{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:01:12Z","timestamp":1790845272303,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["5K76AG054862\u201005"],"award-info":[{"award-number":["5K76AG054862\u201005"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007747","name":"University of Utah","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007747","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001080","name":"Patrick and Catherine Weldon Donaghue Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001080","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Older adults living in nursing homes experience high rates of serious illness, hospitalization, and death, yet access to specialty palliative care remains limited. The COVID\u201019 pandemic rapidly expanded telehealth use in nursing homes, creating new opportunities to remotely deliver palliative and end\u2010of\u2010life care. Understanding how telehealth supported or complicated palliative care during this period is critical to informing sustainable post\u2010pandemic clinical and payment models.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a qualitative descriptive study using semi\u2010structured interviews with 29 multidisciplinary nursing home staff from 22 facilities, including 14 rural, across the United States from June 2021 to July 2022. Interviews explored experiences using telehealth during the pandemic, with attention to symptom management, goals\u2010of\u2010care communication, family involvement, and end\u2010of\u2010life care. Data were analyzed using reflexive thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Three themes in relation to telehealth use in palliative and end\u2010of\u2010life care were identified: (1)\n Adoption of Telehealth<\/jats:italic>\n : Staff described how the pandemic forced telehealth into nursing home culture. Multiple platform use, family involvement, and provider engagement expanded care access and reduced transportation burdens during this time of crisis with emphasis on improved communication and inclusion of geographically distant family members; (2)\n Difficult Experiences with Telehealth Implementation<\/jats:italic>\n : Participants reported technical challenges, workflow strain, and digital literacy gaps along with its limitations for assessment, rapport, and personable end\u2010of\u2010life conversations; (3)\n The role of Telehealth as a Bridge for Palliative and End\u2010of\u2010Life Care<\/jats:italic>\n : Telehealth facilitated goals\u2010of\u2010care discussions, supported comfort\u2010focused decision\u2010making, and enabled virtual presence during dying.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Telehealth played a critical role in maintaining connection, coordination, and compassionate palliative care for nursing home residents during the pandemic. Findings highlight telehealth's potential as a sustainable strategy to expand access to palliative and end\u2010of\u2010life care in nursing homes, especially in resource\u2010limited settings. Telehealth policy and practice should focus on sustaining telehealth infrastructure, workforce training, payment systems, and ethical guidance for serious illness communication.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.70765","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:30:21Z","timestamp":1790843421000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Telehealth as a Bridge for Palliative and End\u2010of\u2010Life Care in Nursing Homes"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1645-5842","authenticated-orcid":false,"given":"Rachael","family":"Alexander","sequence":"first","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekah","family":"Perkins","sequence":"additional","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Powell\u2010Versteeg","sequence":"additional","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Barrientos","sequence":"additional","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Block","sequence":"additional","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca M.","family":"Goodwin","sequence":"additional","affiliation":[{"name":"National Library of Medicine, National Institutes of Health Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"McClure","sequence":"additional","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Utz","sequence":"additional","affiliation":[{"name":"Department of Sociology College of Social & Behavioral Sciences, University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paige","family":"Patterson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4745-8468","authenticated-orcid":false,"given":"Theresa A.","family":"Allison","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Flint","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Stephens","sequence":"additional","affiliation":[{"name":"University of Utah College of Nursing Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1186\/s12877-025-05779-y","article-title":"Dying in Residential Care Homes During the Early COVID\u201019 Pandemic: A Qualitative Interview Study","volume":"25","author":"Preston N.","year":"2025","journal-title":"BMC 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