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Why does the cost of medical care rise
Impact and role of technology on nursing education, nursing practice and quality of patient care
Why does the cost of medical care rise
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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
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
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
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,
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
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
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.”
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.
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
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).
The technical issues that need to be addressed are fairly straightforward and deal largely with the set-up and maintenance of a telemedicine clinic. A clear understanding of the stakeholders in such a program is required along with a delineation of services that will initially be provided by the telemedicine clinics. As we have mentioned, we believe starting off with neurology, dermatology, and rheumatology clinics in three rural offices is the best way to start the telemedicine initiative. It of course follows that hardware that meets both communication and privacy standards will need to be acquired along with personnel hiring and training.
The process of implementing an EHR occurs over a number of years. An electronic record of health-related information on individuals conforming to interoperability standards can be created, managed and consulted with the authorized health professionals (Wager et al., 2009). This information technology system electronically gathers and stores patient data, and supplies that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system functions as a decision support tool to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lower the medical costs. Studies have implied that, healthcare professionals who practice clinical features through EHR were far more likely to provide better preventive care than were healthcare professionals who did not.
Physicians, administrators, staff, and patients who are affiliated within the healthcare organization should understand the importance of interoperability by coming together to ease ...
Knowledge and practice issues have a long-standing history in nurse education and are a continuous source of controversy to which there is no easy or perfect solution (Hewison, A & Wildman, S., 1996). This tension between theory and practice and research which can be usefully exploited in teaching and research (Rafferty, Allcock, & Lathlean, 1996). Emphasizing the importance of the issue (Rolfe, 2003), states that the theory-practice gap is felt most acutely by student nurses. The student may find themselves torn between the demands of their tutor and the practicing nurses. They are faced with real clinical situations in which they are unable to generalize from what they have learned in theory. This gap creates the biggest challenge for most of the new graduate. If we don’t step up and fix this problem of the theory-practice difference, it can cause a huge problem because the principles of practice established in curricula are not well aligned with the principles operating in the workplace. If this problem is not deeply addressed, it may be another factor on why new nurses are leaving the practice