The feasibility of using technology to enhance the transition of palliative care for rural patients

Diane E. Holland, Catherine E. Vanderboom, Cory J. Ingram, Ann Marie Dose, Lynn S. Borkenhagen, Phyllis Skadahl, Joel E. Pacyna, Christine M. Austin, Kathryn H. Bowles

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Palliative care services for patients with life-limiting conditions enhance their quality of life. Most palliative care services, however, are located in hospitals with limited transitional care for patients who live in distant locations. The long-term goal of this program of research is to use existing technology for virtual visits to provide transitional care for patients initially hospitalized in an urban setting by a nurse practitioner located closer to patients' homes in distant, rural settings. The purpose of this proof-of-concept study was to determine the resources needed to use the system (efficiency) and the quality of the audio and visual components (effectiveness) to conduct virtual visits between a clinician at an academic center and community-dwelling adults living in rural locations. Guided by the Technology Acceptance Model, a mixed-methods field design was used. Because of the burden of testing technology with patients with life-limiting conditions, the sample included eight healthy adults. Participant satisfaction and perceptions of the ease of using the technology were also measured. Virtual visits were conducted using a 3G-enabled Apple iPad, cellular phone data service, and a Web-based video conference service. Participants and clinicians perceived the technology as easy to use. Observations revealed the importance of the visual cues provided by the technology to enhance communication, engagement, and satisfaction. Findings from this study will inform a subsequent study of technology-enhanced transitional care with palliative care patients.

Original languageEnglish (US)
Pages (from-to)257-266
Number of pages10
JournalCIN - Computers Informatics Nursing
Issue number6
StatePublished - Jun 2014


  • Palliative care
  • Rural population
  • Technology

ASJC Scopus subject areas

  • Health Informatics
  • Nursing (miscellaneous)


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