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By: Septi Dewi Rachmawti

Overview:
Utilization of Technology in
nursing
Telenursing

E-learning Digital
library

Online & EHR

ebook EHR
 Definition
Telehealth is the use of electronic information
and telecommunications technologies to support
long-distance clinical health care, patient and
professional health-related education, public
health and health administration

Technologies include videoconferencing, the

internet, store-and-forward imaging, streaming
media, and terrestrial and wireless
communications

(Health Resources and Services Administration,

2012)
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Definition

Telehealth nursing is the

delivery, management, and Telehealth nursing is the use of
coordination of care and telecommunications Telehealth nursing is
services provided via technology in nursing to the
telecommunications enhance patient care. It practice of nursing
technology within the involved the use of over
domain of nursing. electromagnetic channels (e.g., distance using
wire, radio, and optical) to telecommunications
(American Association of transmit voice, data and video technology.
Ambulatory Nursing 2004) communications signals. It is (National Council of
defined as distance State Boards of
communication, using electrical Nursing, 1997)
or optical transmissions
between humans and/or
computers.
(Skiba, D.J. & Barton, A.J.,2000)
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Essential
elements

6. Computer 1.Content
application

2. Connectivity
5. Clinical
care

3. Commerce
4.Community
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Telenursing
equipment

• Phone lines/ internet

• Phone/ computer with or
without camera/ microphone
• Cell phones
• Life line
• Sensor Technology (ex. Floor
sensors, smart beds)
• Peripheral devices (Ex. Vital
sign/ EKG monitoring,
dermascope)
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Method

• Telephone-based –
Real time limited to education/
counseling
• Web-consults (two-way
Store and forward --- audio and video)
Images, audio, video • With or without
peripheral devices

Combinatio
n
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Application of title style
telenursing

• Nursing home - monitoring, education, support, specialty

consultations
• Ambulatory care - specialty consultations
• Hospital consultations - stroke care
• Prison settings – mental health services
• Mentoring – i.e. wound care specialists
• ICU monitoring – neonatal intensive care, cardiac care
• Health promotion – obesity, exercise/ fitness
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Application of title style
telenursing

• Planning telehealth program i.e. specialty consultations in

rural clinic/ hospital
• Coordinate scheduling patients
• Evaluating and preparing equipment
• Assessing patients
• Presenting patient
• Facilitating remote exam
• Documentation
• Follow up care
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Beneficiaries

Individual
nurses
The profession as
whole both nationally & Clients
Internationally

Regulatory Employers
organization
Nursing
professionals
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Advantages

q Integration of information, communication, and

technology
q Improved information and knowledge in the nursing
practice
q Human resources planning will be facilitated
q New models of nursing practice and helath services
delivery will be supported
q Nursing group will be connected
q Improves the quality of nursing work environment
q Contribution to the global community of nursing
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Disadvantages

qHigh expense
qDecrease manual contribution
qIncreases dependence on ICT
qMisuse of technology provided
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Ethical/ edit title style
issues

Confidentiality &
safety of data
Competence care
Devices Licence to practice

To Minimize the Risks/ ethical evidence, Refers to:

• AAACN (Scope & standards of TeleNursing)
• ATA (American Telemedicine Association)
• NCSBN (National council of State boards of Nursing)
• Center for Telehealth and eHealth Law
• Nursing Informatics Association
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Safetyto edit title style
issues

Assess appropriateness of telehealth for

the patients ability and status

Know equipment, evaluate reliability

and effective use of equipment

Infection control, information safety,

informed consent, compliment with
nurse judgment
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Group edit title style
activities
Assessing telehealth center websites
§ Layout/content of the website

§ services, nursing roles, population

§ Equipment, methods, legal issues,

§ Barriers and strategies

§ Compare telehealth center websites:

similarities & differences

Discussing/ interviewing others: their use of technology,

preferences, willingness to receive care via telehealth

Simulate telehealth visit using Skype

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