Telenursing Rising cost of healthcare coupled with strict policies regarding reimbursement to facilities with recent readmissions of patients is causing healthcare to change the way the care for patients. Telenursing is being incorporated throughout facilities in order to improve patient outcomes, increase patient satisfaction, decrease cost, and improve the continuity of care (Hebda & Czar, 2013, p.510). Some question the practice of telenursing is not really nursing, however
Hutcherson (2001) states “They have determined that nursing practice occurs at the point that a nurse utilizes the knowledge, skill, judgment and critical thinking that is inherent in nursing education and that is authorized through the nursing license”.
Interoperability of Systems
Telenursing require the use of technology in order to communicate between the patient and provider. Interoperability refers to the communication between different devices, such as computers, cameras, biometric machines, and electronic health records (EHRs) for the storage and retrieval of patient information (McKeever & Johnson, 2015, p.2). Healthcare providers face challenges such as continuity of care, due to the lack of interoperability between EHRs
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Telenurses may have a more positive outlook on their career knowing they can help patients that have a disadvantage when it comes to healthcare access (Ghai & Kalyan, n.d.). Developing a report with patients leads to a trusting relationship, which can engage the patient to be compliant in their healthcare (Shea & Chamoff, 2012, p.111). Another advantage for patients receiving care via telenursing is patients are able to stay in the comfort of their home remaining as independent as possible (Scullion, 2014,
• Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations
According to the Business and Professions Code’s Article 2: Scope of Regulation – Section 2725 Legislative intent: Practice of nursing defined, as extracted by the Department of Consumer Affairs - Board of Registered Nursing website, the practice of nursing is defined as functions, including basic health care, that require ample scientific knowledge and skill to aid people coping with difficulties seen in their daily lives in regards to their actual or potential health, illness, or treatment of their maladies (BRN, 2015).
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
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
Zimmerman, L., & Barnason, S. (2006). Use of a telehealth device to deliver a symptom management intervention to cardiac surgical patients. Journal of Cardiovascular Nursing, 22(1), 32-37.
The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM,
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
Morrissey, J. (2013, October 1). Telemedicine: “If you aren’t doing anything now, you’re way behind”. Hospitals & Health Networks, 87(10), 22-23.
According to Orem, nursing science is a practical science, in that knowledge is developed for the direct purpose of nursing practice itself (Barbara, 2011). The goal of nursing science is to look for an understanding of the actual realities that are concerning to nurses and the nursing practice (Orem, 2001). We can do this through both research and producing scholarly articles. “Nursing science is the science of which knowledge is developed for the sake of the work to be done” (Barbara, 2011, p. 44). Without the nursing science as the backbone of nursing, the nursing practice would seize to exist, or at least have difficulty staying alive. Nursing science offers nurses the knowledge, skills and competency to develop order and direction in their nursing care (Malinowski, 2002). Models of case studies, rules and standards of practice along with the various
Provides a basic level of interoperability among electronic health records (EHRs) maintained by individual physicians and organizations
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.
Physicians, administrators, staff, and patients who are affiliated within the healthcare organization should understand the importance of interoperability by coming together to ease ...
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
From state and federal levels, the healthcare industry has come a very long way, experiencing changes along the way. The development of advanced technology that has enhanced the quality of healthcare delivery systems will help all patients to be able to benefit. Doctors are able to access patient records at a faster rate and respond to their patients in a much more timely fashion. E-mail, electronic transfer of records and telemedicine will give all patients and physicians the tools needed to be more efficient, deliver quality care and deliver quality telecommunication at a faster pace than before.