{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T23:46:38Z","timestamp":1787096798680,"version":"build-2736575974"},"reference-count":35,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Aging"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Digitalization in the German health care system is progressing slowly, even though it offers opportunities for improvement of care. In nursing homes, most of the staff\u2019s work is paper based. Following the pandemic, there has been a decrease in the use of telemedicine applications. To ensure long-term implementation, the views of users, in this case nurses, are of interest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted to describe which digital applications are already being used at inpatient care facilities, the attitude of nurses toward telemedicine, and for which areas the use of telemedicine in the facilities is considered appropriate by the participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All inpatient care facility staff in Schleswig-Holstein were invited to participate in the survey from August 1 to October 31, 2022. The questionnaire consists of 17 determinants that ask about the attitude, use, and possible applications of telemedicine. In addition to a descriptive analysis, the influence of the general attitude toward telemedicine on various determinants was examined using the Fisher exact test for nominal variables and Spearman correlation coefficient for metric variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 425 caregivers participated in the survey. Of these respondents, 10.7% (n=41) currently used video consultations, and 76.1% (n=321) of the respondents were in favor of video consultations being practiced in training. Furthermore, 74.8% (n=312) of the respondents would attend a training on telephone medical consultation. Respondents indicated that video consultations have a small added value compared to asynchronous telemedicine (eg, sending photos). However, video consultations were perceived as somewhat less time-consuming than other communication channels. Video consultations are perceived as most useful for clarifying urgent problems. The respondents estimated that one in five paramedic calls at their facilities could be reduced through telemedicine approaches. It was important to the participants that telemedicine is as simple as possible and that there is a high level of data security.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although many caregivers have a positive attitude toward telemedicine and perceive its advantages, communication channels such as video consultation are still used infrequently in care facilities. To promote the use of telemedicine applications, it is important to emphasize their benefits. The presumed saving of paramedic calls thus represents a benefit, and it is crucial to train caregivers in the use of telemedicine to avoid uncertainties in dealing with the newer technologies. It is important to give them enough time and repetitions of the training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/47072","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T01:46:42Z","timestamp":1723081602000},"page":"e47072-e47072","source":"Crossref","is-referenced-by-count":2,"title":["Perceptions Toward Telemedicine of Health Care Staff in Nursing Homes in Northern Germany: Cross-Sectional Study"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5358-7778","authenticated-orcid":false,"given":"Pia","family":"Traulsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3389-1805","authenticated-orcid":false,"given":"Lisa","family":"Kitschke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9386-6078","authenticated-orcid":false,"given":"Jost","family":"Steinh\u00e4user","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,8,7]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1177\/1357633X211049206","article-title":"Telemedicine experiences and perspectives of healthcare providers in long-term care: a scoping review","volume":"30","author":"Tan","journal-title":"J Telemed Telecare"},{"key":"R2","unstructured":"Digitalisierung im gesundheitswesen [Article in German]. Bundesministerium f\u00fcr Gesundheit. 2022. URL: https:\/\/www.bundesgesundheitsministerium.de\/themen\/digitalisierung\/digitalisierung-im-gesundheitswesen.html [Accessed 28-11-2022]"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Beckers R Strotbaum V . Telepflege \u2013 telemedizin in der pflege. In: Marx G Rossaint R Marx N , editors. Telemedizin [Book in German]. Springer; 2021. 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Pflegeeinrichtungen und hospize werden digital [Article in German]. Universit\u00e4t zu L\u00fcbeck. Oct27, 2020. URL: https:\/\/www.uni-luebeck.de\/forschung\/aktuelles-zur-forschung\/aktuelles-zur-forschung\/artikel\/pflegeeinrichtungen-und-hospize-werden-digital.html [Accessed 15-02-2023]"},{"key":"R18","unstructured":"Online in die praxis mit der videosprechstunde [Article in German]. Kassen\u00e4rztliche Bundesvereinigung. May2023. URL: https:\/\/www.kbv.de\/media\/sp\/Praxisinformation_Videosprechstunde.pdf [Accessed 27-02-2023]"},{"key":"R19","unstructured":"Schlussfolgerung: praxisbarometer digitalisierung 2021 [Article in German]. Kassen\u00e4rztliche Bundesvereinigung. 2021. URL: https:\/\/www.kbv.de\/media\/sp\/Schlussfolgerungen_Praxisbarometer_2021.pdf [Accessed 15-02-2022]"},{"issue":"718","key":"R20","doi-asserted-by":"publisher","first-page":"e351","DOI":"10.3399\/BJGP.2021.0658","article-title":"Why do GPs rarely do video consultations? 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Studie zu den potenzialen der telepflege in der pflegerischen versorgung [Article in German]. Bundesministerium f\u00fcr Gesundheit. Nov13, 2020. URL: https:\/\/www.bundesgesundheitsministerium.de\/fileadmin\/Dateien\/5_Publikationen\/Pflege\/Berichte\/Endbericht_Potenziale_Telepflege.pdf [Accessed 15-02-2023]"},{"key":"R33","unstructured":"Studie und expertengespr\u00e4ch zu umsetzungshemmnissen telemedizinischer anwendungen: abschlussbericht [Article in German]. Serviceagentur Demografischer Wandel. 2018. URL: https:\/\/www.serviceagentur-demografie.de\/media\/seiten\/themenjahr\/mobilitaet_und_digitalisierung\/studien\/2019\/BMBF-2018-Umsetzungshemmnisse-telemedizinischer-Anwendungen.pdf [Accessed 15-02-2023]"},{"key":"R34","unstructured":"Bosnjak M Batinic B . Understanding the willingness to participate in online-surveys \u2013 the case of e-mail questionnaires. In: Batinic B Reips UD Bosnjak M Werne A , editors. Online Social Science. Hogrefe Publishing; 2002. 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