Telenursing Presented by Joan Ribbons RN Objectives Describe

Telenursing Presented by: Joan Ribbons, RN

Objectives: • • • Describe Telenursing Describe and evaluate the hardware and software utilized with telenursing Describe and evaluate the information system used with telenursing Assess the role and functions of the nurse informaticist when working with telenursing Examine related legal/ethical issues Discuss the Advantages/Disadvantages from nursing perspective

Telenursing • health services delivered by telecommunications -ready tools supervised or directed by a nurse • concerns itself with client outcomes: acute care, chronic care, disease management, and quality of life

Telenursing Hardware: • telephone, internet, server, electricity • provider station, video patient station, monitoring station

Hardware used in Telenursing: • equipment that captures objective vital sign data

• Telenursing Software • programs • system

Software Example NX Server •

Usability of NX Server • easy to use/user-friendly/user satisfaction • efficient with standardized electronic health records • Interactive visual technology is limited • more realistic data, reflective of usual circumstances at home. • Interactive visual technology is limited • cost

Usability of Software • • • user interface design customer support software updates

American Tele. Care’s ® NX Server System Web-based, using: - Video station - Monitoring station

Review of American Tele. Care’s ® NX Server System • Nurses • Patients

Advantages of Telenursing • increases patients’ ability to self-care, in a range of patients, and settings • nursing care at home • timesaving • cost efficient

Disadvantages of Telenursing • In a medication administration example, • patients made medication administration errors Stress and potential for error

Ethical Issues of Telenursing Central concept in nursing Communication skills Competing interests

Legal Issues • licensing • scope of practice • safety • security and HIPAA • accountability • legal competencies

Informatics Competencies • Communication skills • Continuing education

Role of Professional Nurse Informaticist and Informaticist Nurse Specialist in Telenursing • System Specialist • System Manager • Patient Safety • Membership in Professional Organizations

Summary: Telenursing is virtual nursing • • safe cost effective HIPAA compliant provides quality care

References • Academic Psychiatry. (2009). Computer Simulation and Virtual Reality in the Diagnosis and Treatment of Psychiatric Disorders. Retrieved 2/26/10 from http: //ap. psychiatryonline. org/cgi/content/full/33/5/413 • American Telecare, Inc. (2002)Announces Partnership with VNA of the Inland Counties. Retrieved April 12, 2010 from http: //www. americantelecare. com/aboutus_PR_Inland. html • American Telecare, Inc. (2004) NX Server Software Retrieved from • Bartz, Claudia C. , Ph. D. Octobr. (2009). Telenursing and Global Health. Retrieved 4/14/2010 fromhttp: //tie. telemed. org/articles/article. asp? path=articles&article=telenursing. Licensure_gw _tie 02. xml • Clinical Trials. (2009) virtual nurse, . Retrieved 2/26/10 from http: //clinicaltrials. gov/ct 2/results? term=virtual+nurse • Google Answers: Personal Computer Penetration in US. Retrieved 2/5/10 from https: answers. google. com/answersthreadview? id=248043 • Höglund, Anna T. Dr. , & Dr Holmström, Inger, Dr. (2010). Ethical issues in Telenursing. • IHE-ONLINE. COM (2008). Ethical issues in telenursing. Retrieved 4/14/2010 from http: //www. ihe- online. com/index. php? id=2695 • JAMIA. ( 2008). Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness. Retrieved 2/21/10 from http: //jamia. bmj. com/content/15/1/8. full http: //www. americantelecare. com/prod_NXserver. html Retrieved 4/14/2010 from file: ///Users/joanribbons/Downloads/Telenursing 2010/ethical%20 issuesswede

References (continued) • Lucas, Ann, (may, 2004). Welcome to the World of Nursing Informatics. Retrieved 4/20/2010 from http: //www. angelfire. com/al 4/annielrnc/ • Mc. Gonigle, D. , Mastrian, K. , (2009). Nursing Informatics and the Foundation of Knowledge. Sudbury, MA: Jones and Bartlett Publishers. • New York Times, March 24, 2010, Washington Edition, p. A 1 • -Nurs Health Sci. (2007), Mar; 9(1): 23 -8. Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses. Retrived from http: www. ncbi. nlm. nih. gov/pubmed/17300541 • Pinzari, Gian Filippo. , (2003)Software update. Retrieved 4/20/2010 from http: //www. nomachine. com/news-read. php? idnews=92 • Polycom. (2010)Video. Healthcare. Montana. Retrieved 3/31/10 from http: //response. polycom. com/forms/Search. Reg. Form_Health_Montana. CS • Staggers, N. (2003). Human factors imperative concepts for information systems in critical care. AACN Critical Issues, 14(3). Pp. 310 -319. • Wachter, Glenn W. , ( May, 2002). Interstate Licensure for Telenursing. Retrieved 4/14/2010 fromfile: ///Users/joanribbons/Downloads/Telenursing 2 010/article. asp. html • Wachter, Glenn. , (May, 2002). Retrieved 4/14/2010 from http: //tie, telemed. org/citations_t 2. asp? citation=9915