# Toward Best Practice Guidelines and Curricula for Virtual Care (Telehealth) in a Cancer Center: Protocol for a Multimethod Study

## TL;DR

This study aims to develop guidelines and curricula for nurses and health professionals to safely provide virtual care, addressing a growing need in cancer treatment settings.

## Contribution

The study introduces a multimethod approach to create practical telehealth guidelines and training materials for health professionals.

## Key findings

- Current literature lacks sufficient guidelines for virtual health assessment and telehealth competencies.
- A phased study combining literature reviews, interviews, surveys, and workshops will co-develop telehealth standards and curricula.
- The project will pilot and evaluate new virtual care guidelines and training materials in a cancer treatment setting.

## Abstract

Virtual health care, originally as telephone-based telehealth, has been used for more than 45 years; however, the literature shows limited understanding of the competencies required for safe virtual care practice in nursing and other health-related fields. This has led to a widening education-practice gap.

The aim of this study is to identify (1) clinical guidelines for nurses and other health professionals undertaking routine virtual health (telehealth) assessment, triage, and follow-up care; and (2) curricula for preparing health professionals for virtual care. Subsequently, data will be collected within a major cancer treatment service to codetermine core competencies and curricula for nurses engaged in telehealth clinics.

This was a phased multimethod study including reviews of existing literature, followed by qualitative (in-depth interviews, n=20) and quantitative (online survey, n=200) data collection and co-design workshops (n=5) to achieve project aims. Implementation will involve a pilot and an evaluation before full rollout of the developed guidelines and syllabus.

Literature reviews completed in the initial phase of this project confirm a paucity of existing guidelines for virtual health assessment and an urgent need to develop telehealth or virtual care competency frameworks and curricula for health professionals in training or practice. We propose an approach to develop and test these materials in practice. A total of US $52.6 was provided by a philanthropic alumni for support over the full duration of the project. Recruitment and collection from human participants will commence on February 1, 2026, following procurement of ethics clearance. Phase 2 data collection and analysis will occur from February to December 2026. Results will be presented to the ethics committee and clearance gained to implement and evaluate the program in 2027.

Working with health providers, consumers, and academics toward standards of practice and curricula is clearly needed to ensure that the current and future nursing workforce is prepared for the continuing rise in virtual care. Completion of this project will fill an existing gap in the provision of guidelines and education for nurses providing virtual care.