To test the fidelity and feasibility of using augmented reality
glass (ARG) telehealth
technology for comprehensive wound, ostomy, and continence (WOC) service delivery to underserved rural practice settings.
Intrarater reliability design focusing on treatment integrity.
SAMPLE AND SETTING:
Adult patients in a tertiary care hospital and a rural long-term care setting who were scheduled for routine wound care
Intra- and interrater reliability were assessed using a documentation-based wound assessment tool comprising 6 discrete assessment points. The wound teleassessment was first conducted by the telehealth
“hub” WOC nurse remotely in collaboration with a bedside nurse wearing the ARG. The same hub WOC nurse then conducted an assessment at the bedside. Initial assessment points and treatment plans were compared to establish assessment and treatment intrarater reliability. A different WOC nurse, blinded to the first assessment, also conducted a bedside assessment and provided treatment recommendations, which were then compared to the hub WOC nurse's initial remotely ARG-generated treatment plan to establish treatment interrater reliability.
Sixteen patients with 21 wounds were assessed. Six wound assessment components were included, yielding a total of 126 total observation points. Intrarater assessment reliability was 98%. Treatment plan interrater reliability was 100%.
Results support further evaluation of ARG technology as a tool to enhance the delivery of wound care
services in remote underserved settings. Implementation and evaluation of this technology on clinical and financial outcomes in multiple wound care
delivery environments should be determined moving forward. Successful implementation should serve as a template to expand evidence-based WOC nursing care across the globe.