title: Getting a Picture.
abstract: Delivery of care by nurses in virtual environments is rapidly increasing with uptake of digitally mediated technologies, such as remote patient monitoring (RPM). Knowing the person is a phenomenon in nursing practice deemed requisite to building relationships and informing clinical decisions, but it has not been studied in virtual environments.
  
  
  OBJECTIVE
  The intent of this study was to explicate the processes of how nurses come to know the person using RPM, one form of telehealth technology used in a virtual environment.
  
  
  METHODS
  The study was informed by Charmaz's constructivist grounded theory and included 33 interviews and 5 observational experiences of nurses using RPM in 7 different settings.
  
  
  RESULTS
  Getting a Picture evolved as the core category to a theoretical conceptualization of nurses knowing the person through use of RPM and other technologies, such as telephone and electronic medical records. Getting a Picture reflected a dynamic flow and integration of seven processes, such as Connecting With the Person and Recording and Reflecting, to describe how nurses strove to attain a visualization of the person.
  
  
  CONCLUSIONS
  While navigating disparate and disconnected information and communication technologies, Getting a Picture was important for providing safe, holistic, person-centered care.
authors.affiliation: University of Ottawa, Canada.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Nagel
authors.affiliation: University of Ottawa, Canada.|Ottawa Hospital Research Institute, Canada.
authors.forename: Dawn
authors.initials: D
authors.lastname: Stacey
authors.affiliation: Ottawa Hospital Research Institute, Canada.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Momtahan
authors.affiliation: University of Ottawa, Canada.
authors.forename: Wendy
authors.initials: W
authors.lastname: Gifford
authors.affiliation: University of New Brunswick, Canada.
authors.forename: Shelley
authors.initials: S
authors.lastname: Doucet
authors.affiliation: University of Ottawa, Canada.
authors.forename: Josephine B
authors.initials: JB
authors.lastname: Etowa
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D066296:Grounded Theory; D006801:Humans; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009726:Nurses / Q000523:psychology* / Q000592:standards / Q000639:trends; D036301:Qualitative Research; D017216:Telemedicine / Q000379:methods / Q000592:standards; D014584:User-Computer Interface
keywords: grounded theory; monitoring; nursing; patient-centered care; qualitative research; telehealth/informatics; telemedicine