Date of Award

Spring 5-1-2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. John Chovan, PhD, DNP

First Committee Member

Dr. Gloria Gdovin, DNP


Telemedicine, Telehealth, Virtual Health Care, Peplau, Nurse-Patient Relationship

Subject Categories

Communication Technology and New Media | Family Practice Nursing | Geriatric Nursing | Health Communication | Health Services Administration | Medicine and Health Sciences | Nursing Administration | Primary Care | Public Health and Community Nursing | Quality Improvement | Telemedicine


At a regional Veterans Administration (VA) hospital, nurses performing case management were unable to perform face-to-face visits with patients due to coronavirus. Care coordination and discharge planning efforts occurred through telephonic case management to preserve personal protective equipment and reduce transmission rates through social distancing. Trust and rapport between patients and nurses were reduced without personal contact. Peplau’s theory of interpersonal relations described six nurse roles and three phases of relationship development required to create therapeutic nurse-patient relationships. Connectedness was a key concept considered to be the path to a successful meaningful therapeutic nurse-patient relationship (Hrabe, 2005).

To evaluate current perceptions about virtual healthcare technology and determine if the nurse perception changes through a clinical practice change, a group of VA registered nurses participated in a computer-based educational intervention. The clinical practice change examined the nurses’ perceptions of the nurse-patient relationship while using virtual health care technology. The clinical practice change project included completion of pre- and post-education intervention questionnaires adapted from the Myers (2014) measurement tool containing demographic, Likert-type scales, and free text items.

The project also included completion of a 30-minute recorded education intervention explaining the virtual healthcare technology available at the VA and instructions on how to use the technology. Success of the project occurred when the post-education intervention changed nurse perception about the impact of the virtual healthcare technology on the nurse-patient relationship.

Key Words: virtual, healthcare, technology, Peplau, Interpersonal Relations Theory

Licensing Permission

Copyright, all rights reserved. Fair Use

Bryan-Couch_DNP_Poster.pdf (253 kB)
DNP Scholarly Project Poster

bryan-couch_dnp.mp4 (25857 kB)
Video Presentation

Available for download on Thursday, April 27, 2023