Telenursing: A seminar presentation by Amu Justina. telenursing in nigeria, challenges of telenursing, components of telenursing. telenursing as a current trend in nursing practice. telemedicine, telenursing.

1. TELENURSING: A CURRENT
TREND IN NURSING PRACTICE
BY
AMU JUSTINA O. &
AROWOJOLU BOLUWAJI

2. • Telehealth is the use of electronic information and
telecommunications technologies to support long distance
clinical health care, patient and professional health related
education, public health and health administration.
• Telenursing is a subset of telehealth in which technology is used
to deliver nursing care and conduct nursing practice. It is specific
to nursing as a profession.
• Telenursing is not a new mode of health care delivery rather it is
an evolving mode of health care delivery that begun from the
advent of telephone use in 1876
INTRODUCTION

3. Explain the concept of telenursing
Discuss the benefits of utilizing telenursing
Discuss the challenges associated with the
utilization of telenursing
State the role of nurses in the utilization of telenursing
for quality nursing care
Discuss the ethical/legal issues surrounding telenursing

4. Concept of telenursing
Types of telenursing
Methods of
delivering telenursing
Applications of
telenursing

5. Types of telenursing
1. Remote monitoring.
• The nurse monitors the
patient remotely from
his/her house.
• Patient collect and
transmit data to nurses ;
the nurse plans the
intervention.
• Used for handling chronic
diseases like heart disease,
diabetes, asthma etc.

6. 2. Interactive telenursing services.
It involves series of interactive sessions with client via phone
conversations and online communication.
Used to obtain history, physical tests, psychiatric assessments,
ophthalmology evaluation

7. 3. Store and forward telenursing
Used to obtain medical images, audio or
video data that can be forwarded to a
nurse at a suitable time for evaluation
offline.
Areas utilized are dermatology,
radiology and pathology
4. Specialist and primary care consultations
Patient sees a nurse over a live video connection or using
diagnostic images/video along with patient data to a specialist
for viewing later

8. 5. Imaging
services
Used in radiology,
pathology and in
cardiology

9. Methods of delivering telenursing
Point-to- point
connections using
private network
Web-based e-
health patient
service sites
Networked
programs
Connections to
monitoring Centre
from home
Primary or
specialty care to
the home
connections

10. Applications of telenursing
Home care
Patient consultations
Telephone triage
Remote monitoring
Chronic disease management

11. Benefits of utilizing telenursing
• Patient
benefits
• Increase
access to
health care
• Economical
• Saves time
• Nurses’
benefits
• Saves time
• More efficient
seeing distant
patients
• Rural providers
can receive
continuing
education
• Available as a
specialty program
• Hospital benefit
• Administrators save
travel time and funds
by attending meetings
via telenursing
• Addresses shortage of
nurses
• Service available to
more clients

12. Non acceptance by nurses
• Older nurses who are not computer literate
• Feeling of being replaced with computers
Reimbursement
issues
Patient confidentiality
and security to private
information may be
difficult to safe guard
Reimbursement issues
Challenges of telenursing utilization
Financial issues: cost of
establishment, coat of transferring
videos, audio, files

13. Ethical and legal issues surrounding telenursing
Confidentiality and the law: involvement of non –clinical personnel,
hackers and cyber theft, vulnerability of transmission lines to security
breaches
Patient-nurse relationship: it is difficult to establish when a nurse-
patient relationship has been established. To know when a duty of care
is owed to a patient
Patient consent to disclosure of information
Consent to treatment

14. Role of nurses in telenursing
Ensure proper and accurate documentation in electronic or paper format
Carry out only the activities you are competent and authorized to
perform
Ensure the privacy, security of patient information
Establish client-nurse relationship so as to establish a duty of care
Take into account client’s spiritual and psychosocial needs and
preferences as everybody is unique

15. Conclusion
Telenursing is one of the various innovative and improved methods of
providing nursing care that directly affects registered nurses and expands
their capacity to practice nursing in a relatively new arena as well as
directly affecting clients
Nurses have a key role to play in the application and
implementation of telenursing services. It is therefore expected
of them to understand their role so as not to go beyond their
locus of duty.

16. Recommendations
• Nurses should support the
expanded role of telenursing
• Seminars and workshops should be
put in place so as to increase the
level of awareness among nurses
• Government should support the
establishment of telenursing services
in the country

17. ABCD
DFGH
IKLM
NPR
STY
References