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Advantages and disadvantages of telenursing
Policy issues in telemedicine
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Your patient is having difficulty breathing and increased heart rate. You are unable to physically touch the patient, but you are able to see them and communicate with them. What advice would you give to your patient? Telenursing is up and coming and a new trend of nursing that monitors the patients in their home. The nurse assists the patient by” gathering information, assessing the client’s needs, providing health information and health consultations” (Kamei, T. (n.d.). As a nurse is this a setting you would like to work in? This article will discuss the advantages and disadvantages of telenursing and help this writer make a decision if telenursing if right for her.
What is telenursing?
Telenuring is a new trend of nursing and is rapidly
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Telenursing also has several advantages that can help improve a patient’s health.
Teaching and educating the patient about their disease process and how they can assist with controlling or eliminating their symptoms is a great advantage with telenursing. Empowering your patient to get involved in their health care can be very rewarding to a nurse and improve your patient health care.
Building a relationship with your patients is also an advantage with telenursing. Although you may not be able to see them, a bond can be made over the phone. Nurses earn their patients trust and respect by being compassionate and competent. These relationships help the telenurse to gather more detailed information on the patient which can help the nurse make the right decision when providing advice on treating the patients’ health care issues. Through telenursing nurses develop more effective communication skills which promote nurse-patient relationships. Being able to effectively communicate with you patients and gathering the information the nurse needs can assist in improving patient outcomes. The nurse must be a good listener, provide compassion, and repeat back on what the patient has
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Some telenurses work out of a clinic and some at home. There are chances in these settings for others to hear what is going on with the patient. Policies must be in place to control patient information and how it is disclosed. Their computers systems must also have security settings in place to reduce the risk of someone accessing the patient information. “Privacy issues related to the video or audio recording, maintenance of recordings, and storage and transmission of images and other patient record data must be fully addressed. The transmission of information via communication lines such as telephone lines, satellite, or other channels may generate concern related to possible privacy violations. An additional concern in some telehealth situations is the presence of technical staff assisting with the transmission procedure at the clinical site (or even at both ends), which could be perceived as a loss of privacy by patients”. (Demiris & Doorenbos & Towle,
...). Privacy and Health Information Technology. Journal of Law Medicine, 37(2), 121-149. Retrieved January 28, 2011 from CINAHL database
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
Technological advances enable nurses to provide accurate, timely care for a patient. This is due to the fact that these advances enable doctors and nurses to quickly diagnose, explain and predict the health-illness status of a patient, thus allowing health care professionals to spend less time finding answers, and more time providing quality care. For nurses, this includes spending time with the patient establishing rapport, communication and a trusting relationship for optimum clinical care.
With today's use of electronic medical records software, information discussed in confidence with your doctor(s) will be recorded into electronic data files. The obvious concern is the potential for your records to be seen by hundreds of strangers who work in health care, the insurance industry, and a host of businesses associated with medical organizations. Fortunately, this catastrophic scenario will likely be avoided. Congress addressed growing public concern about privacy and security of personal health data, and in 1996 passed “The Health Insurance Portability and Accountability Act” (HIPAA). HIPAA sets the national standard for electronic transfers of health data.
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
Bowles, K., Holland, D., & Horowitz, D. (2009). A comparison of in-person home care, home care with telephone contact and home care with telemonitoring for disease management. Journal of Telemedicine and Telecare, (15), 344-350. doi: 10.1258/jtt.2009.090118
Telemetry nurses are RNs with advanced training who deal only with patients who have ongoing health conditions or experience sudden health services, such as those who have heart problems or those who recently had surgery. Telemetry nurses use various types of medical technology to monitor patients' vitals such as blood pressure, heart activity, breathing patterns and blood oxygen saturation. They record and interpret this data to assess their patient's recovery rates. They also share this information with physicians and other health care experts to determine treatment methods. Telemetry nurses must meticulously track all medications in order to avoid any negative drug interactions. Telemetry nurses are involved at the beginning of care when they assist doctors with procedures and diagnostics. They oversee patients until the end of care when they educate them how to avoid potential relapses or problems after they are released.
... and HIPAA, Does instant access and availability from mobile technology jeopardize patient privacy? [Electronic version] Nursing Management, June 2007, 38-40
Telenursing is the application of information and telecommunications technology to offer the nursing or healthcare services to the patients. The most advanced field of telehealth is in household telenursing healthcare. Telenursing devices like computers, telephones and videophones enable nurses to increase successfully the patient numbers seen daily while reducing the entire workload (Arnaert & Delesie, 2001). Nurses are capable of doing this without having to leave the doctor’s office or hospital hence saving a considerable amount of
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
...arly with other healthcare members. Proper communication is a skill that may come naturally to some people. For those nurses that do not have efficiency in communication, practicing will help in feeling confident in communicating with patients and staff as well as providing a solid platform for quality patient care.
Technology is having a significant role in various professional positions and will contribute in dictating the future of care delivery. Privacy is
Particularly in medical and nursing settings, privacy is recognized as a basic human right. Should be noted, it’s essentially complex and vague to define while being reviewed. It’s defined in the context of four aspects [solitude, intimacy, anonymity and reserve] but overall recognized in two forms; autonomy and confidentiality. Little attention paid to privacy patients in many medical centers. It’s essential to observe privacy, to establish an effective medical team-patients relationship; patient serenity. Today, with technology available, observing privacy and confidentiality should be more acute. Patient satisfaction levels have been identified as major indicators of quality of care and are influenced by a range of factors (Nayeri & Aghajani, 2010).