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Background <p>Community nurses increasingly use digital sensory interventions (DSIs), audio-first elicitation, data-enabled inputs, and selectively visual, opt-in steps coordinated via Field-of-View (FoV) negotiation to assess patients at home, where trust, privacy, and family dynamics are decisive.</p> Aim <p>To describe how community nurses enact DSIs in remote primary care and how these practices shape trust-building/repair, privacy protection, and family-role orchestration.</p> Methods <p>Qualitative descriptive study across three community nursing services in Al-Majmaah, Saudi Arabia. Purposive maximum-variation sampling recruited 24 Registered Nurses for semi-structured interviews (March–June 2025; Arabic/English). Data were transcribed, de-identified, bilingual-checked, and analyzed using reflexive thematic analysis (NVivo 14) within a pragmatic–constructivist stance; information power guided sufficiency. Trustworthiness procedures included peer debriefing, disconfirming-case analysis, and an audit trail.</p> Results <p>A four-theme model explained DSI enactment. (1) Stepwise workflow: pre-brief/environment setup → FoV negotiation (if needed) → coached audio-led tests aligned with device data; when discrepant, real-time clinical cues (audio and, when consented, visual) were prioritized over asynchronous logs. (2) Trust work: transparent narration, post-glitch recap, and patient control at intimate junctures. (3) Privacy as boundary work: dynamic consent refresh, FoV zoning/presence management, and modality switching/pausing with documentation in a privacy-actions field. (4) Family roles: deliberate, bounded tasking to preserve patient-first talk and curb gatekeeping. Outputs include teachable micro-practices for curricula and protocol.</p> Conclusions <p>DSIs are nurse-led sociotechnical practices requiring codified workflow safeguards, consent-in-action, narrated modality management, and governed family roles. Findings translate into a DSI safety bundle, tele-OSCE curricula, and EHR prompts for ethical, person-centred remote care.</p> Clinical trial registration <p>Not applicable.</p> Trial registration <p>Not applicable.</p>

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Community nurses’ experiences with digital sensory interventions in remote primary care: a qualitative descriptive study of trust, privacy, and family dynamics

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月13日

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  • Abdullah Alotaibi

摘要

Background

Community nurses increasingly use digital sensory interventions (DSIs), audio-first elicitation, data-enabled inputs, and selectively visual, opt-in steps coordinated via Field-of-View (FoV) negotiation to assess patients at home, where trust, privacy, and family dynamics are decisive.

Aim

To describe how community nurses enact DSIs in remote primary care and how these practices shape trust-building/repair, privacy protection, and family-role orchestration.

Methods

Qualitative descriptive study across three community nursing services in Al-Majmaah, Saudi Arabia. Purposive maximum-variation sampling recruited 24 Registered Nurses for semi-structured interviews (March–June 2025; Arabic/English). Data were transcribed, de-identified, bilingual-checked, and analyzed using reflexive thematic analysis (NVivo 14) within a pragmatic–constructivist stance; information power guided sufficiency. Trustworthiness procedures included peer debriefing, disconfirming-case analysis, and an audit trail.

Results

A four-theme model explained DSI enactment. (1) Stepwise workflow: pre-brief/environment setup → FoV negotiation (if needed) → coached audio-led tests aligned with device data; when discrepant, real-time clinical cues (audio and, when consented, visual) were prioritized over asynchronous logs. (2) Trust work: transparent narration, post-glitch recap, and patient control at intimate junctures. (3) Privacy as boundary work: dynamic consent refresh, FoV zoning/presence management, and modality switching/pausing with documentation in a privacy-actions field. (4) Family roles: deliberate, bounded tasking to preserve patient-first talk and curb gatekeeping. Outputs include teachable micro-practices for curricula and protocol.

Conclusions

DSIs are nurse-led sociotechnical practices requiring codified workflow safeguards, consent-in-action, narrated modality management, and governed family roles. Findings translate into a DSI safety bundle, tele-OSCE curricula, and EHR prompts for ethical, person-centred remote care.

Clinical trial registration

Not applicable.

Trial registration

Not applicable.