WEBVTT

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Hello, everyone.

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My name is Brendan Martin, and I'm the
Director of Research here at NCSBN.

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It was wonderful seeing many
of you at Delegate Assembly.

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Unfortunately, time didn't allow us to share the
preliminary work we've done on NCSBN's 2020/2022

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Strategic Initiative B.

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That initiative champions regulatory solutions
to address borderless healthcare delivery.

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Today, I'm going to provide a brief
overview of the work we've accomplished,

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explain the substantial work that lies ahead,
and invite you to attend the 2023 mid-year meeting,

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where this project will be covered in greater detail.

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So let's get started.

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Objective 6 has some ambitious goals.

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First, we wanted to generate an agreed-upon set of
telehealth practice principles that augment public

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protection and provide a basis
for increased communication.

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And second, we wanted to enhance understanding
and shared research across jurisdictions.

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To accomplish that, we set out
on a four-phase research initiative.

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A robust body of evidence shows telehealth usage has
expanded significantly across the globe since the onset

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of the pandemic.

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Yet what remains less clear is how telehealth,
if at all, is utilized to deliver care

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across international borders.

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It's also hard to say how providers and companies
ensure regulatory compliance for international care.

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To address these aims, we conducted a
multistage, mixed-methods observational study.

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First, we conducted a document analysis in which the
team reviewed a sample of 32 nursing telehealth job

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advertisements from 25 different employers that were
posted between May 2021 and February 2022.

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These job listings were analyzed systematically
with targeted searches for references to licensure

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or registration, education,
and certification requirements,

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as well as discussion of discipline,
clinical practice details, work setting,

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and descriptions of select soft skills.

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This initial content analysis then informed
the second stage of the research,

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which took the form of direct survey outreach to
representatives of telehealth companies about the

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services they provide and the regulatory requirements
to which they adhere to ensure patient safety.

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The 23 items that comprised the instrument were
organized into four domains: hiring practices,

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regulatory requirements or compliance,
telehealth nursing practices,

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and the future of telehealth.

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Our outreach strategy primarily targeted legal
counsel, human resource, compliance,

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and administrative personnel.

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In total, our strategy was reflected by the
international makeup of the survey sample,

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including 15 unique countries in which providers
are located, as well as over 30 countries in which

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care is provided.

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The key findings from Phase 2 confirmed telehealth
practice over the past few years has likely outpaced

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existing patient safety and privacy safeguards,
highlighting areas that lack uniformity and

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remain unevenly developed.

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The results laid the groundwork for Phase 3,
an international telehealth think-tank.

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Six countries, 6 Canadian provinces, and 17
states joined the discussions to develop and

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refine a list of recommended principles.

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In Phase 4, the participants' recommendations were
compiled into a list and the results were validated

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via survey to all participants and invitees.

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A minimum of two-thirds of the respondents approved
of each of the final eight guiding principles.

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So what's next?

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You might ask.

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Please join us for the 2023 midyear meeting,
where we will be discussing the full results of this

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preliminary work, as well as how the work to date
will inform continued outreach and discussion

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among all interested stakeholders.

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Feel free to reach out to us
before the mid-year meeting

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if you have any questions or have any new or ongoing
business or activities related to international nursing

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telehealth to see how our
work can support your efforts.

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Thank you for your interest and support of this
important work and I will see you in March.

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♪ [music] ♪