Telehealth definition according to our textbook by Hebda, T., & Czar, P., 2013 is the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients. It provides health care to patients that may not be able to have access to care. Telehealth requires a patient to have electronic tools to facilitate this type of service. Electronic tools can be a telephone, computer, or a video camera. The patient is able to call or enable video conferencing to have access to their health care provider. Telehealth allows the patient to have access to preventative care and education on their disease process and how to manage it at home.
A., Pomerleau, S. G., & Penner, J. L., “Knowing is a process of perceiving and understanding the Self and the world”. Nurses as caregivers must appreciate each patient for who they are as individuals. The nurse must also know how to provide nursing care with the knowledge he/she gains from experience in the field. Caring is the main component needed for a nurse to give quality care to a patient. The nurse must assess the needs of a patient and direct the patient plan of care around the patient’s ability to engage in his/her own rehabilitation. Nurses must create a genuine relationship with the patient in order to determine how much their patient is willing to participate in their care. Nurses have always used their visual instincts in patient care. There has always been a face to face where the patient is physically in front the nurse. Telenursing is different because nurses no longer can rely on face to face interaction with their patients. In order to facilitate care over the phone nurses need to know their patient to provide individual care and ensure the safety of the patient with the nurses’ judgment. Not only can phone conversations be taken out of context so can emails and text messages. The nurse must have a strong bond with their patients so this type of complication will not occur. Another problem when using any form of communication that is not face to face is that it is not always possible to express empathy or build a sense of unity. Patients need to feel that the person on the other end cares. The tone a person takes on the phone can either make or break a relationship. In some conditions telenursing is not always appropriate, for instance a patient who is suffering from a deadly condition. Telephone and computers cannot provide compassion like a real person. In the end telenursing is a valuable service to patients but it is not
Nursing at its core is about dealing with the clients, from building a relationship to maintaining it. Relationships, whether professional or personal, are founded on core components. For a nurse-client relationship these core components are trust, respect, professional level of intimacy, empathy, and power. These core components even if they are present during the initial phase are of no use if the proper techniques of therapeutic communication are not used. It is also great to take note that even moments of silence when employed properly could have a great impact. Good judgment and awareness are also important for the nurse to discern which therapeutic strategy to use when communicating with the client to not only build relationships with clients but also to provide a support system with the care and medical knowledge necessary.
According to the author, nursing practice needs to stay current with technological advances while keeping its identity as a patient focused profession. Nurses use technology to improve care from a patient?s perspective, both in quality of care and cost. At the same time, nurses must learn to balance technological knowledge with personal skills, thus providing optimum clinical care while maintaining a person-focused relationship with the patient.
Telemedicine is a tool that enables providers to deliver health care services to patients at distant location, and it is often promoted as a means of addressing the imbalances in the distribution of health care resources (Wager, Lee, & Glaser, 2013, p. 156.)
Prinz, L., Cramer, M. & Englund, A. (2008). Telehealth: A policy analysis for quality, impact on
The delivery of health care has always been influenced by technological developments and innovations. This is particularly true in modern health care professionals where they are obsessed with technology and rush to apply them. One of the most recent applications of ICT – Information and computer technology- is telehealth. Telehealth is the use of communication, diagnostic and information technology to provide health care when patients and providers are geographically separated [2], Technologies include videoconferencing, the internet, store -and-forward imaging, streaming media, terrestrial and wireless communications. Telehealth could be as simple as two health professionals discussing a case over the telephone or as sophisticated as doing robotic surgery between facilities at different ends of the globe.
...’s video. The Registered Nurse inappropriately uses technology that restricts communication between the patient and nurse. It is seen that the RN picks up his mobile phone for a personal phone call midway through a health assessment and is also on Facebook while the patient expressed his concerns. These actions were unprofessional and from a legal standpoint, the RN did not comply with the ANMC standard 9.2. This standard reports that Registered Nurses should communicate effectively with patients to facilitate individualized care. Its importance to individual patient needs lies within research suggesting that lack of patient communication is related to decreased levels of patient compliance in their own care (Clickner, & Shirey, 2013). Effectively this leads to an attitude of mistrust towards nurses and inhibits their ability to facilitate individual patient care.
Telenursing is the application of information and telecommunications technology to offer the nursing or healthcare services to the patients. The most advanced field of telehealth is in household telenursing healthcare. Telenursing devices like computers, telephones and videophones enable nurses to increase successfully the patient numbers seen daily while reducing the entire workload (Arnaert & Delesie, 2001). Nurses are capable of doing this without having to leave the doctor’s office or hospital hence saving a considerable amount of
Today, the discipline of nursing is expressed through a metaparadigm of four interacting components—person, environment, health, and nursing—with caring as the focus of practice (Fawcett, 1984). The environment component focuses on the internal and external surroundings that affect the person, including physical and social factors. Finally, the nursing component nurtures optimum health for people through mutual relationships in a caring environment. The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person's genuine needs. A trusting relationship between the nurse and the person in need of healthcare is a prerequisite for good home-based nursing care whether it is based on face-to-face encounters or remote encounters through distance-spanning technology. A trusting relationship could reduce the asymmetry of the caring relationship which could strengthen the person's position. The relationship requires conscious efforts from the nurse and a choice of level of the relationship. The trusting relationship was reciprocal and meant that the nurse had recognize the patient or designee as the source of control and full partner in providing compassionate
According to Castro, D. (May, 2014), there are the functions of the Telehealth or Telemedicine that are using by the patient between the doctors. First function is the real-time services. The function is provides the activities that are using between the doctor and patients through the video conferencing or telephone, messaging and online from the website of Telehealth or Telemedicine. From that, the patients can interacting with the doctor and share the information about their health record. The patients can store-and-forward means data is sent to the web-site and then received and analyzed by a provider designated to a web-site consultant. Consultants will review the pictures and clinical data within a certain time and then return their opinion
Often the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.” Telehealth allows a lower level healthcare practitioner to communicate with a physician or specialists when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas. When procedures call for a physician, an internet or satellite link provides a teleconference with a physician who can prescribe appropriate treatment (Gangon, Duplantie, Fortin & Landry 2006). This could be implemented in lower income urban areas, allowing free clinics to lower costs, and require fewer physicians.
We live in the era of technology and telehealth is becoming a part of our lives. According to Guido (2014), telehealth Is a removal of time and distance barriers for the delivery of health care services and related health care activities. Internet and other communication technologies are the means for health care professionals to practice across state lines.
Bowles, K., Holland, D., & Horowitz, D. (2009). A comparison of in-person home care, home care with telephone contact and home care with telemonitoring for disease management. Journal of Telemedicine and Telecare, (15), 344-350. doi: 10.1258/jtt.2009.090118
Four technologies that I chose to discuss here include telehealth, tablet technology, social media, and patient portals. Telehealth is a rising area of care management. Telenursing is a component of telehealth. Nurses provide telecommunications and information technology when a large physical distance exists between a patient and a nurse. Telenursing has been defined as the delivery, management and coordination of care and services provided via information and telecommunication technologies (Kuriakose, 2011). I currently work as a
What is caring? In any healthcare profession caring is an important concept, but what does it really mean to care? Opinions on the meaning of caring vary depending on the person and the situation. It seems that most people think of caring differently than nurses do, and nurses think of caring differently than other healthcare workers. Which arises another question, is caring in nursing different than other healthcare disciplines? What does it mean to care as a nurse? Why is caring important in nursing? After speaking to friends and family I have heard many different thoughts on what caring is believed to be defined as.
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008).