Telenursing
Presented by:
Joan Ribbons, RN
Objectives:
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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
• goal
• customized
Software Example
NX Server
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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
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user interface design
customer support
software updates
American TeleCare’s ® NX Server
System
Web-based, using:
- Video station
- Monitoring station
Review of American TeleCare’s ®
NX Server System
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To gather and manage data by Nurses
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for Patient-specific thresholds.
Advantages of Telenursing
• increases patients’ ability to self-care, in a range of
patients, and settings
• nursing care at home
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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
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licensing
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scope of practice
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safety
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security and HIPAA
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accountability
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legal competencies
Informatics Competencies
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Computer skills
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Informatics knowledge
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Informatics skills
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Communication skills
Role of Professional Nurse
Informaticist and Informaticist
Nurse Specialist in Telenursing
•System Specialist
•System Manager
•Patient Safety
•Membership in Professional Organizations
Summary: Telenursing
Telenursing is virtual nursing
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safe
cost effective
HIPAA compliant
provides quality care
References
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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
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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
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American Telecare, Inc. (2004) NX Server Software Retrieved from
http://www.americantelecare.com/prod_NXserver.html
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Bartz, C., PhD. Octobr. (2009). Telenursing and Global Health. Retrieved 4/14/2010
fromhttp://tie.telemed.org/articles/article.asp?path=articles&article=telenursingLicensure_gw
_tie02.xml
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Clinical Trials. (2009) virtual nurse,.Retrieved 2/26/10 from
http://clinicaltrials.gov/ct2/results?term=virtual+nurse
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Google Answers: Personal Computer Penetration in US.Retrieved 2/5/10 from
https:answers.google.com/answersthreadview?id=248043
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Höglund, A., & Holmström, I. (2010). Ethical issues in Telenursing.
Retrieved4/14/2010 from
file:///Users/joanribbons/Downloads/Telenursing2010/ethical%20issuesswede
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IHE-ONLINE.COM (2008). Ethical issues in telenursing. Retrieved 4/14/2010 from
http://www.ihe- online.com/index.php?id=2695
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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
References (continued)
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Lucas, A., (may, 2004). Welcome to the World of Nursing Informatics. Retrieved
4/20/2010 from http://www.angelfire.com/al4/annielrnc/
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McGonigle,D.,& Mastrian, K., (2009). Nursing Informatics and the Foundation of
Knowledge. Sudbury, MA: Jones and Bartlett Publishers.
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New York Times,March 24, 2010, Washington Edition,p.A1
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-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
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Pinzari, G.., (2003)Software update. Retrieved 4/20/2010 from
http://www.nomachine.com/news-read.php?idnews=92
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Polycom.(2010)VideoHealthcare.Montana.Retrieved 3/31/10 from
http://response.polycom.com/forms/SearchRegForm_Health_MontanaCS
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Staggers, N. (2003). Human factors imperative concepts for information systems in
critical care. AACN Critical Issues, 14(3)
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Wachter, G. W.,( May, 2002). Interstate Licensure for
Telenursing.Retrieved4/14/2010fromfile:///Users/joanribbons/Downloads/Telenursing2
010/article.asp.html
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Wachter, G., (May, 2002) . Retrieved 4/14/2010 from
http://tie,telemed.org/citations_t2.asp?citation=9915