Telenursing Objectives Description of Telenursing Technology used in

Telenursing

Objectives Description of § Telenursing § Technology used in Telenursing § Information system used in Telenursing § Role and function of nurse informatics in Telenursing § Legal and ethical issues surrounding Telenursing § Advantages/Disadvantages of Telenursing

Telenursing The practice of nursing over a distance using telecommunication technology § (National Council of State Boards of Nursing NCSBN, 1997) § Nurse/Patient interaction through a telecommunication device

Telenursing Examples § § § Phone Interactive Video Phone Triage Internet Support Remote Telemonitor

Technology Used Hardware § § § § (physical computer body) Computers (laptops, desktops) Palm computers Telephones Graphic’s card Sound cards Internal Memory ( RAM) External Memory ( flash drives)

Portable Computers (Laptops/Palm Computers) § § § Wireless technology increases a computer’s portability May be used in hospitals or other community nursing settings Allow nurses remote access to medical records Allows electronic documentation in remote locations May be used in two way audio/video conference

Software (programs to operate a computer) § § § Monitor, keyboards, mouse, printer Web cameras, speakers, microphone Email, database, word-processing, internet, browsing, conference calls Example: Digiscope-program to collect patient info related to diabetes.

Wireless Network § § Provides wireless networking between hospital computers Allows for wireless Internet access Used in Video conferencing between nurse and patient Used in emails, Instant messaging, and

Software Evaluation § § § Efficiency strongly depends on server Software design varies between medical facilities Usability is dependant on internet access at home

Telemonitoring Ring Sensor § § § Ring sensor worn by patient 24 hrs/day Transmits wireless data Home computer analyzes data Sends warning signals to telenursing center Signal provides diagnostic information

Telemonitoring Ring Sensor Review of System § Used for clinical purposes § Used by medical professionals (doctors, nurses, ect) § Monitoring and diagnostic function § Local Area Network

Nurse Informatics § § § Collecting data from Patient Assessing data using knowledge Document all retrieved data Utilize critical thinking skills Provide nursing interventions Continue to monitor and utilize available technology

Advantages § § § § Increase public access to health care Provide access in rural areas Decrease wait times Decrease unnecessary hospital visits Decrease Healthcare costs Increase continuity of care Increase patient compliance with aftercare

Disadvantages § § § Decreased face-to-face interaction Risk of decreasing quality of care May increase liability Concerns with security Concerns with maintaining confidentiality

Legal Issues § § § Maintaining patient privacy Verifying consent Compliance with HIPAA regulations Nursing Licensure across state lines Maintaining compliance with scope of practice

Ethical Concerns § § § Maintaining autonomy (identity, privacy) Maintaining patient’s integrity Prevent harm to a patient

Future of Telenursing Ongoing development of new Technologies provides endless Possibilities in the future of Nursing care.

Refererences Bohnenkamp, Sk. , Mc. Donald, P. , Lopez, AM. Krupinski, E. , & Blackett, A. , (2004). Traditional versus telenursing outpatient management of patients with cancer with new ostomies. Oncology Nursing Forum, 31(5), 1005 -10. Retrieved on June 1, 2010, from http: //www. medscape. com/medline/abstract/15378102 Yang, B. , Rhee, S. , & Asada, H. , (1998). A twenty-four hour telenursing system using a ring sensor. Robotics and Automation. Retrieved from http: //www. sokwoo. com/ICRA 98 paper. pdf Hoglund, A. , & Holmstrom, I. (2004 -2010). Ethical Issues In Telenursing. Retrieved June, 1, 2010 from http: //www. iheonline. com/index. php? id=2695 Mc. Gonigle, D. , & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MA: Jones and Bartlett Publishers.

National Council of State Boards of Nursing ( NCSBN). (1997). Retrived June 1, 2010 from https: //www. ncsbn. org/Telenursing. Paper. pdf Registered Nurses’s Association of Nova Scotia. (2000, November). Guidelines for Telenursing Practice. Retrived June 1, 2010 from http: //www. rnans. ca Schlachta-Fairchild, L. , Elfrink, V. , & Deickman, A. , ( 2008, April). Patient Safety, Telenursing and Telehealth. Patient Safety and Quality: An Evidenced-Based Handbook for Nurses, 3(48). Retrieved June 1, 2010 from http: //www. ahrq. gov/qual/nurseshdbk/docs/Schlachta. L_PST T. pdf

Wachter, G. , (2002, May). Interstate licensure for telenursing. Telemedicine and Telehealth Articles. Retrieved June 1, 2010 from http: //www. tie. telemed. org/articles/article. asp? path=article& article=telenur