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
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The practice of nursing over a
distance using telecommunication technology
(National Council of State Boards of Nursing NCSBN, 1997)
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Nurse/Patient interaction through a
telecommunication device
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Phone
Interactive Video
Phone Triage
Internet Support
Remote Telemonitor
Hardware
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(physical computer body)
Computers (laptops, desktops)
Palm computers
Telephones
Graphic’s card
Sound cards
Internal Memory ( RAM)
External Memory ( flash drives)
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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
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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.
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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
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Efficiency strongly depends on server
Software design varies between medical
facilities
Usability is dependant on internet access at
home
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Ring sensor worn by patient 24hrs/day
Transmits wireless data
Home computer analyzes data
Sends warning signals to telenursing center
Signal provides diagnostic information
Review of System
 Used for clinical purposes
 Used by medical professionals (doctors,
nurses, ect)
 Monitoring and diagnostic function
 Local Area Network
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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
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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
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Decreased face-to-face interaction
Risk of decreasing quality of care
May increase liability
Concerns with security
Concerns with maintaining confidentiality
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Maintaining patient privacy
Verifying consent
Compliance with HIPAA regulations
Nursing Licensure across state lines
Maintaining compliance with scope of
practice
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Maintaining autonomy (identity, privacy)
Maintaining patient’s integrity
Prevent harm to a patient
Ongoing development of new
Technologies provides endless
Possibilities in the future of
Nursing care.
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 telenursing 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.iheonline.com/index.php?id=2695
McGonigle, 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/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_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