Telenursing; a current trend in nursing practiceArowojolu Samuel
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.
Telenursing; a current trend in nursing practiceArowojolu Samuel
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.
It would be very hard to find a nurse who saw only the physical aspect of care as that which defines nursing. We all know that when a person is hurting emotionally, all sorts of physical ailments crop up. On the other hand, physical conditions can affect the mind and spirit. The nursing profession has traditionally viewed the person as holistic, though the term itself was only introduced into the nursing literature in the 1980s by Rogers, Parse, Newman and others. Today we speak of a person as a Bio Psycho Social unit.
Restoring wholeness is a legitimate goal of nursing, and so the term 'holistic' from the Greek ‘ Holos ' meaning whole or complete, is a very appropriate way to describe what we aim to do. Yet we may not always stop to consider the full implications of that concept. Holism has been defined as "concerned with the interrelationship of body, mind and spirit in an ever changing environment". See Slide.1 The American Holistic Nurses Association define wellness (health) as “That state of harmony between body, mind and spirit". The essence of holistic care is to help a person attain or maintain wholeness in all dimensions of their being. Consequently nurses need to be prepared to provide care in each of these areas. In this Presentation I wish to consider the spiritual dimension - the nature of Spirituality (Sanctity), the needs of the spirit, and the role of the nurse in caring for the Spirit (Life force).
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
It would be very hard to find a nurse who saw only the physical aspect of care as that which defines nursing. We all know that when a person is hurting emotionally, all sorts of physical ailments crop up. On the other hand, physical conditions can affect the mind and spirit. The nursing profession has traditionally viewed the person as holistic, though the term itself was only introduced into the nursing literature in the 1980s by Rogers, Parse, Newman and others. Today we speak of a person as a Bio Psycho Social unit.
Restoring wholeness is a legitimate goal of nursing, and so the term 'holistic' from the Greek ‘ Holos ' meaning whole or complete, is a very appropriate way to describe what we aim to do. Yet we may not always stop to consider the full implications of that concept. Holism has been defined as "concerned with the interrelationship of body, mind and spirit in an ever changing environment". See Slide.1 The American Holistic Nurses Association define wellness (health) as “That state of harmony between body, mind and spirit". The essence of holistic care is to help a person attain or maintain wholeness in all dimensions of their being. Consequently nurses need to be prepared to provide care in each of these areas. In this Presentation I wish to consider the spiritual dimension - the nature of Spirituality (Sanctity), the needs of the spirit, and the role of the nurse in caring for the Spirit (Life force).
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
1 Final Report Assignment - HCI499 INTRODUCTION .docxtarifarmarie
1
Final Report Assignment - HCI499
INTRODUCTION
The health information systems adoption is one of the most effective methods used to
alleviate the widening health care demand and supply gap. The purpose of this report
assignment is to identify and evaluate the current health care delivery system in your
training hospital. This evaluation should lead you to propose a healthcare system or
application and explain why this health system or application should be implemented
in your selected hospital.
Your Description of the Proposed System or (Health Application) should include:
1. The organization overview
2. Proposed System or Application, Its Features and Benefits
3. Its Challenges and Successful Factors
4. Tangible Values in Terms of Money
5. Tangible Values in Terms of Clinical Improvement
6. Patient Values
Submission:
You should submit as a .pdf document to the blackboard on the deadline. late submissions will
not be accepted after the deadline.
Instructions:
• This report should indicate that you’ve fulfilled the internship objectives
• Plagiarism is strictly not accepted in any form
• Overall Word limit = 300 to 600 words
• Well Referenced
• Font size = 12
• Font style = Times New Roman
• Double- Space
Overview about training report:
Training Report for health informatics specialist at Hospital, which has health information system and electronic health. Check the other the attached files for topic. Pick one topic from dawn write about challenge and success topic.
no plagiarism. Write by your own words not copy /paste
300 to 600 words.
(Glossary of Telemedicine and eHealth)
· Teleconsultation: Consultation between a provider and specialist at distance using either store and forward telemedicine or real time videoconferencing.
· Telehealth and Telemedicine: Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients' health status. Closely associated with telemedicine is the term "telehealth," which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. Videoconferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth. Telemedicine is not a separate medical specialty. Products and services related to telemedicine are often part of a larger investment by health care institutions in either information technology or the delivery of clinical care. Even in the reimbursement fee structure, there is usually no distinction made between services provided on site and those provided through telemedicine and often no separate coding required for billing of remote services. Telemedicine encompasses different types of programs and services provided for the patient. Each component involves differe.
Chapter 8 Telehealth and Applications for Delivering Care at a Dis.docxchristinemaritza
Chapter 8 Telehealth and Applications for Delivering Care at a Distance
Loretta Schlachta-Fairchild
Mitra Rocca
Vicky Elfrink Cordi
Andrea Haught
Diane Castelli
Kathleen MacMahon
Dianna Vice-Pasch
Daniel A. Nagel
Antonia Arnaert
Growth in telehealth could result in a future where access to healthcare is not limited by geographic region, time, or availability of skilled healthcare professionals.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Discuss the historical milestones and leading organizations in the development of telehealth
2.Explain the two overarching types of telehealth technology interactions and provide examples of telehealth technologies for each type
3.Describe the clinical practice considerations for telehealth-delivered care for health professionals
4.Analyze operational and organizational success factors and barriers for telehealth within healthcare organizations
5.Discuss practice and policy considerations for health professionals, including competency, licensure and interstate practice, malpractice, and reimbursement for telehealth
6.Describe the use of telehealth to enable self-care in consumer informatics
7.Discuss future trends in telehealth
Key Terms
Digital literacy, 141
Telehealth, 125
Telehealth competency, 131
Telemedicine, 126
Telenursing, 126
uHealth, 141
Abstract
Rapid advances in technology development and telehealth adoption are opening new opportunities for healthcare providers to leverage these technologies in achieving improved patient outcomes. Telehealth provides access to care and the ability to export clinical expertise to those patients who require care, regardless of the patients' geographic location. This chapter presents telehealth technologies and programs as well as telehealth practice considerations such as licensure and malpractice challenges. As telehealth advances, healthcare providers will require competencies and knowledge to incorporate safe and effective clinical practice using telehealth technologies into their daily workflow.
Introduction
Rapid advances in technology development and telehealth adoption are opening new opportunities for healthcare providers to leverage these technologies in achieving improved patient outcomes. Before we discuss these technologies and outcomes, it is important to explore the definitions of telehealth-related terminology.
Telehealth encompasses a broad definition of telecommunications and information technology–enabled healthcare services and technologies. Often used interchangeably with the terms telemedicine, ehealth, or mhealth (mobile health), 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.”1 Telehealth is being used in this text to encompass all of these other terms. Telemedicine is the use of medical informatio ...
Telemedicine definition
History
Types
Medical specialties using telemedicine
Benefits
Teleconsultation definition
Purposes
Teleconsultation organization
WAL_HUMN1020_03_A_EN-CC.mp4Chapter 8 Telehealth and Applicat.docxcelenarouzie
WAL_HUMN1020_03_A_EN-CC.mp4
Chapter 8 Telehealth and Applications for Delivering Care at a Distance
Loretta Schlachta-Fairchild
Mitra Rocca
Vicky Elfrink Cordi
Andrea Haught
Diane Castelli
Kathleen MacMahon
Dianna Vice-Pasch
Daniel A. Nagel
Antonia Arnaert
Growth in telehealth could result in a future where access to healthcare is not limited by geographic region, time, or availability of skilled healthcare professionals.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Discuss the historical milestones and leading organizations in the development of telehealth
2.Explain the two overarching types of telehealth technology interactions and provide examples of telehealth technologies for each type
3.Describe the clinical practice considerations for telehealth-delivered care for health professionals
4.Analyze operational and organizational success factors and barriers for telehealth within healthcare organizations
5.Discuss practice and policy considerations for health professionals, including competency, licensure and interstate practice, malpractice, and reimbursement for telehealth
6.Describe the use of telehealth to enable self-care in consumer informatics
7.Discuss future trends in telehealth
Key Terms
Digital literacy, 141
Telehealth, 125
Telehealth competency, 131
Telemedicine, 126
Telenursing, 126
uHealth, 141
Abstract
Rapid advances in technology development and telehealth adoption are opening new opportunities for healthcare providers to leverage these technologies in achieving improved patient outcomes. Telehealth provides access to care and the ability to export clinical expertise to those patients who require care, regardless of the patients' geographic location. This chapter presents telehealth technologies and programs as well as telehealth practice considerations such as licensure and malpractice challenges. As telehealth advances, healthcare providers will require competencies and knowledge to incorporate safe and effective clinical practice using telehealth technologies into their daily workflow.
Introduction
Rapid advances in technology development and telehealth adoption are opening new opportunities for healthcare providers to leverage these technologies in achieving improved patient outcomes. Before we discuss these technologies and outcomes, it is important to explore the definitions of telehealth-related terminology.
Telehealth encompasses a broad definition of telecommunications and information technology–enabled healthcare services and technologies. Often used interchangeably with the terms telemedicine, ehealth, or mhealth (mobile health), 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.”1 Telehealth is being used in this text to encompass all of these other terms. Telemedicine is .
eHealth as a tool to support health practitioners November 2013Rajeev Rao Eashwari
“Telemedicine begins with a vision of connecting people to people, connecting resources to needs, and connecting healthcare problems to health care solutions”
Unit –IV Nursing Management oragnization M,Sc II year 2023.pptxanjalatchi
Organization is aprocess of grouping the necessary responsibilities and activities into workable units, determining the lines of authority and communication and developing patterns of coordination." "It is conscious development of role structures of superior and subordinate, line and staff. "
Unit -III Planning and control M.sc II year.pptxanjalatchi
planning and control, often known as production planning and control, are management functions that seek to determine: first, what market demands are stating and second, reconcile how a company can fill those demands through planning and monitoring.
This 7-second Brain Wave Ritual Attracts Money To You.!nirahealhty
Discover the power of a simple 7-second brain wave ritual that can attract wealth and abundance into your life. By tapping into specific brain frequencies, this technique helps you manifest financial success effortlessly. Ready to transform your financial future? Try this powerful ritual and start attracting money today!
Multi-cluster Kubernetes Networking- Patterns, Projects and GuidelinesSanjeev Rampal
Talk presented at Kubernetes Community Day, New York, May 2024.
Technical summary of Multi-Cluster Kubernetes Networking architectures with focus on 4 key topics.
1) Key patterns for Multi-cluster architectures
2) Architectural comparison of several OSS/ CNCF projects to address these patterns
3) Evolution trends for the APIs of these projects
4) Some design recommendations & guidelines for adopting/ deploying these solutions.
1.Wireless Communication System_Wireless communication is a broad term that i...JeyaPerumal1
Wireless communication involves the transmission of information over a distance without the help of wires, cables or any other forms of electrical conductors.
Wireless communication is a broad term that incorporates all procedures and forms of connecting and communicating between two or more devices using a wireless signal through wireless communication technologies and devices.
Features of Wireless Communication
The evolution of wireless technology has brought many advancements with its effective features.
The transmitted distance can be anywhere between a few meters (for example, a television's remote control) and thousands of kilometers (for example, radio communication).
Wireless communication can be used for cellular telephony, wireless access to the internet, wireless home networking, and so on.
ER(Entity Relationship) Diagram for online shopping - TAEHimani415946
https://bit.ly/3KACoyV
The ER diagram for the project is the foundation for the building of the database of the project. The properties, datatypes, and attributes are defined by the ER diagram.
2. Introduction
• As Indian population is growing rapidly and it
has become the second highest in the world,
there is a huge need to have more healthcare
facilities. Most of the hospitals require more
number of nurses and doctors who can treat
patients quickly and efficiently. To fulfill this
need, technology has provided a boon called as
Telemedicine and further now it is growing as
Telehealth Nursing.
3. Concept and definition
• Telehealth Nursing is a very novel concept in
India. It is one of the Global Best practices, which
is in the initial stage in India. First, let us
understand what is “Telehealth Nursing” .
According to American Telemedicine Association
(ATA), telehealth nursing is defined as the use of
telehealth/telemedicine technology to deliver
nursing care and conduct nursing practice. Nurses
are directly engaged in the virtual delivery of
healthcare through telehealth nursing.
4. Telenursing and nursing informatics
• Nursing informatics, a branch of health informatics, has
been defined by Judith Rae Graves and Sheila Corcoran
as "a combination of computer science, information
science, and nursing science designed to assist in the
management and processing of nursing data,
information, and knowledge to support the practice of
nursing and the delivery of nursing care".
• Telenursing is a potential application of nursing
informatics and as such, nursing informatics has served
as a critical background concept its development.
5. Principles of telenursing
• Augment existing heath care services and expand the
hospital services to remote areas.
• Enhance optimum and immediate access, thereby
reducing chronic illness and hospitalizations.
• Improve and enhance the quality of care, and maintain
nursing standard and practices in a better way.
• Reduce the delivery of unnecessary health services by
providing relevant information at real time.
• Protect confidentiality and security, and consider
patient right.
6. Function of telenursing
• The functions of telenursing include providing
the patient with informed consent, informing
him/her of the choices, advocating technical
innovations and systems that support safe,
competent, and ethical care, complying with
existing organizational policies and guidelines,
providing the patient with the nurse's full
name, qualifications, and registration.
7. Uses OF Telenursing
• Telenursing was instituted as an effective mode for
providing care to patients geographically distant from
health care providers.
• Using telecommunications and information technology,
nursing care is provided in remote areas.
• Nurses recognize the value of telecare and
telehomecare as essential components of telenursing
that give patients easy access to high-quality care and
eliminate costs and difficulties associated with travel to
health care facilities.
• Telenursing continues to grow as a valuable method for
providing nursing care, especially in home health care.[
8. Competencies of telenursing
• Competencies of telenursing include participation in the
development, implementation, and evaluation,
collaboration with team members, a computer-based
approach, and advocating for technological innovation.
Mobiles, messaging devices, video and audio
conferences, digital assistance, faxes, telerobotics,
mobile telemedicine, mobile telemedicine, and
computer information system user interfaces are the
technologies used in telenursing. Often normal phone
lines are used to communicate directly between the
patient and the center though some system using the
Internet.
9. Benefits telenursing
Telenursing May Help Solve Increasing
Shortages Of Nurses;
To Reduce Distances And Save Travel Time
To Keep Patients Out Of Hospital.
A Greater Degree Of Job Satisfaction Has
Been Registered Among Telenurses.
10. Advantage of telenursing
• To increases the access to health care services
• To reduce the cost
• To reduce the visiting/waiting time
/unnecessary visit to hospital
• To provide immediate health care information
to solve the problems
• Medicare reimbursement
11. Disadvantages of telenursing
• absence of direct hands and face to face direction
• Technical difficulties
• Possibilities for health provider to step out of their
scope of services
• Increases the liability of risk
• Inability to provide patients with information to
make informed decisions
• Increase risk to security and confidentiality of
clients with health information and records
12. Infrastructure
• Infrastructure: Telenursing consultation room
is where the nurse, specialist, or consultant
converses with the peripheral center and
telenursing center/home and from where the
patient or health care worker consults with the
consultant.
13. Barriers of telenursing
• Barriers:
• Behavioral barriers include resistance to telenursing — “fear that
nurses are delegating tasks to machines.”
• Public barriers include change management — understanding the
capabilities and limitations of the technologies and applying them
appropriately, lack of knowledge on information technology and
usage among health care professionals and clients.
• Financial barriers include access to capital and responsibility
issues such as who was going to pay for it and whether the
responsibility to sustain/add programs lay at the national, provincial,
or regional level or was a combination of all of these?
• Other issues include national, provincial, and regional.
•
14. Continued
• Legislative barriers include licensure, nursing,
legal, ethical responsibilities, cross-jurisdictional
issues, provincial/territorial response.
• Policy barriers include the absence of policies
impacting telenursing adoption and lack of
uniform standards provincially and nationally.
• Other barriers are the potential for fraud and
abuse, privacy concerns, secure access, and
consent management — The type required, who
should obtain, the secondary use of data, for
example, research.
15. Applications
Home care:
• One of the most distinctive telenursing applications is home care.
For example, patients who are immobilized, or live in remote or
difficult to reach places, citizens who have chronic ailments, such
as chronic obstructive pulmonary disease, diabetes, congestive heart
disease, or debilitating diseases, such as neural degenerative
diseases (Parkinson's disease, Alzheimer's disease or ALS), may stay
at home and be "visited" and assisted regularly by a nurse
via videoconferencing, internet or videophone. Other applications of
home care are the care of patients in immediate post-surgical
situations, the care of wounds, ostomies or disabled individuals. In
normal home health care, one nurse is able to visit up to 5-7 patients
per day. Using telenursing, one nurse can “visit” 12-16 patients in
the same amount of time.
16. Case management
• A common application of telenursing is also
used by call centers operated by managed care
organizations, which are staffed by registered
nurses who act as case managers or perform
patient triage, information and counseling as a
means of regulating patient access and flow
and decrease the use of emergency rooms.
17. Telephone Triage
• Telephone triage refers to symptom or clinically-based calls.
Clinicians perform symptom assessment by asking detailed
questions about the patient's illness or injury. The clinician's task is
to estimate and/or rule out urgent symptoms. They may use pattern
recognition and other problem-solving process as well. Clinicians
may utilize guidelines, in paper or electronic format, to determine
how urgent the symptoms are. Telephone triage requires clinicians to
determine if the symptoms are life-threatening, emergency, urgent,
acute or non-acute. It may involve educating and advising clients,
and making safe, effective, and appropriate dispositions—all by
telephone. Telephone triage takes place in settings as diverse as
emergency rooms, ambulance services, large call centers, physician
offices, clinics, student health centers and hospices.
18. Legal, ethical and regulatory issues
• Telenursing is fraught with legal, ethical and regulatory issues, as it
happens with telehealth as a whole.
• In many countries, interstate and intercountry practice of telenursing
is forbidden (the attending nurse must have a license both in their
state/country of residence and in the state/country where the patient
receiving telecare is located).
• The Nurse Licensure Compact helps resolve some of these
jurisdiction issues.
• Legal issues such as accountability and malpractice, etc. are also
still largely unsolved and difficult to address.
• Ethical issues include maintaining autonomy, maintaining a patients
integrity as well as preventing harm to a patient.
• In addition, there are many considerations related to
patient confidentiality and safety of clinical data.
19. Continued
• Legal, ethical, and regulatory issues
Accountability for practice, security, privacy, and
confidentiality, providing informed consent, and
liability protection are some of the legal, ethical,
and regulatory issues in telenursing. In India Anna
University, Apollo Telemedicine Networking
Foundation provides a certificate course, School
of Telemedicine and Biomedical Informatics,
National Institute of Health and Family Welfare,
and Rad Gurukul provide training in telenursing
20. Implications for patients, providers,
and health care systems
• Implication for patients:
• Monitoring vital signs
• Provide opportunities for early intervention
• Reduce the number of visits to the doctors or
emergency department
• Provides patient education
• Removes geographic and sometimes financial
barriers
• Improve accessibility to specialists.
21. Continued
• Implication to providers:
• Competencies and scope of practices
• Local accountability
• Client safety
• Client security , confidentiality and privacy
• Informed content obtained
• Involved client decision making
• Professional practice enviromnent.
22. Continued
• Implication for health care system
• Initial expenses at first but as health improves, the
system will save money
• Decreased number of in hospital days for patients with
chronic illness who have access to supportive telehealth
• Decreases the number of in-hospital days
• Reduce the required number of staff (nursing in
particular)
• Removes the barriers of time and distance
• Proper training and administration support is a vital
responsibility for the system.
23. Summary
• Telenursing is very important for our country; it needs
to be implemented because by using telenursing, nurses
will be able to assess patient conditions, provide the
best nursing care, and evaluate the effectiveness of
nursing care from distant locations. Telenursing may
also be used for the purpose of follow-up of the client.
Telenursing also helps the patient to get nursing care at
their homes and communities where the facilities are
not developed. It also reduces the traveling for both the
patient and the nurse. In short, telenursing may be used
for the primary, secondary, and tertiary management of
clients.
24. conclusion
• In every sense, telemedicine, telenursing and
e-nursing are essential components for
providing high-quality, safe, and effective care.
Given the intense focus on these issues by the
government, the public, and the professions, it
is vital that health professionals see these as an
essential part of and not just an addition to
their practice. Also, we need to consider
engaging with ICT to meet the challenge of
contributing to high-quality health care.
25. References
1. Ganapathy K. Neurosurgeon, Apollo Hospitals, Chennai, Telemedicine in India-the Apollo
experience, Neurosurgery on the Web. 2001.
2. Davis N, LaCour M. Health Information Technology. Missouri: Elsevier Publications; 2007. p. 71-
107.
3. Jaiwanti AP. Nursing Administration and Management. 1st ed. Trained Nurses Association of
India: Dhulta; 2007. p. 253-9.
4. Tabish SA. Hospital and Nursing Home Planning, Organization and Management. New Delhi:
Jaypee Brothers; 2003. p. 213-20.
5. Selvasekaran. Essentials of Computers for Nurses. New Delhi: Jaypee Brother's Medical
Publishers; 2008. p. 12-33.
6. Armer JM. A case study of the use of telemedicine by advanced practice nurses in rural Missouri. J
Contin Educ Nurs 2003;34:226-33.
7. 7.Marquis BL, Huston CJ. Leadership Roles and Management Functions in Nursing, Theory and
Application. Philadelphia: Lippincott; 2006. p. 33-107.