Is telenursing in my future?
Telenursing has become an effective way for nurse and health care provider to assist their patients from a long distance. The innovative way of telecommunications and information technology allows nurses to provide care at any time and from any distance to individuals. The practice of telecare and home telecare has facilitated and become an important component of nursing that offers patients accessible and good quality of care without the inconveniences of commuting to health care facility.Telenursing has met patient satisfaction related with fast and high quality response from nurses. The main objective of telenursing is to enable the nursing practice by providing electronic care to patients at a distance. Telenursing
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They need to communicate in a clear and concise way in order for the caller to understand them. There will be situations when the caller will not be able to communicate their problems in an effective way, but the nurse needs to implement their best critical thinking in order to come with an accurate nursing intervention. Another disadvantage might be the close interaction between nurses and patients. As a nurse it is very important to have the physical assessment of the patient, to better understand the patient’s need. Telehome care has become very popular and has met patients ' satisfaction, but a combination of physical visit and telehome care is indispensable at the time of providing high quality …show more content…
When nurses provide telecare services nationwide, they need to be aware of the each state licensure and regulations. Nurses need to be informed of the law pertaining to telecare where the patient is. The use of chat room is a new way telenursig is practicing, but nurses should be aware of the possible danger of conversing with patient online. It might lead to persecution for malpractice related to healthcare advice. Lorentz (2008) stated that “Telecare nurses are likely to use the telephone to provide information to patients. Telephonic communication highlights the ethical concern about patient autonomy and privacy (p. 241).” As part of ethical principles all patients have the right to make their own decision concerning their health. But if the tele nurse perceive that the person with whom she is talking does not have the mental capability to understand and to follow advice, as an ethical practice the nurse should document these findings and avoid situations where to influence the patient to make any decision regarding to his or her health condition. Patient privacy is very important. Nurses need to be sure they are talking with the right person and nobody else is listening to the conversation. Nurses are responsible for keeping their patients’ privacy secure at all times. In telenursing privacy and confidentiality are
...005). The role of nurses in telemedicine and child abuse. CIN: Computers, Informatics, Nursing, 23(3). pp. 127-131. Retrieved from http://www.medscape.com/viewarticle/506916_7
Out of all the duties of a nurse, one of the most important duties is how the nurse honors the trust of a patient by maintaining the patient’s privacy and safeguarding the patient’s information confidentially. Privacy is the ability of the patient to make the choices in how to handle information regarding him or herself that other individuals are not aware of. As an example, prior to releasing the patient’s private information, the nurse must notify the patient on how their information will be handled and get consent from the patient
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
Prinz, L., Cramer, M. & Englund, A. (2008). Telehealth: A policy analysis for quality, impact on
Professionalism and staying within professional boundaries is not only a critical part of maintaining your patient’s trust, but it is also a law that nurses must follow to remain practicing. Patients are vulnerable to the nurse in this position, so the nurse must be careful not to break this trust. Professional boundaries are the gap between the nurse’s professional position and the vulnerability of the patient. Nurses are required to abide by privacy standards to protect the patient and to practice a therapeutic relationship. A therapeutic relationship is the medium between under-involvement and over-involvement, and is the zone where nurses should remain. One reason why it is so important that nurses do not overstep their boundaries, is that nurses are respected, trusted, and valued by patients. It is important to keep this reputation to be successful in this field (Black, 2014).
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
Improving health is in the best interest of everyone, including non-health professionals. Health managers need to be constantly looking for ways to improve access to health care, the quality of the care, and cost containment. 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.”
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
Technological advances enable nurses to provide accurate, timely care for a patient. This is due to the fact that these advances enable doctors and nurses to quickly diagnose, explain and predict the health-illness status of a patient, thus allowing health care professionals to spend less time finding answers, and more time providing quality care. For nurses, this includes spending time with the patient establishing rapport, communication and a trusting relationship for optimum clinical care.
In this paper I will discuss the ethical dilemmas, ethical principles, values from CNO, and CNA, I will also discuss the laws. I will give opinions about my chosen scenario, how I felt and what I thought of it. The best action based on the analysis of this situation is for the nurse not to disclose this patient private and confidential information to her friend. Because if the nurse gives any information of her patient to her friend goes against CNO professional standards, (CNO, 2002). CNO defines standards as “Standards apply to all nurses regardless of their role, job description or area of practice,” (CNO, 2002).
Sevean, P., Dampier, S., Spadoni, M., Strickland, S., Pilatzke, S., (2008). Patients and families experiences with video telehelath in rural/remote communities in northern canada. Journal of Clinical Nursing, 18. 2573-2579.
Therefore, nurses are expected to comply with legislation, policies, standards, and guidelines that will guide nurses to follow both legal and ethical duties. One of the ethical and legal obligations of a registered nurse and student nurse is to protect the privacy and confidentiality of patients (NMBA, 2013, p.6). Similarly, code of ethics for nurses has also outlined this nursing responsibility in their value statement 7 (NMBA, 2008, p.3). For example, Butts (2013), explained that the nurses can maintain physical privacy by draping the patient's body while providing care. Likewise, nurse and patient should discuss in a private room to maintain auditory privacy. Another duty of nurses is to keep the patient information confidential. This information can be either in written, oral or in electronic form. Other members of health team, like doctors who are directly involved in the patient care, can have access to patient data. Nurses cannot disclose the patient's information to patient's families, friends or third party without patient consent. However, if a patient's right and safety are jeopardized, then to protect patient, the confidential information can be disclosed. But when a nurse acts outside the code of professional conduct a nurse is held accountable by law. Therefore, in order to protect nurses and nursing students from ethical issues,
A norm in society is when an individual sees danger they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient to others who are not authorized to know about the patients personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure pati...
Similarly, legislation and privacy worries are in effect all cross the globe and nurses have the beliefs which they will continue to keep confidential and private detail and information for their clients within the client doctor realm. However, clients use the medical services to understand that their personal and medical information are not in the wrong person’s hand because in nursing professional, nurses have the most interaction between the client and doctor, these are the preeminent vital to the nurses in nursing
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.