Abstract
textAberdeen Fertility Centre provides fertility investigation and treatment across the north east, highlands and islands (Orkney & Shetland) of Scotland, which includes rural and remote communities. Whilst the SARS-Cov-2 pandemic has accelerated the delivery of Tele-fertility Nursing, the National Health Service (NHS) in Grampian, Scotland launched both ‘No Delays’ and ‘Near Me’ platforms in 2019 to keep pace with the digital age and with the intention of improving the quality of patient care.No Delays (series of video packages and virtual consultations) has revolutionised clinical pathways, providing individualised patient information from investigation to treatment, permitting email ‘prescription’ of digital postcards (personalised package of short videos introducing members of the team and explaining their role) that explain the fertility journey and management plan in detail, from investigation (ie., tubal evaluation), to treatment (ie., ovulation induction or IVF), and self-administration of medicines.Thereafter, patients receive invitation to virtual ‘Near Me’ consultation which can take place in the comfort of their own home whilst acknowledging flexibility in lifestyle (partner can remotely access consultation from workplace, including overseas).Electronic patient records (EPR’s) provide immediate access to complete, accurate and up to date clinical patient data, which, together with Electronic Consents compliment the tele-nursing experience through a complete library of consent forms, automatically allocated to patient and partner according to treatment type and personal circumstances: information being provided in video format to meet the requirements for informed consent. Forms are completed online, at home or in the ‘virtual’ clinic via computers, tablets or smartphones, with workflow automation tools allowing for digital signature/s. The complete digital package ensures patients have an early understanding of the process, therefore better prepared for face-to-face appointments and ensuring quality care delivered at point of contact.The aims and objectives of ‘Tele-fertility Nursing’ were to: (1) reinforce key information routinely provided at consultation which may not always be understood, (2) meet patient need and lifestyle, (3) increase patient choice, (4) save time and money by reducing unnecessary travel (often complicated by adverse weather conditions from rural communities), (5) avoid unnecessary time off work, and (6) reduce environmental impact of attended appointments (health miles and miles not travelled).Whilst concern remains around the digital interface and nurse/patient relationship, preliminary evaluation of ‘Near Me’ consultations and patient feedback - relative to electronic consent - suggests overall patient satisfaction; the above aims and objectives being met. However, full evaluation of the patient and fertility nurse experience of the ‘digital fertility journey’ is required.
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