Table 2 Important obstacles and prerequisites in telenurses’ work environment according to, and graded by telenurses in round II and III
From: Identified obstacles and prerequisites in telenurses’ work environment – a modified Delphi study
No | Round I | Round II | Round III | ||||||
|---|---|---|---|---|---|---|---|---|---|
Items of Obstacles | Md | Q1-Q3 | Mean | SD | Md | Q1-Q3 | Mean | SD | |
1 | All of the working hours monitored | 4.0 | 3.0;5.0 | 4.1 | 2.0 | - | - | - | - |
2 | Cognitive fatigue | 6.0 | 5.0;7.0 | 5.8 | 1.6 | 6.0 | 5.0;7.0 | 5.8 | 1.5 |
3 | Collaboration with other sites | 3.0 | 1.0;5.0 | 3.3 | 2.1 | - | - | - | - |
4 | Disturbing sounds | 6.0 | 3.5;7.0 | 5.1 | 2.0 | 5.0 | 5.0;7.0 | 5.4 | 1.8 |
5 | High employee turnover | 5.0 | 4.0;7.0 | 5.0 | 1.8 | 5.0 | 3.0;6.0 | 4.6 | 1.8 |
6 | Lack of possibilities for development (professionally) | 5.0 | 4.0;7.0 | 5.0 | 1.9 | 4.5 | 3.0;6.0 | 4.5 | 1.7 |
7 | Lack of possibilities to discuss and reflect with colleagues | 5.0 | 3.0;6.0 | 4.7 | 1.8 | 5.0 | 4.0;6.0 | 5.0 | 1.5 |
8 | Lack of support and appreciation from managers | 6.0 | 5.0;7.0 | 5.3 | 1.8 | 5.0 | 4.0;7.0 | 5.2 | 1.6 |
9 | Lack of understanding and being exposed to critic from other healthcare providers | 5.0 | 4.0;6.0 | 4.9 | 1.7 | 5.0 | 4.0;6.0 | 4.6 | 1.8 |
10 | Lacking availability among other healthcare providers | 6.0 | 4.0;7.0 | 5.3 | 1.6 | 6.0 | 4.5;7.0 | 5.4 | 1.7 |
11 | Lacking availability to the callers’ medical charts | 2.0 | 1.0;3.0 | 2.4 | 1.7 | - | - | - | - |
12 | Limited career opportunities | 4.0 | 2.5;6.0 | 4.2 | 2.0 | - | - | - | - |
13 | Limited possibilities to socialize with colleagues, | 5.0 | 4.0;6.0 | 4.6 | 1.7 | 5.0 | 3.0;6.0 | 4.5 | 1.8 |
14 | Long telephone queues | 5.0 | 3.0;6.0 | 4.7 | 1.9 | 5.0 | 3.5;6.0 | 4.6 | 1.8 |
15 | Low possibility to affect work situation | 5.0 | 3.0;6.0 | 4.8 | 1.8 | 5.0 | 4.0;6.5 | 5.0 | 1.7 |
16 | Management did not avail themselves of the knowledge and experience | 4.0 | 3.0;5.5 | 4.2 | 1.8 | - | - | - | - |
17 | No feedback on one’s own calls | 5.0 | 3.0;6.0 | 4.8 | 1.8 | 5.0 | 3.5;6.0 | 4.8 | 1.9 |
18 | No occupational health services | 3.0 | 1.5;4.0 | 3.2 | 1.8 | - | - | - | - |
19 | No opportunity for recovery during the work shift | 6.0 | 4.0;7.0 | 5.3 | 1.9 | 6.0 | 5.0;7.0 | 5.4 | 1.5 |
20 | Periodical repetitively work | 5.0 | 3.0;6.0 | 4.6 | 1.8 | 5.0 | 4.0;6.0 | 4.8 | 1.6 |
21 | Problems with availability to an interpreter | 3.0 | 2.0;5.0 | 3.4 | 2.0 | - | - | - | - |
22 | Sedentary work cause physical strain | 5.0 | 4.0;7.0 | 5.1 | 1.8 | 6.0 | 5.0;7.0 | 5.3 | 1.8 |
23 | Solitary work | 3.0 | 1.0;4.0 | 3.0 | 1.9 | - | - | - | - |
24 | Technical problems | 6.0 | 3.5;7.0 | 5.1 | 1.9 | 6.0 | 5.0:7.0 | 5.5 | 1.5 |
25 | The CDSS | 4.0 | 1.5;6.0 | 3.9 | 2.0 | - | - | - | - |
26 | Unclear guidelines and lack of structure at the workplace | 6.0 | 4.0;7.0 | 5.2 | 1.8 | 4.5 | 3.0;6.0 | 4.4 | 1.7 |
27 | Working within a production-steered business with demands for efficiency | 5.0 | 3.0;6.0 | 4.5 | 1.8 | 5.0 | 4.0;6.0 | 4.8 | 1.6 |
28 | Wrong kind of calls | 4.0 | 2.0;6.0 | 3.7 | 2.1 | - | - | - | - |
Items of prerequisites | Md | Q1-Q3 | Mean | SD | Md | Q1-Q3 | Mean | SD | |
29 | All calls to SHD were recorded and that the content of each call was clearly documented | 6.5 | 6.0;7.0 | 6.0 | 1.5 | 6.0 | 5.0;7.0 | 5.6 | 1.5 |
30 | Being able to call callers back | 5.0 | 4.0;7.0 | 5.2 | 1.8 | 5.0 | 3.0;6.0 | 4.6 | 1.9 |
31 | Being able to choose the size of their workroom | 6.0 | 5.0;7.0 | 5.6 | 1.9 | 7.0 | 5.0;7.0 | 5.9 | 1.6 |
32 | Being able to focus on one caller at a time | 7.0 | 6.5;7.0 | 6.7 | 0.7 | 7.0 | 6.0;7.0 | 6.5 | 0.9 |
33 | Calm and pleasant environment | 7.0 | 6.0;7.0 | 6.4 | 1.0 | 7.0 | 6.0;7.0 | 6.4 | 1.0 |
34 | Collegial support | 7.0 | 5.0;7.0 | 6.0 | 1.2 | 6.0 | 6.0;7.0 | 5.9 | 1.3 |
35 | Education and observation possibility | 6.0 | 5.5;7.0 | 6.1 | 1.2 | 6.0 | 5.0;7.0 | 5.7 | 1.4 |
36 | Health and wellness training/massage | 6.0 | 4.0;7.0 | 5.3 | 1.8 | 6.0 | 5.0;7.0 | 5.3 | 1.8 |
37 | Joint coffee and lunch breaks | 5.0 | 4.0;6.0 | 4.9 | 1.6 | 5.0 | 3.0;6.0 | 4.6 | 1.8 |
38 | Possibility to adjust the workstation | 7.0 | 6.0;7.0 | 6.2 | 1.3 | 6.0 | 6.0;7.0 | 6.2 | 0.9 |
39 | Possibility to influence work time | 7.0 | 6.0;7.0 | 6.2 | 1.3 | 7.0 | 6.0;7.0 | 6.3 | 1.0 |
40 | Regular feedback on one’s own calls | 5.0 | 4.0;7.0 | 5.1 | 1.7 | 6.0 | 4.0:6.0 | 5.5 | 1.5 |
41 | Stimulating work | 7.0 | 6.0;7.0 | 6.4 | 1.0 | 6.0 | 6.0;7.0 | 6.2 | 1.2 |
42 | Structure and support from the “Call dialogue | 6.0 | 5.0;7.0 | 5.5 | 1.6 | 6.0 | 4.0;7.0 | 5.4 | 1.6 |
43 | Structure and support via CDSS | 7.0 | 6.0;7.0 | 6.2 | 1.2 | 4.0 | 1.5;6.0 | 6.1 | 1.3 |
44 | Support from management | 7.0 | 6.0;7.0 | 6.4 | 0.9 | 6.0 | 5.0;7.0 | 5.9 | 1.3 |
45 | Technical support 24/7 | 7.0 | 6.0;7.0 | 6.3 | 1.2 | 7.0 | 6.0;7.0 | 6.2 | 1.2 |