Prepare and deliver a presentation on your workforce issues for your HSO ‘s Board of Directors. Use the following as a guide for creating your presentation:

Workforce Issue Affecting the HSO: Telemedicine

In the telemedicine health services organization (HSO), a significant workforce issue arises from the rapid expansion of telemedicine technology and its associated challenges, such as workforce preparedness, technology training gaps, and the burnout of healthcare professionals. As telemedicine becomes more integral to healthcare delivery, the workforce must adapt to digital tools, overcome resistance to change, and address the emotional strain caused by increased virtual patient interactions. Many healthcare workers are inadequately trained or feel underprepared to handle the technological complexities of telemedicine, exacerbating burnout and hindering optimal care delivery.

Article 1: APA Citation: Shaw, S. E., Seuren, L. M., Wherton, J., Cameron, D., A'Court, C., Vijayaraghavan, S., … & Greenhalgh, T. (2021). Video consultations between patients and clinicians in diabetes, cancer, and heart failure services: Qualitative study using conversation analysis. Journal of Medical Internet Research, 23*(2), e25541.

Purpose of the Publication: The study aimed to evaluate how video consultations in telemedicine impact patient-clinician interactions and patient care in specialized fields like diabetes, cancer, and heart failure.

Author's Conclusion or Results of Research: The authors concluded that while video consultations facilitate access to care, they introduce communication challenges that impact clinical decision-making, especially when diagnosing complex conditions. Clinicians also expressed concerns about burnout due to the high cognitive demands of telemedicine.

How This Relates to Your HSO: This article highlights the increasing cognitive load on clinicians using telemedicine, which directly ties to the workforce issue of burnout in telemedicine. The need for better training in communication and diagnostic techniques in a virtual environment aligns with the workforce preparedness concerns in telemedicine. Additionally, this study illustrates the challenge of maintaining the quality of care during virtual consultations, which is a key aspect of telemedicine's growth in specialized services.

Critical Appraisal Tool Used: Research-based critical appraisal tool. The "Relevance to Practice" and "Applicability of Results" sections were instrumental in determining the article’s suitability for addressing burnout and communication challenges.

Level of Evidence & Quality Rating: Level II evidence (qualitative study), high quality due to its robust methodology and relevance to telemedicine's workforce issues.

This article was chosen because it addresses communication challenges and clinician burnout—key factors impacting the workforce in telemedicine. It provides real-world insights from specialized services, making it directly applicable to a telemedicine HSO. Furthermore, the findings offer practical implications for workforce training and operational improvements in telehealth.

Article 2: APA Citation: Dyrbye, L. N., West, C. P., Johnson, P. O., Cipriano, P. F., Beatty, D. E., Peterson, C., … & Shanafelt, T. D. (2019). Burnout and satisfaction with work-life integration among nurses and physicians in the US. *JAMA Network Open, 2*(10), e1914016.

Purpose of the Publication: This study aimed to explore the levels of burnout and work-life satisfaction among healthcare professionals, focusing on physicians and nurses in the U.S., with specific attention to telemedicine workers.

Author's Conclusion or Results of Research: The authors found that a significant percentage of healthcare professionals, especially those involved in telemedicine, experience high levels of burnout and low work-life satisfaction. They recommend institutional changes, including improved work schedules and enhanced support systems, to alleviate these issues.

How This Relates to Your HSO: The findings are highly relevant to a telemedicine HSO, as the study underscores the critical issue of burnout among healthcare workers involved in telemedicine. The article highlights the need for better workforce management and work-life integration strategies, which are essential for maintaining an effective and healthy telemedicine workforce.

Critical Appraisal Tool Used: Research-based critical appraisal tool. The "Generalizability" and "Methodology" sections were key to determining its value, given the large sample size and specific focus on telemedicine professionals.

Level of Evidence & Quality Rating: Level II evidence (cross-sectional study), high quality due to the study's large scale and its targeted focus on telemedicine workers.

This article was chosen because it directly addresses burnout, a pressing workforce issue in telemedicine. Its large sample size and focus on U.S. healthcare professionals provide a comprehensive understanding of burnout in telemedicine, making it highly relevant for workforce management strategies in the HSO. The study’s recommendations for improving work-life balance are crucial for the sustainability of telemedicine practices.

Article 3: APA Citation: Reeves, S., Peller, J., Goldman, J., & Kitto, S. (2013). Interprofessional collaboration and teamwork in telemedicine. *Journal of Interprofessional Care, 27*(5), 409-414.

Purpose of the Publication: The study aimed to examine how interprofessional collaboration in telemedicine influences workforce dynamics, focusing on team-based care delivery.

Author's Conclusion or Results of Research: The authors concluded that effective interprofessional collaboration in telemedicine can improve patient outcomes but requires a well-coordinated workforce that is adequately trained in digital communication tools and telemedicine technology.

How This Relates to Your HSO: This article relates to the workforce issue of telemedicine because it emphasizes the importance of teamwork and collaboration in a digital health environment. It demonstrates that workforce preparedness in telemedicine not only involves technical skills but also the ability to work cohesively in virtual teams. Training in digital collaboration tools is essential to optimizing the performance of telemedicine teams, addressing both preparedness and skill gaps.

Critical Appraisal Tool Used: Non-research-based critical appraisal tool. The "Relevance to Organizational Practice" and "Clarity of Recommendations" sections were used to assess its contribution to workforce development in telemedicine.

Level of Evidence & Quality Rating: Level V evidence (expert opinion), moderate quality due to its focus on theoretical aspects of teamwork in telemedicine.

This article was chosen because it highlights the critical role of teamwork and interprofessional collaboration in telemedicine, which is central to maintaining a cohesive and effective workforce. The insights provided about digital collaboration tools are directly applicable to workforce development in telemedicine HSOs. Furthermore, the article supports the need for comprehensive workforce training programs to foster better team dynamics in virtual healthcare environments.

Synthesis of the Information: The articles collectively highlight several key workforce issues in telemedicine, such as burnout, lack of preparedness, and the importance of interprofessional collaboration. The increased cognitive demands of virtual care (Shaw et al., 2021), the prevalence of burnout among telemedicine workers (Dyrbye et al., 2019), and the need for effective teamwork in a digital environment (Reeves et al., 2013) all point to the necessity of improved workforce training and support systems. To address these issues, telemedicine HSOs must focus on enhancing communication skills, providing mental health support for burnout, and ensuring that teams are well-coordinated and digitally proficient.

Dyrbye, L. N., West, C. P., Johnson, P. O., Cipriano, P. F., Beatty, D. E., Peterson, C., … & Shanafelt, T. D. (2019). Burnout and satisfaction with work-life integration among nurses and physicians in the US.  JAMA Network Open, 2(10), e1914016. https://doi.org/10.1001/jamanetworkopen.2019.14016

Reeves, S., Peller, J., Goldman, J., & Kitto, S. (2013). Interprofessional collaboration and teamwork in telemedicine.  Journal of Interprofessional Care, 27(5), 409-414. https://doi.org/10.3109/13561820.2013.784731

Shaw, S. E., Seuren, L. M., Wherton, J., Cameron, D., A'Court, C., Vijayaraghavan, S., … & Greenhalgh, T. (2021). Video consultations between patients and clinicians in diabetes, cancer, and heart failure services: Qualitative study using conversation analysis.  Journal of Medical Internet Research, 23(2), e25541. https://doi.org/10.2196/25541

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