Virtual Nursing Interventions: Tailored Real-Time Support for People Living with a Chronic Health Problem
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Abstract
Introduction
Health professionals are called upon to contribute to finding novel and practical solutions for meeting the challenges of health services and care. The increase in chronic health problems and the emergence of new needs in the population pose significant challenges for research. New avenues for solutions must be considered and the development and evaluation of innovative interventions paves the way for changes in the traditional modes of care delivery.
Objectives
A virtual nursing intervention concept called TAVIE™ (French acronym for Traitement Assistance Virtuelle Infirmière et Enseignement or Treatment Virtual Nurse Assistance and Teaching) has been developed to provide tailored, real-time support to people living with a chronic health problem who must manage the challenges inherent to their health condition.
Method
The web-based interventions developed to date on this basis are the fruit of the integration of clinical, empirical and theoretical knowledge and collaboration with experts in media arts and computer sciences.
Results
Based on a philosophy of empowerment, these tailored virtual interventions are intended to boost people’s ability to take charge of their health conditions. Specifically, the web applications involve a virtual nurse who guides the user through the process of learning the requisite skills to self-manage his or her health condition. The user plays an active role in the matter: he or she is seen as someone who has strengths and the potential to change and who is expected to put the recommended strategies and skills into practice. In addition to delivering teaching that is tailored or adapted to the needs of the user, the virtual nurse provides feedback and positive reinforcement on progress made and skills acquired. Thus, the virtual nurse becomes a guide, a care partner and a mentor who empowers the user to take charge of his or her situation. A computer platform endowed with a content management system and a database, among other things, was created to act as an umbrella support for different applications (VIH-TAVIE, SOULAGE-TAVIE, TRANSPLANT-TAVIE, CARDIO-TAVIE) enabling a variety of clients to cope with or meet their health challenges. VIH-TAVIE is intended to support people living with HIV in adhering to their antiretroviral therapy. SOULAGE-TAVIE offers support for managing postoperative pain. TRANSPLANT-TAVIE is meant to help transplant recipients manage their immunosuppressive drug intake. CARDIO-TAVIE provides support for managing heart medication intake.
Conclusion
Still at an experimental stage, this virtual intervention approach is being developed at a time of service reorganization and resource shortages. This web-based support cannot substitute for the quality and intensity of the relationship between health professional and patient; it is meant to be complementary to conventional follow-up. Indeed, it fits into the continuum or trajectory of care and services intended to ensure quality follow-up.
Health professionals are called upon to contribute to finding novel and practical solutions for meeting the challenges of health services and care. The increase in chronic health problems and the emergence of new needs in the population pose significant challenges for research. New avenues for solutions must be considered and the development and evaluation of innovative interventions paves the way for changes in the traditional modes of care delivery.
Objectives
A virtual nursing intervention concept called TAVIE™ (French acronym for Traitement Assistance Virtuelle Infirmière et Enseignement or Treatment Virtual Nurse Assistance and Teaching) has been developed to provide tailored, real-time support to people living with a chronic health problem who must manage the challenges inherent to their health condition.
Method
The web-based interventions developed to date on this basis are the fruit of the integration of clinical, empirical and theoretical knowledge and collaboration with experts in media arts and computer sciences.
Results
Based on a philosophy of empowerment, these tailored virtual interventions are intended to boost people’s ability to take charge of their health conditions. Specifically, the web applications involve a virtual nurse who guides the user through the process of learning the requisite skills to self-manage his or her health condition. The user plays an active role in the matter: he or she is seen as someone who has strengths and the potential to change and who is expected to put the recommended strategies and skills into practice. In addition to delivering teaching that is tailored or adapted to the needs of the user, the virtual nurse provides feedback and positive reinforcement on progress made and skills acquired. Thus, the virtual nurse becomes a guide, a care partner and a mentor who empowers the user to take charge of his or her situation. A computer platform endowed with a content management system and a database, among other things, was created to act as an umbrella support for different applications (VIH-TAVIE, SOULAGE-TAVIE, TRANSPLANT-TAVIE, CARDIO-TAVIE) enabling a variety of clients to cope with or meet their health challenges. VIH-TAVIE is intended to support people living with HIV in adhering to their antiretroviral therapy. SOULAGE-TAVIE offers support for managing postoperative pain. TRANSPLANT-TAVIE is meant to help transplant recipients manage their immunosuppressive drug intake. CARDIO-TAVIE provides support for managing heart medication intake.
Conclusion
Still at an experimental stage, this virtual intervention approach is being developed at a time of service reorganization and resource shortages. This web-based support cannot substitute for the quality and intensity of the relationship between health professional and patient; it is meant to be complementary to conventional follow-up. Indeed, it fits into the continuum or trajectory of care and services intended to ensure quality follow-up.
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