Other Titles
PechaKucha Presentation
Abstract
Background: Videoconferencing visits (VV) are an important medium for delivering healthcare worldwide, but clinicians remain uncertain about how to establish rapport in telehealth.1,2 Teaching rapport-building to practicing clinicians who must adapt established behaviors for VV, requires more than providing information. While simulation and debriefing are effective in prelicensure programs,3 they are less feasible for established practitioners. Reviewing video recordings of actual patient encounters, however, is a useful strategy for changing practice patterns.4-7 When clinicians view video recordings of their own patient interactions, it encourages them to discuss ideas not typically addressed and reveal tacit knowledge and skills which are challenging to identify or articulate.4,7 This technique, known as video elicitation, aligns well with Knowles8 andragogy principles for adult learners.
Purpose: This research explores utilizing video elicitation as a key teaching strategy to help health professionals improve interpersonal skills in VV. This approach is consistent with the emerging pedagogy of cultural responsiveness and humanizing strategies in virtual environments.9,10
Methods: This research is part of a grounded theory study at a U.S.A. academic cancer center. By showing nurses video clips of VV in which they participated in from a previous study, researchers are eliciting useful interview data while also exploring the impact of this technique on learning. Participants provide feedback on the impact of video elicitation on their practice by completing a survey immediately after and one-month post-interview. The survey includes four open-ended questions structured around Kirkpatrick’s four levels of evaluation.11
Results: Preliminary results from participants to date (N=5) suggest video elicitation is well received and facilitates an intention to make specific changes in VV practices. The analysis of complete survey results will be reported at the conference.
Conclusions: Recording virtual clinical encounters is feasible and acceptable to both clinicians and patients,12,13 making video elicitation a practical alternative for professional development. This method may provide tangible evidence of interpersonal challenges, encouraging clinicians to adapt their behaviors for virtual environments. The results of this study will inform the creation of educational modules on rapport-building in VV, enhancing global telehealth professional development.
Notes
References:
1. English W, Robinson J, Gott M. Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study. Palliat Med. Published online May 2, 2023. doi:10.1177/02692163231172243
2. Goodchild L, Mulligan A, Shearing Green E, Mueller T. Clinician of the future. Published March 2022. Accessed August 19, 2024. https://www.elsevier.com/connect/clinician-of-the-future
3. Kononowicz AA, Woodham LA, Edelbring S, et al. Virtual patient simulations in health professions education: Systematic review and meta-analysis by the digital health education collaboration. J Med Internet Res. 2019;21(7). doi:10.2196/14676
4. Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2019;28(2):160-166. doi:10.1136/bmjqs-2017-007728
5. Paroz S, Daeppen JB, Monnat M, Saraga M, Panese F. Exploring clinical practice and developing clinician self-reflection through cross self-confrontation methodology: An application within an addiction medicine unit. Glob Qual Nurs Res. 2021;8:233339362110548. doi:10.1177/233339362110548001
6. Soliman MM, Soliman MK. How expert surgeons review robotic videos: A grounded theory study. Am J Surg. 2023;226(5):709-716. doi:10.1016/j.amjsurg.2023.07.043
7. Dale CM, Angus JE, Sutherland S, Dev S, Rose L. Exploration of difficulty accessing the mouths of intubated and mechanically ventilated adults for oral care: A video and photographic elicitation study. J Clin Nurs. 2020;29(11-12):1920-1932. doi:10.1111/jocn.15014
8. Knowles MS, Holton EF, Swanson RA, Robinson PA. The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. 9th ed. Routledge; 2020.
9. Mehta R, Aguilera E. A critical approach to humanizing pedagogies in online teaching and learning. Int J Inf Learn Technol. 2020;37(3):109-120. doi:10.1108/IJILT-10-2019-0099
10. Pacansky-Brock M, McBride-Schreiner S, Vincent-Layton K. Humanizing online teaching to equitize higher education. Curr Issues Educ. 2020;21(2):1-21.
11. Kirkpatrick Partners. The Kirkpatrick Model. Published 2023. Accessed August 19, 2024. https://www.kirkpatrickpartners.com/the-kirkpatrick-model/
12. Golembiewski EH, Espinoza Suarez NR, Maraboto Escarria AP, et al. Video-based observation research: A systematic review of studies in outpatient health care settings. Patient Educ Couns. 2023;106:42-67. doi:10.1016/j.pec.2022.09.017
13. Koppel PD, De Gagne JC, Docherty S, et al. Feasibility and acceptability of measuring positivity resonance in nurse-patient telehealth videoconferencing visits: A mixed-methods observational study. J Clin Nurs. 2024;33(7):2578-2592. doi:10.1111/jocn.17174
Sigma Membership
Beta Epsilon
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Grounded Theory
Research Approach
Mixed/Multi Method Research
Keywords:
Teaching/learning Strategies, Continuing Education, Interprofessional Initiatives
Recommended Citation
Koppel, Paula Dianne; Webb, Michelle; De Gagne, Jennie; Randall, Paige; Napveux, Denise; Bludorn, Janelle; Prose, Neil; and Emmons, Aviva, "Rewind and Reflect: Using Video Elicitation to Enhance Virtual Patient Care" (2025). Creating Healthy Work Environments (CHWE). 88.
https://www.sigmarepository.org/chwe/2025/presentations_2025/88
Conference Name
Creating Healthy Work Environments
Conference Host
Sigma Theta Tau International
Conference Location
Phoenix, Arizona, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Rewind and Reflect: Using Video Elicitation to Enhance Virtual Patient Care
Phoenix, Arizona, USA
Background: Videoconferencing visits (VV) are an important medium for delivering healthcare worldwide, but clinicians remain uncertain about how to establish rapport in telehealth.1,2 Teaching rapport-building to practicing clinicians who must adapt established behaviors for VV, requires more than providing information. While simulation and debriefing are effective in prelicensure programs,3 they are less feasible for established practitioners. Reviewing video recordings of actual patient encounters, however, is a useful strategy for changing practice patterns.4-7 When clinicians view video recordings of their own patient interactions, it encourages them to discuss ideas not typically addressed and reveal tacit knowledge and skills which are challenging to identify or articulate.4,7 This technique, known as video elicitation, aligns well with Knowles8 andragogy principles for adult learners.
Purpose: This research explores utilizing video elicitation as a key teaching strategy to help health professionals improve interpersonal skills in VV. This approach is consistent with the emerging pedagogy of cultural responsiveness and humanizing strategies in virtual environments.9,10
Methods: This research is part of a grounded theory study at a U.S.A. academic cancer center. By showing nurses video clips of VV in which they participated in from a previous study, researchers are eliciting useful interview data while also exploring the impact of this technique on learning. Participants provide feedback on the impact of video elicitation on their practice by completing a survey immediately after and one-month post-interview. The survey includes four open-ended questions structured around Kirkpatrick’s four levels of evaluation.11
Results: Preliminary results from participants to date (N=5) suggest video elicitation is well received and facilitates an intention to make specific changes in VV practices. The analysis of complete survey results will be reported at the conference.
Conclusions: Recording virtual clinical encounters is feasible and acceptable to both clinicians and patients,12,13 making video elicitation a practical alternative for professional development. This method may provide tangible evidence of interpersonal challenges, encouraging clinicians to adapt their behaviors for virtual environments. The results of this study will inform the creation of educational modules on rapport-building in VV, enhancing global telehealth professional development.
Description
This presentation describes an innovative pedagogical approach to help interprofessional clinicians adapt rapport-building behaviors for telehealth videoconferencing visits (VV). Findings are from an ongoing grounded theory study that shows clinicians video clips of their previously recorded VV. This study will inform educational modules on rapport-building in VV, enhancing global telehealth professional development.