensive Care during the COVID-19 Pandemic: A UK National
Smith, C. (2016). How much does it cost to charge iPhones, Android phones and Macs? BGR.
https://bgr.com/tech/iphone-android-ipad-mac-electricity/.
References
Staples.com. (n.d.). Relax Brochures Tri-Fold.
https://www.staples.com/services/printing/product/33b3489eeaadf6b6/Relax?category=sales-marketing%2Fbrochures%2Fasso
ciations-organizations
Wendlandt, B., Kime, M., & Carson, S. (2022). The impact of family visitor restrictions on healthcare workers in the ICU during the
COVID-19 pandemic. Intensive and Critical Care Nursing, 68, 103123. https://doi.org/10.1016/j.iccn.2021.103123.
Wright, E. (2018). What is the recommended bandwidth for different types of health care providers? Slice WiFi.
https://www.slicewifi.com/blog-faq/2018/1/12/what-is-the-recommended-bandwidth-for-different-types-of-health-care-providers
Young, R., & McMahon, S. (2020). Patient Advocacy Group offers advice for sick loved ones and families facing coronavirus. Patient
Advocacy Group Offers Advice For Sick Loved Ones And Families Facing Coronavirus | Here & Now.
https://www.wbur.org/hereandnow/2020/04/15/patient-advocacy-group-coronavirus.