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Telemedicine a new concept
Telemedicine a new concept
Current practice and future strategies of telemedicine
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Collaboration makes any job including health care a better and safer place to work. According to a study by Rosenberg 2016, most nurses believe that telemedicines in ICUs improves patient care, increases productivity and collaboration, and makes their jobs easier. Also in this study, it was found that workers with technical problems and attitudes of staff toward each other and telemedicine becomes barriers to implementation.
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
To create a communication strategy equipment differences must be included. The differences hinder productivity due to the fact that protocol is tailored to the equipment at the hospital. Mothiba, Dolamo, and Lekhuleni (2008) observed that in most meetings managers were not incorporating the staff at a functional level (p.43). By including staff from the outpatient clinic in meetings, protocol could b...
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.
Telemedicine hold a great promise in health information technology, it not only promises to improve health care delivery but it also aids in serving the most vulnerable of patients.
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.
Among the main aims of health care reform and improvement is expanding healthcare access to different populations, which have been subjects to underserving for a long period. These include the poor, the previously uncovered, rural societies, and the minorities, to mention just a few. Great challenges definitely lie ahead, since several individuals start seeking access to the primary healthcare clinicians (Arnaert & Delesie, 2001). Telenursing assures to be a crucial tool to meet such needs. It refers to making use of the telehealth technology in conducting nursing practice and delivering nursing care. Because of the quick telemedicine technology adoption within the healthcare institutions, telenursing emerges as a fresh tool that provokes discussions
Telemental Health Collaboration Protocol: What is the best way for rural nurses to help the elderly population decrease depression?
Interprofessional collaboration has been shown to increase access to healthcare, improve outcomes for patients with chronic disease, reduce medical errors, reduce tension and conflict among caregivers, improve the use of clinical resources, and lower rates of staff turnover (Lemieux-Charles & McGuire, 2006). IPE is a means to promote collaboration between health care professions. In a study designed to assess the effectiveness of IPE interventions compared to separate, profession-specific education interventions, 4 of 6 studies found that IPE improved patient satisfaction, collaborative team behaviour, and decreased clinical error in emergency departments (Reeves et al., 2008).
There are a myriad of concerns related to telemedicine due to the inherent risks involved, which relate to the more obvious reason that most people would think of when the concept of telemedicine arises. One of the most obvious concerns related to telemedicine relate to equipment breakdown. Equipment breakdown is a serious concern to patients and doctors when it comes to telemedicine because in order for telemedicine to function properly it requires that all of the equipment to function smoothly because of the sensitivity of the problems that relate to what is being performed. Examination cameras, remote monitoring devices, digital scopes, mobile telemedicine carts and even surgical robots are all working in tandem in order to prevent the passing along of inaccurate patient information that can seriously harm a patient’s health.
A framework that was developed by nurses is the “Advancing Research and Clinical practice through close Collaboration” (ARCC). The aim of the ARCC is to improve integration of research and clinical practice in acute care settings like the cardiac telemetry unit at Advocate Lutheran General Hospital. ARCC assists in the dispersal of the best high quality evidence from studies to facilitate the advancement of an EBP method to clinical care.
It is important that when establishing a healthcare team that there is an established “collaborative partnership” between all members of that team. In order to have an effective and sufficient care delivery, it is important to also keep in mind that incorporating new types of technology that fits into what the 21st century rewires is very important, and will be beneficial in the long-term. Having a strong leadership role is also a helpful factor in the nursing care delivery, because it helps keep a strong foundation. I also believe that having standards and goals that you want to achieve when it comes to providing the best care helps the individuals stay on track and provide the best care
These challenges, if left unaddressed, have the potential to impede healthcare delivery and compromise patient outcomes; however, fostering open communication, providing comprehensive training, and actively involving stakeholders in the integration process can serve as effective resolutions to mitigate these challenges and ensure successful implementation of nursing informatics (Peloton, 2023). Collaborative Efforts Collaboration serves as a key strategy to address all challenges associated with establishing the nurse informaticist position. Nurse informaticists assume a pivotal role in fostering collaborative efforts aimed at enhancing workflows and ensuring technology plays a supportive role in delivering high-quality patient care (Sieja et al., 2019). Their collaborative endeavors entail working closely with healthcare professionals, IT specialists, administrators, and other stakeholders to seamlessly integrate technology into the healthcare environment. Through effective collaboration, nurse informatics can overcome obstacles and drive positive change within the healthcare
Due to the increase technology used by nurses so have the noise level on the ICU/telemetry unit. When ten nurses were poll as to why they do not change the parameters to fit the patient need and at the same time stop the alarms from going off, 50% reported that they would need an order from the doctors to change, 10 % stated that they went by what the patient was already placed on the monitor, and the other 15% stated they could not give an answer as to why they did not change it. In truth, most nurses are scare of the repercussion of changing the
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008).