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Telehealth and Virtual Care
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 3, 2022
Elizabeth A. Krupinski, Kimberly D. Shea
During the development of these competencies, the research team interviewed both nurses involved in telenursing and employers. Overall, there was good agreement between the two groups with several exceptions. Employers felt that legal knowledge and knowledge of the healthcare market were important, while nurses did not feel these were as relevant. The nurses also raised an interesting challenge—often they still serve only as gatekeepers between physicians and patients. No matter how skilled they are, or how much telenursing experience they have, patients frequently want to ask the doctor directly for advice.
eHealth
Published in Sue Chilton, Heather Bain, A Textbook of Community Nursing, 2017
Within this definition of eHealth it is recognised that there are many evolving terms encompassed, such as health informatics, nursing informatics, information communication technology, assistive technology, telemedicine, telenursing, telecare, telehealth, electronic patient record, and they are often used interchangeably (Cowie and Bain, 2011). It is not possible to cover them all in depth here; however, it is important that there is an understanding of the broad principles of the key terms, in order that technology can be used appropriately within the community.
Health Equity and Equal Access to Care for Better Health Globally
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 4, 2022
Rohana Basil Marasinghe, Ranige Maheshika Madhuwanthi
Nurses are playing an important and certain key role in the provision of better healthcare worldwide. The use of electronic health record (EHR) would facilitate nurses to access each client in a more comprehensive manner. Having an EHR would help nurses to more easily identify a patient's needs, capabilities and limitations for preparing a care plan that is shared with the doctors and other healthcare workers. Establishing a telemonitoring system would facilitate the reduction of movements of patients, thus saving time and resources in a busy ward or ICU setting to achieve health equity and equality. Proper alarming would facilitate better decision support which would reduce unnecessary interventions in the same manner. More importantly, for those areas outside the urban settings with limited resources, facilities or specialties, remote monitoring could make consultations, follow-up care and emergent care possible, thus alleviating health disparities. Patients who do not have sufficient money to visit better facilities could be provided tele-consultation remotely. Remote tele-consultation would minimize unnecessary transfers and long distance travel. When tele-consultation is coupled with tele-home care, it will ease patients at their homes while addressing equity issues. Tele-investigation would reduce costs and would expedite the diagnosis and management decision, thus addressing equity and equality alike. When combined with tele-pharmacy, comprehensive nursing care could be established. Telenursing is becoming a demanding area for nursing resources. For example, nurses could use EHR to register patients, involve in telemonitoring, assist in tele-investigations, link with tele-pharmacy and other referrals and even contribute to the discharge planning and follow-up care. In this way, the use of technologies has the potential to improve health equity and equal access, adopting technological advances. While facing the certain adverse effect of the digital divide, addressing health equity and equal access is one of the challenging yet important aspects for nurses in Sri Lanka.
The Worldwide Utilization of Online Information about Dementia from 2004 to 2022: An Infodemiological Study of Google and Wikipedia
Published in Issues in Mental Health Nursing, 2023
The Internet can be used in nursing care provisions (i.e., telenursing). Public health and mental health nurses can also utilize the Internet to understand the health behaviors of populations and inform their programs and policies (Campbell et al., 2020). During the COVID-19 pandemic, the World Health Organization (WHO, 2020) noted the spread of health disinformation and misinformation on the internet, later termed as “Infodemic.” Infodemics have affected ehealth information for various health phenomena, including dementia and aging (Bacsu et al., 2022; Brashier & Schacter, 2020). Infodemics can lead to anti-science movements, diminish trust in health professionals, and deter the acceptability of public health interventions (WHO, 2020). Similarly, the International Council of Nurses (2021) advocates for the engagement of nurses in examining and addressing infodemics. Thus, public health and mental health nurses can engage in infodemiological studies by analyzing and examining online information utilization to inform health services, policies, and programs that are responsive to public interests and concerns about dementia.
Effect of education and telephone counseling on adherence to treatment and challenges experienced in anti-TNF-α treatment: a pilot study
Published in Contemporary Nurse, 2018
Ayse Ozkaraman, Guler Balcı Alparslan, Burcu Babadağ, Timucin Kaşifoğlu, Canan Baydemir
It is important for patients under anti-TNF-α drug treatment to be informed by nurses about drug use, possible side effects, drug administration and drug storage conditions. Recently demonstrated to be an effective follow-up method, telenursing exhibits positive effects during the nursing care and treatment period. Accordingly, in a study by Nesari, Zakerimoghadam, Rajab, Bassampour, and Faghihzadeh (2010), three-month telephone follow-up of diabetic patients resulted in increased adherence to the drug treatment, diet and exercise program. Ramelet, Fonjallaz, Rapin, Gueniat, and Hofer (2014) also reported the positive effect of telephone follow-up on treatment adherence in patients with rheumatoid arthritis. Previous studies have emphasized that although anti-TNF-α drugs exhibit a greater side effect potential, these drugs can only be effective with long-term use (Kaya, 2012; Pay, 2006; Sezgin & Mert, 2010). Therefore, telephone follow-up calls may increase the treatment adherence in patients under anti-TNF-α treatment. However, to the best of our knowledge, there are no studies in Turkey on this issue.
Nurses developing confidence and competence in telehealth: results of a descriptive qualitative study
Published in Contemporary Nurse, 2018
Competencies specific to telehealth may support the safe and effective use of ICT in nursing practice. Some telehealth organisations around the world have developed competencies and standards for telenursing practice (American Academy of Ambulatory Care Nursing, 2011; Australian Nursing Federation, 2013; College of Registered Nurses Nova Scotia, 2008). Furthermore, to formalise telehealth practice a standard certification process to ensure competent care has been suggested (Carter et al., 2010). The need for standards and policies surrounding telehealth practice was also identified as a priority by the study participants and many thought this should be generic across the country. An option for New Zealand is to consider the applicability of international standards and policies.