This document discusses management information and evaluation systems (MIES), e-nursing, telenursing, and telemedicine. It defines each topic and discusses their objectives, importance, types, standards, advantages, disadvantages, and issues. For MIES, it outlines its classification, implementation methods, and importance for organizational planning and decision-making. For e-nursing, it examines its goals, types, strategies, and benefits for learners, organizations, and the nursing profession. Telenursing is defined as using technology to provide nursing care from a distance, while telemedicine delivers healthcare services remotely using information and communication technologies.

1. MANAGEMENTINFORMATIONAND
EVALUATION SYSTEM(MIES)
E- NURSING
TELENURSING
&
TELEMEDICINE
PRESENTEDBY,
MISS.SILLAELSASOJI
MSCNURSING

2. DEFINITION
Management information system: An array of components
designed to transform a collective set of data into knowledge that
is directly useful and applicable in the process of directing and
controlling resources and their application to the achievement of
specific management objectives.
Evaluation system: A periodic evaluation of system to assess its
status in term of original and current expectation and to chart its
future direction.

3. CLASSIFICATION OF MIES
• Databank information system
• Predictive information system
• Decision-making information system
• Decision-taking information system

4. OBJECTIVES OF MIES
• To enhance communication among employees.
• To provide a method for recording and analysing
information.
• To reduce the expenses of employees-related
activities.
• To support organizational goals and directions

5. IMPORTANCE OF MIES
 To plan and coordinate organizational activities in
systematic manner.
 Ensures database on budgets, personnel, facilities and
equipment.
 Provides information on the health status of the population
served.
 Guides to set priority based on the problem identified.
 Provides criteria for monitoring and evaluation of
performance.
 Assesses the impact of services on organizational outcome.
 Helps to forecast the future needs of the community served.
 MIES serves as a managerial tool for organizational
improvement.

6. IMPLEMENTATION METHOD OF
MIES
• Direct Approach: Direct installation of the new system
with immediate discontinuance of the old existing
system is referred as “cold turn key” approach.
• Parallel Approach: The selected new system is installed
and operated with current system.
• Modular Approach: This is generally recognized as
“Pilot approach”, means the implementation of a system
in the Organization on a piece-meal basis.

7. ADVANTAGES OF MIES
The risk of systems failure is localized.
The major problem can be easily identified and
corrected before further implementation.
It supports and enhances the overall decision making
process.
MIS enhances job performance of all employees
throughout an institution.
It is a managerial tool through which the institution's
activities are monitored and information is distributed
to management, employees and customers.
It evaluates the performance, and manages resources.
It helps the management to provide feedback on the
effectiveness of risk controls

8. DISADVANTAGES OF MIES
• There is a possibility of error in reporting and
decision making.
• Technology also increases the potential for
inaccurate reporting and flawed decision making.
Because data can be extracted from many
financial and transaction systems, appropriate
control procedures must be set up to ensure that
information is correct and relevant.

9. E- NURSING
DEFINITION
E-nursing involves the use of computers or electronic
devices in some way to provide training, education and
learning material

10. GOALS
To enhance nurses to benefit from all developments
in information, communication and technology.
To improve nursing and client outcomes.
To guide the development of ICT initiatives in
nursing so that nursing practice and client outcomes
are improved.
To improve the practice of nursing, if applied in
appropriate and useful ways.

11. IMPORTANCE OF E- NURSING
To Organization
Improve training costs
Decrease material costs
Increase productivity
Standardization

12. To Learners/Employees
Real-time access
Cost effective
Interactivity
Good learning environment
Improve retention
Individualized learning

13. To Community
On-going access to resources
Knowledge management
Encourage sharing
Employer of choice

14. TYPES OF E- NURSING
Smarter Decision Making: It give nurses access to
timely, evidence-based and expert information,
enabling them to make swifter, better-informed
judgments on behalf of their patients.
E – Nursing work outs: Health care organizations
are beginning to acknowledge the necessity of
providing nurses with access to information,
communication and technology that supports
nursing care, yet the implementation of such tools
needs to be accelerated.

15. E- NURSING STRATEGY FOR
PROFESSION
 Nurses in Clinical Practice
Participate in ICT initiatives, identify needs and
evaluate possible solutions for patients needs and
health problems
Increase competence/ skills in use of ICT.
Access multiple source of information for
evidence-based practice.
It helps nurses to identify the best practices
evidence of informed in nursing

16. Employers and Administrators
Recognize ICT as a tool of professional
nursing practice.
Support involvement of nurses in ICT
initiatives.
Encourage adoption of ICT that supports
nursing practice

17. Educators and Researchers
Incorporate ICT competencies into curriculum.
Develop research programs to optimize nurses’ use of ICT
Nursing Organizations
Provide leadership for nurses’ involvement in ICT.
Recognize ICT competencies as part of entry-level and
continuing competence requirements.
Regulatory bodies utilizes ICT starting from registration,
credit system of nurses, manpower
planning and other academic and clinical activities at
state, national and international level.

18. BENEFICIARIES OF E- NURSING
Individual nurses
Their clients
Employers
Nursing professional
Regulatory organization
The profession as a whole both nationally
and internationally

19. ADVANTAGES OF E- NURSING
 Integration of information, communication and
technology.
 Improved information and knowledge in the
nursing practice.
 Human resource planning will be facilitated.
 New models of nursing practice and health
services delivery will be supported.
 Nursing group will be well connected.
 Improves the quality of nursing work
environments.
 Contribution to the global community of
nursing.

20. DISADVANTAGES OF E- NURSING
 High expense.
 Decreases manual contribution.
 Increases dependence on ICT.
 Misuse of the technology provided.

21. TELENURSING
DEFINITION
Telenursing refers to the use of telecommunication
devices and information technology to provide
nursing care from a distance to isolated groups of
people. It is a subset of telehealth focusing on
delivery, management and coordination of services
and care via telecommunications.

22. COMPETENCY BASED STANDARDS
FOR PROFESSIONAL PRACTICE OF
TELENURSING
Competency Competency description
Competency 1 Telenurse demonstrates a sound level of judgment, discretion, and
decision-making when communicating with each caller.
Competency 2 Telenurse practices nursing in a manner that the caller determines as
being culturally safe.
Competency 3 Telenurse demonstrates sound clinical nursing leadership
Competency 4 Telenurse monitors and improves the standards of telenursing through
active involvement in quality improvement and risk management
processes
Competency 5 Telenurse develops nursing practice through research and scholarship

23. TELENURSING PRACTICING STANDARDS
The standards must be consistent with the Indian Nursing Council
(INC) practice standards, code of ethics, state registration act.
o Quality-of-care issues for providing nursing services through
distance.
o Promote the safe, competent, and ethical nursing practice, in
terms of structure, process, and outcome with indicators.
o License for the nurses after attaining skill in telenursing.
o There should be a plan for continuing education to update the
nurses’ level of performance.
o Focus on policies for the safe and ethical telenursing practice,
locus of accountability, client choice regarding telenursing,
informed consent to treatment/ care, security, confidentiality and
privacy, liability, and protection of client.

24. FACTORS PROMOTING THE REQUIREMENT
FOR TELENURSING:
Increasing shortages of nurses.
Costs of health care.
Need to provide Cost effective, timely and quality
healthcare (remote. rural people).
Rise in Aging and chronically ill population.

25. ADVANTAGES OF TELENURSING
Provide remote care
Reduces patient visit
Reduces distances
Data sharing
Rapid response time
Improve access, costs and outcomes
Enhances patients’ decision-making:
Proximity to care:

26. DISADVANTAGES OF TELENURSING
• Dehumanizing effects
• Cost
• Inability to use equipment:
• Lack of telehealth knowledge of the nurses
• Equipment malfunction

27. ISSUES IN TELENURSING
Societal: Acceptance by society, patients, specialists,
administrators, and the government.
Technical: Telecommunication infrastructure
Standards: Safety standards standardizing, certifying,
authenticating, and registering telenursing
Regulatory issues: Credentialing and certification
Professional liability: Administrative liability and
civil liability
Professional: Standards of practice and competencies
designed by the regulatory bodies
Legal issues: Regarding the care of patients
Security: Privacy, confidentiality, and data security
Financial: Payments and reimbursement issues.

28. TELEMEDICINE
DEFINITION
Telemedicine defined as the delivery of healthcare
services by healthcare professionals using information
and Communication technologies to people living in
distant areas to exchange information for diagnosis,
treatment, and prevention of disease and injuries and also
for the continuing education, research, and evaluation of
healthcare providers to advance the health of individuals
and their communities.

29. TYPES OF TELEMEDICINE
• Store- and- Forward : This type of telemedicine
involves gathering medical data including medical
images, bio signals, etc. Then, the data is transmitted
to the physician or medical specialist for evaluation
or review.
• Remote Monitoring: In this type, the physician can
monitor a patient who is in a remote place using
technological devices through telemedicine.
• Interactive Services: Interactive telemedicine
services ensure a real-time interaction between
patient and health care provider.

30. BENEFITS OF TEIEMEDICINE
 It helps the patient to make decisions and enhances the quality of care.
 It saves lives through remote consultations, whether urgent or
diagnostic.
 It creates a more efficient, convenient, and potentially more cost-
effective delivery of care.
 It facilitates earlier and more accurate diagnoses.
 It provides higher and faster access to a patient's medical history,
reducing the risk of adverse drug interactions or inadequate response to
a course of treatment.
 It improves administrative efficiency and coordination.
 It allows patients to receive expert diagnosis and treatment from distant
medical centers.

31. APPLICATION OF TELEHEALTH CARE
• Tele education
• Disaster management
• Geriatric care at home

32. BARRIERS IN APPLICATION OF
TELEMEDICINE
 Physicians and patients have unique technological resources available to
improve the patient- physician relationship in these days. However, in
some hospital the telemedicine program is not available.
 Doctors in public sector view that telemedicine put additional burden on
them.
 Because of poor infrastructure, communication and transport system, and
frequent interruption of power supply, sometimes, it may be difficult to
install this technology in rural Community Health Centre (CHC) or
Primary Health Centre (PHC) or hospital.
 Risk for faulty diagnosis.
 Inadequate trained professional to use this technology.
 Legal and ethical issues may be caused by poor maintenance of safety,
privacy and confidentiality of Patient data, and telemedicine consultations