The author(s) shown below used Federal funding provided by the U.S. Department of Justice to prepare the following resource: Document Title: National TeleNursing Center: Program Evaluation Final Report Author(s): Theodore P. Cross ; Wendy A. Walsh ; Elizabeth M. Cross Document Number: 253059 Date Received: June 2019 Award Number: 2012-NE-BX-K001 This resource has not been published by the U.S. Department of Justice. This resource is being made publically available through the Office of Justice Programs’ National Criminal Justice Reference Service. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. National TeleNursing Center: Program Evaluation Final Report October 2018 Theodore P. Cross University of Illinois at Urbana-Campaign Wendy A. Walsh University of New Hampshire Elizabeth M. Cross Cross Associates Research & Evaluation Services, LLC This resource was prepared by the author(s) using Federal funds provided by the U.S. Department of Justice. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Table of Contents LIST OF TABLES AND FIGURES ............................................................................................................................. V EXECUTIVE SUMMARY ....................................................................................................................................... VI THE DEVELOPMENT OF THE NATIONAL TELENURSING CENTER ............................................................................................. VI OVERVIEW OF PREVIOUS EVALUATION REPORTS ............................................................................................................. VIII DELIVERY OF TELENURSING SERVICES ............................................................................................................................. XI THE TELENURSING EXPERIENCE ..................................................................................................................................... XI LESSONS LEARNED AND REMAINING QUESTIONS ............................................................................................................. XII Establishment of sites .................................................................................................................................................... xii Delivery of telenursing services .................................................................................................................................... xiii Value of telenursing encounters ................................................................................................................................... xiii Training and system change efforts .............................................................................................................................. xiii Sustainability of telemedicine for sexual assault patients ............................................................................................ xiii Conclusion ..................................................................................................................................................................... xiv CHAPTER 1: INTRODUCTION ............................................................................................................................... 1 THE NATIONAL TELENURSING CENTER ............................................................................................................................. 1 PROGRAM EVALUATION APPROACH ................................................................................................................................ 2 CHAPTER 2: THE DEVELOPMENT OF THE NATIONAL TELENURSING CENTER ........................................................ 3 CENTER DEVELOPMENT ................................................................................................................................................ 4 Project Management ......................................................................................................................................... 4 TeleNursing Center Space .................................................................................................................................. 4 Technology ......................................................................................................................................................... 5 Advocacy ............................................................................................................................................................ 6 Marketing and Outreach .................................................................................................................................... 6 WORKFORCE DEVELOPMENT ......................................................................................................................................... 8 Recruitment of TeleSANEs .................................................................................................................................. 8 Professional Practice Model and Protocols ........................................................................................................ 8 Licensing and Credentialing ............................................................................................................................... 9 Training of TeleSANEs ........................................................................................................................................ 9 SITE DEVELOPMENT ................................................................................................................................................... 10 Site Selection .................................................................................................................................................... 10 The Development of Site Teams ....................................................................................................................... 11 Site Education and Training ............................................................................................................................. 12 Variability in Site Development ........................................................................................................................ 12 SUSTAINABILITY ......................................................................................................................................................... 13 PROJECT TIMELINE ..................................................................................................................................................... 14 CHAPTER 3: AN OVERVIEW OF PREVIOUS PROGRAM EVALUATION REPORTS ................................................... 16 PROCESS AND DEVELOPMENT OF THE NATIONAL TELENURSING CENTER ............................................................................... 16 EVALUATION OF THE TRAINING AND EDUCATION ACTIVITIES OF THE NATIONAL SEXUAL ASSAULT TELENURSING CENTER. .............. 17 2 This resource was prepared by the author(s) using Federal funds provided by the U.S. Department of Justice. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. NATIONAL TELENURSING CENTER: INITIAL PROGRAM EVALUATION FINDINGS ON THE TELENURSING EXPERIENCE ........................ 18 PROGRAM EVALUATION REPORT: THE SYSTEM IMPACT OF THE NATIONAL TELENURSING CENTER ............................................. 18 CHAPTER 4: DELIVERY OF TELENURSING SERVICES ............................................................................................ 24 TELENURSING SERVICE UTILIZATION .............................................................................................................................. 24 Number of Telenursing Encounters .................................................................................................................. 24 Age and Gender of Sexual Assault Patients ..................................................................................................... 28 Length of Encounter ......................................................................................................................................... 29 Declining Telenursing ....................................................................................................................................... 30 Consultations.................................................................................................................................................... 31 SUMMARY ............................................................................................................................................................... 32 CHAPTER 5: THE TELENURSING EXPERIENCE ..................................................................................................... 34 EVALUATION METHODS .............................................................................................................................................. 34 POST-ENCOUNTER INTERVIEW RESULTS .......................................................................................................................... 36 Patient consent ...............................................................................................................................................