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Telenursing

Telenursing. Presented by: Alessandra DeNardo. 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

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Telenursing

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  1. Telenursing Presented by: Alessandra DeNardo

  2. 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

  3. 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

  4. Telenursing Examples • Phone • Interactive Video • Phone Triage • Internet Support • Remote Telemonitor

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

  6. 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

  7. 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.

  8. 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

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

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

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

  12. 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

  13. 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

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

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

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

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

  18. Refererences Bohnenkamp, Sk., McDonald, 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 tele-nursing system using a ring sensor. Robotics and Automation. Retrieved from http://www.sokwoo.com/ICRA98paper.pdf Hoglund, A., & Holmstrom, I. (2004-2010). Ethical Issues In Telenursing. Retrieved June, 1, 2010 from http://www.ihe-online.com/index.php?id=2695 McGonigle, D., & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MA: Jones and Bartlett Publishers.

  19. National Council of State Boards of Nursing ( NCSBN). (1997). Retrived June 1, 2010 from https://www.ncsbn.org/TelenursingPaper.pdf Registered Nurses’s Association of Nova Scotia. (2000, November). Guidelines for Telenursing Practice. Retrived June1, 2010 from http://www.rnans.ns.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/SchlachtaL_PSTT.pdf

  20. 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

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