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Telenursing

Telenursing. Presented by Vanessa S. Newman-Parrish . OBJECTIVES. Define Telenursing Types of hardware used in telenursing Types of software used in telenursing Usability of software List advantages of telenursing List disadvantages of telenursing Identify necessary competencies.

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Telenursing

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  1. Telenursing Presented by Vanessa S. Newman-Parrish

  2. OBJECTIVES • Define Telenursing • Types of hardware used in telenursing • Types of software used in telenursing • Usability of software • List advantages of telenursing • List disadvantages of telenursing • Identify necessary competencies. • Functions and Responsibilities • Legal & Ethical Issues

  3. WHAT IS TELENURSING • Telenursing is the use of telecommunication and information technology in nursing to enhance patient care (Russo, 2001).

  4. Telenursing continue: • Telenursing involves the use of electromagnetic channels to transmit voice data and video communications

  5. Types of Hardware used in telenursing • Hardware is the name for a physical device that is used to accomplish various tasks. Here are some examples hardware:

  6. Types of Hardware • Video conferencing

  7. Types of software used in telenursing • Documentation Tools • LMV systems • Decision aid software programs.

  8. Continuedsoftware • LVM systems is a provider of healthcare call centers software which provides telehealth triage, and disease management just to name a few.

  9. Usability of software • LVM systems E-Centarus is being used in many telenursing triage centers because it is easy to use. The software comes in different versions. • http://www.lvmsystems.com/download/demos/Sales%20Demo%20-%20Nurse%20Triage.htm

  10. Axioms of Usability • Is there an early and central focus on user design, development and purchase of this system (McGonagall & Mistrial, 2009)?

  11. Axioms continued • The second axiom places emphasis on the design process being iterative (McGonagall & Mastrian,2009).

  12. Axioms continued • The third axiom is focused on formal evaluation (McGonagall & Mastrian,2009).

  13. Information system • (E-Centaurs LVM Systems, Inc., 2008).

  14. Functional Qualities • Customization • Nurse support • Remote access

  15. Standards • Health level 7 • NANDA

  16. Advantages • Increased access to healthcare services • Decreases waiting times and unnecessary visits to ED departments (ICN, 2003). • Reduces cost • Provides immediate healthcare information • Medicare reimbursement

  17. Disadvantages • Absence of direct hands on or face to face interaction. • Technical difficulties • Possibility for health providers to step out of their scope of practice. • Increase liability risk • Inability to provide patients with information to make an informed decision • Increased risk to security and confidentiality of clients health information and records.

  18. Competency, Qualifications and Skills • Interstate Licensure • Knowledge and ability to navigate the technology being used. • Competent enhanced communication skills • Appropriate video/telephone behaviors (NIFTE, 2003, p.8)

  19. Legal & Ethical Issues • Accountability for practice • Security • Privacy & Confidentiality • Providing informed consent • Liability protection.

  20. Functions & Responsibilities • Providing the patient with informed consent • Informing the of the choices • Advocating for technical innovations and systems that support safe, competent, ethical care • Comply with existing organizational policies and guidelines. • Provide the patient with the nurse full name, qualifications and registration.

  21. Summary As new technology emerge, telenursing practices will continue to evolve. The scope of nursing practice will continue to expand and with this expansion Registered Nurses will have to make certain that they possess the necessary technical clinical knowledge to provide safe, competent, compassionate, and ethical care.

  22. Summary continued With that said, the nurse will be able to follow the guidelines of the National Initiative for Telehealth Framework as well as any guidelines or policies that surface. We, as nurses, must also keep ourselves abreast to the constant changes in technology that may change the way we take care of our patients.

  23. REFERENCES CONTINUED ICN (2003). Nurse matters. Retrieved April 15, 2009, from http://www.icn.ch/matters_telenursing_print.htm LVM Systems, Inc, (2008). LVM systems: Healthcare call center solutions. Retrieved March 23, 2009, from LVM systems: Healthcare call center solutions Web site: http://www.lvmsystems.com/index.php McGonigle, D., & Mastrian, K. (2009). Nursing infromatics and the foundation of knowledge. Sudbury: Jones and Bartlett.

  24. Referencescontinued NANDA International, (2009). NANDA international. Retrieved March 26, 2009, from NANDA international web site: http://www.nanda.org/home.aspx National initiative for telehealth guidelines (2003). National initiative for telehealth (NIFTE) Framework of guidelines. Ottawa. NIFTE.

  25. References continued Russo, M. (2001,September). Window of opportunity for home care nurses: Telehealth technologies. The Online Journal of Issues in Nursing. Retrieved February 2, 2009 fromhttp://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume62001/No3Sept01/TelehealthTechnologies.aspx

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