Telenursing: Technology, Role of Nurse Informatics, Legal and Ethical Issues
Explore the world of telenursing, covering technology used, information systems, the role of nurse informatics, and legal/ethical considerations. Discover the advantages and disadvantages of telenursing, along with the hardware and wireless technologies involved in remote nursing practices.
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Presentation Transcript
Description of Telenursing Technology used in Telenursing Information system used in Telenursing Role and function of nurse informatics in Telenursing Legal and ethical issues surrounding Telenursing Advantages/Disadvantages of Telenursing
The practice of nursing over a distance using telecommunication technology (National Council of State Boards of Nursing NCSBN, 1997) Nurse/Patient interaction through a telecommunication device
Phone Interactive Video Phone Triage Internet Support Remote Telemonitor
Hardware (physical computer body) Computers (laptops, desktops) Palm computers Telephones Graphic s card Sound cards Internal Memory ( RAM) External Memory ( flash drives)
Wireless technology increases a computers portability May be used in hospitals or other community nursing settings Allow nurses remote access to medical records Allows electronic documentation in remote locations May be used in two way audio/video conference
Monitor, keyboards, mouse, printer Web cameras, speakers, microphone Email, database, word-processing, internet, browsing, conference calls Example: Digiscope-program to collect patient info related to diabetes.
Provides wireless networking between hospital computers Allows for wireless Internet access Used in Video conferencing between nurse and patient Used in emails, Instant messaging, and
Efficiency strongly depends on server Software design varies between medical facilities Usability is dependant on internet access at home
Ring sensor worn by patient 24hrs/day Transmits wireless data Home computer analyzes data Sends warning signals to telenursing center Signal provides diagnostic information
Review of System Used for clinical purposes Used by medical professionals (doctors, nurses, ect) Monitoring and diagnostic function Local Area Network
Collecting data from Patient Assessing data using knowledge Document all retrieved data Utilize critical thinking skills Provide nursing interventions Continue to monitor and utilize available technology
Increase public access to health care Provide access in rural areas Decrease wait times Decrease unnecessary hospital visits Decrease Healthcare costs Increase continuity of care Increase patient compliance with aftercare
Decreased face-to-face interaction Risk of decreasing quality of care May increase liability Concerns with security Concerns with maintaining confidentiality
Maintaining patient privacy Verifying consent Compliance with HIPAA regulations Nursing Licensure across state lines Maintaining compliance with scope of practice
Maintaining autonomy (identity, privacy) Maintaining patient s integrity Prevent harm to a patient
Ongoing development of new Technologies provides endless Possibilities in the future of Nursing care.
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National Council of State Boards of Nursing ( NCSBN). (1997). Retrived June 1, 2010 from https://www.ncsbn.org/TelenursingPaper.pdf Registered Nurses s Association of Nova Scotia. (2000, November). Guidelines for Telenursing Practice. Retrived June1, 2010 from http://www.rnans.ns.ca Schlachta-Fairchild, L., Elfrink, V., & Deickman, A., ( 2008, April). Patient Safety, Telenursing and Telehealth. Patient Safety and Quality: An Evidenced-Based Handbook for Nurses, 3(48). Retrieved June 1, 2010 from http://www.ahrq.gov/qual/nurseshdbk/docs/SchlachtaL_PST T.pdf
Wachter, G., (2002, May). Interstate licensure for telenursing. Telemedicine and Telehealth Articles. Retrieved June 1, 2010 from http://www.tie.telemed.org/articles/article.asp?path=article& article=telenur
