In addition, peripheral monitoring devices can be used by the patient to transmit clinical information to the remote provider.
Nurses are able to spend more time on direct patient care rather than indirect care, resulting in better use of their time and education. Nurses engaged in telenursing practice continue to assess, plan, intervene, and evaluate the outcomes of nursing care, but they do so using technologies such as the Internet, computers, telephones, digital assessment tools, and telemonitoring equipment.
The included safety and quality topics are described in Table 1below.
Telehealth is one strategy for monitoring and communicating with patients beyond the acute care setting. The prefix tele, when combined with the term scope, has the single clear following meaning: Falls, injuries, or illness will be easy to detect using such a system, offering immediate care to patients.
Research Implications The possibilities for telehealth technology abound, although pitfalls are also a potential. Additionally, telehealth has successfully been used as a tool for diagnosing acute leukemia.
Infrared technology offers perhaps the most continuous method of telehealth monitoring equipment. Glucoboy and Digiscope are two examples of these new technologies. Hence, telehealth and telenursing address barriers to quality health care that are created by geographic location and costs associated with lost time.
Infrared scanners have been shown to be effective in reporting deviations from a daily routine. Peripheral device use can also be expanded. The purpose of this literature review was to focus upon the safety issues associated with care delivered by and relating to telenursing.
This technology allows patients and caregivers to communicate effectively, while allowing caregivers the benefit of seeing the patient. Finally, infrared technology and sensor technology promise to deliver remote monitoring capabilities into the hands of providers.
New wireless technologies have introduced new options for telehealth, which include nanotechnology and artificial intelligence.
Research Evidence Although the summary for the AHRQ evidence report, Telemedicine for the Medicare Population, 9 specifically mentions safety related to telemedicine and how evidence could be presented and researched, it is ironic to note that in all the evidence tables of all the AHRQ reports there are no studies that mention safety or specifically research patient safety in telehealth.
It is imperative for nurses to see the telehealth technology as a medium for care, and not a tool to replace high-quality nursing practice. Telehealth has evolved throughout the years, from the first telephone interventions to the present-day use of sensors and remote monitoring devices.
Therefore, the review of the current literature as well as decisions for future research goals indicate a gap of information and future direction regarding patient safety issues related to the use of telehealth in clinical practice.
Audio and video technology can facilitate remote home health monitoring between patients and caregivers. Therefore, inventive and efficient telehealth-based methods of caring for patients are increasingly being used to improve compliance or adherence to the prescribed regimen Telenursin the future is now essay care, as well as for symptom management.
Telehealth has been shown to be a successful endeavor for education and counseling through two-way audio and video technology. Telehealth technology offers increased productivity for nurses by decreasing travel time to remote areas, thereby increasing the average daily census.
Although not noted or researched specifically, patient safety is an important part of the diagnosis, monitoring, outcomes, and technical tools used in telehealth practice.
One of the most common technology configurations for telehealth applications uses two-way audio and video, or teleconferencing equipment. Further, accepted and proven nursing practice must not be compromised.
In the researched technologies, data are transmitted over secure lines. Health care needs to commit to this progress in order to provide up-to-date technology and safe devices for patients.
These studies were purposely not included in this review. Technical Issues Telehealth technology differs in every situation and can range from telephone calls postoperatively to preventing diabetic complications in children by using a popular video game system, to live, interactive voice and video patient education, to downloadable data devices used by patients with data interpreted by telenurses.
After an initial appraisal of the articles, they were examined for semantic similarities and differences. However, new wireless technologies, increased use of e-mail by providers, and the continual threat of computer viruses increase the need for security and confidentiality of patient data to remain in the forefront of telehealth.
Search Strategy The majority of research studies to date have focused upon teleradiology, telepathology, telepsychiatry, and other medical uses of telemedicine technology for medical care and diagnosis.
It has also had an impact upon health care utilization rates for acute care services such as decreasing visits to the Emergency Department in studies with limited sample sizes, although large randomized trials have not yet been reported Evidence Table 2.
With telehealth, confidentiality also remains a concern and must always be considered. However, the cost of this technology and who bears the cost remain to be seen.
Evidence Table 2 Monitoring and Surveillance Related to Telehealth and Telenursing Practice Adding to the problem of adherence in patients is a lack of access to quality health care, specialists, or nurses.
Most patients already have a phone in the home that can be used for sessions. Evidence-Based Practice Implications The research related to telehealth and telenursing practice has shown great benefits related to diagnosis and consultations, monitoring and surveillance of patients, clinical and health services outcomes, and technology advancement.
There is inconsistent and emerging nomenclature related to tele in health care. In the shorter term, increasingly sensitive and accurate peripheral devices are needed for clinical monitoring.
Specific research agenda topics identified were chronic disease management, patient empowerment, and enhanced self-care.Telenursing. Telenursing is a subset of telehealth that focuses on the delivery, management, and coordination of care and services using telecommunications technology within the domain of nursing.
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for only $ $/page. Order now. Search. Related Essays. Essay Telenursing: Nursing and Home Health. Telenursing the Future Is Now Trishana Mcintosh Chamberlain University Telenursing The Future Is Now “. 45 percent of patients prefer phone communication while 49 percent prefer email communication.
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Owned and operated by Dr. Jay Sizemore, it was founded in December to provide medical needs for the underserved HIV positive patients in Chattanooga, Tennessee and 22 surrounding counties. Telenursing The Future Is Now It is true of many rural and remote locations that insufficient access to health care provision results in lower health status when compared to their urban counterparts.
Advanced communication technology offers a method for addressing this problem.Download