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Telenursing
Definition
Telenursing is defined as the delivery, management, and coordination of care and services provided via telecommunications technology within the domain of nursing (American Association of Ambulatory Care Nursing, 2004). The terms “telehealth nursing,” and “telenursing,” are used interchangeably. To illustrate telehealth nursing the terms “home telehealth nursing” and “telehomecare nursing” are expressions having the same meaning. Both of these terms describe using technology and advancements in health care in the home care setting, in order to deliver nursing care remotely by a qualified health care provider.
Background
Telenursing dates back to the 1970s when hospital caregivers reached out to offsite experts for
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An example would be a patient who needs to have cardiac monitoring to rule out cardiac disease or irregularities. These patients can now be observed remotely in the comfort of their homes through the use of a small device inserted under the skin. The device is accessed with no knowledge of the patient during anytime day or night. Medical staff can then contact patients when they are having a potential cardiac emergency and request that they get immediate emergency attention saving lives. These devices are regularly placed in outpatient care clinics around the …show more content…
Simmons ' philosophy is if medicine is going someplace, he would like to get there first (Brazell, 2015). With just a click of a mouse, he is allowed to connect to several MUSC pediatric subspecialists, ranging from dermatologists to nutritionists. One of the most frequent specialties receiving referrals is psychiatry. Simmons sees the need for more availability for these children to get help and sees using technology as the way of the future in obtaining it for
Cardiac monitoring has been available since the early 1960s (Henriques-Forsythe, Ivonye, Jamched, Kamuguisha, Olejeme & Onwuanyi, 2009). George, Walsh-Irwin, Queen, Vander Heuvel, Hawkins, & Roberts (2015) explain, “Remote telemetry monitoring is the monitoring of cardiac rhythms of acute care inpatients from a central locate by personnel who are not directly involved with patient care” (p. 11). Researchers and authors published a multitude of articles, best practices, and standards for hospital monitoring (Drew, 2004, Funk, 2010). A basic internet query reveals injuries and deaths related to remote telemetry monitoring. Guidelines, best practices, and research provide the best evidence in the delivery of safe quality care
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
...005). The role of nurses in telemedicine and child abuse. CIN: Computers, Informatics, Nursing, 23(3). pp. 127-131. Retrieved from http://www.medscape.com/viewarticle/506916_7
The author’s sources support the conclusion that innovations in health technology will help improve patient care. Using not only Dr. Martin but others who are being trained in the field such as Sean Hayes, a Baylor MB/Healthcare/MSIS candidate, who in the article spoke of how a physician can be patched in by video and do a distance consult, which he saw as cost sharing in rural areas at may not be able to afford
Sevean, P., Dampier, S., Spadoni, M., Strickland, S., Pilatzke, S., (2008). Patients and families experiences with video telehelath in rural/remote communities in northern canada. Journal of Clinical Nursing, 18. 2573-2579.
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.
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
... 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
of medical devices are used by millions of health care providers around the world.” (Powell-
Often the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.” Telehealth allows a lower level healthcare practitioner to communicate with a physician or specialists when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas. When procedures call for a physician, an internet or satellite link provides a teleconference with a physician who can prescribe appropriate treatment (Gangon, Duplantie, Fortin & Landry 2006). This could be implemented in lower income urban areas, allowing free clinics to lower costs, and require fewer physicians.
Joyce Sensmeier, Jennifer K Horowitz. (2003). Advance care delivery through technology. Nursing Management: IT Solutions,2-6. Retrieved April 22, 2007, from ABI/INFORM Global database. (Document ID: 442886631).
Technology is having a significant role in various professional positions and will contribute in dictating the future of care delivery. Privacy is
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008). Computer technology allows for nurses to facilitate care at a distance and although still in its transitioning phases, telehealth and telenursing will hopefully rectify the problem of the nation’s nursing shortage. The term ‘telenursing’ is not completely new. What was once the more popular ‘advice nurse’ or phone ‘triage nurse’, is now the new and improved telenurse. Telenursing allows for a nurse have real-time 2-way interaction with the patient.