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Telenursing. Presented by: Joan Ribbons, RN. Objectives:. Describe Telenursing Describe and evaluate the hardware and software utilized with telenursing Describe and evaluate the information system used with telenursing
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Telenursing Presented by: Joan Ribbons, RN
Objectives: Describe Telenursing Describe and evaluate the hardware and software utilized with telenursing Describe and evaluate the information system used with telenursing Assess the role and functions of the nurse informaticist when working with telenursing Examine related legal/ethical issues Discuss the Advantages/Disadvantages from nursing perspective
Telenursing health services delivered by telecommunications-ready tools supervised or directed by a nurse concerns itself with client outcomes: acute care, chronic care, disease management, and quality of life
Telenursing Hardware: telephone, internet, server, electricity provider station, video patient station,monitoring station
Hardware used in Telenursing: equipment that captures objective vital sign data
Telenursing Software • goal • customized
Software Example NX Server
Usability of NX Server easy to use/user-friendly/user satisfaction efficient with standardized electronic health records Interactive visual technology is limited more realistic data, reflective of usual circumstances at home. Interactive visual technology is limited cost
Usability of Software user interface design customer support software updates
American TeleCare’s ® NX Server System Web-based, using: - Video station - Monitoring station
Review of American TeleCare’s ® NX Server System To gather and manage data by Nurses for Patient-specific thresholds.
Advantages of Telenursing increases patients’ ability to self-care, in a range of patients, and settings nursing care at home timesaving cost efficient
Disadvantages of Telenursing In a medication administration example, patients made medication administration errors Stress and potential for error
Ethical Issues of TelenursingCentral concept in nursingCommunication skillsCompeting interests
Legal Issues licensing scope of practice safety security and HIPAA accountability legal competencies
Informatics Competencies Computer skills Informatics knowledge Informatics skills Communication skills
Role of Professional Nurse Informaticist and Informaticist Nurse Specialist in Telenursing • System Specialist • System Manager • Patient Safety • Membership in Professional Organizations
Summary: Telenursing Telenursing is virtual nursing safe cost effective HIPAA compliant provides quality care
References Academic Psychiatry. (2009). Computer Simulation and Virtual Reality in the Diagnosis and Treatment of Psychiatric Disorders. Retrieved 2/26/10 from http://ap.psychiatryonline.org/cgi/content/full/33/5/413 American Telecare,Inc. (2002)Announces Partnership with VNA of the Inland Counties. Retrieved April 12, 2010 from http://www.americantelecare.com/aboutus_PR_Inland.html American Telecare, Inc. (2004) NX Server Software Retrieved from http://www.americantelecare.com/prod_NXserver.html Bartz, C., PhD. Octobr. (2009). Telenursing and Global Health. Retrieved 4/14/2010 fromhttp://tie.telemed.org/articles/article.asp?path=articles&article=telenursingLicensure_gw_tie02.xml Clinical Trials. (2009) virtual nurse,.Retrieved 2/26/10 from http://clinicaltrials.gov/ct2/results?term=virtual+nurse Google Answers: Personal Computer Penetration in US.Retrieved 2/5/10 from https:answers.google.com/answersthreadview?id=248043 Höglund, A., & Holmström, I. (2010). Ethical issues in Telenursing. Retrieved4/14/2010 from file:///Users/joanribbons/Downloads/Telenursing2010/ethical%20issuesswede IHE-ONLINE.COM (2008). Ethical issues in telenursing. Retrieved 4/14/2010 from http://www.ihe- online.com/index.php?id=2695 JAMIA.( 2008).Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness.Retrieved 2/21/10 from http://jamia.bmj.com/content/15/1/8.full
References (continued) Lucas, A., (may, 2004). Welcome to the World of Nursing Informatics. Retrieved 4/20/2010 from http://www.angelfire.com/al4/annielrnc/ McGonigle,D.,& Mastrian, K., (2009). Nursing Informatics and the Foundation of Knowledge. Sudbury, MA: Jones and Bartlett Publishers. New York Times,March 24, 2010, Washington Edition,p.A1 -Nurs Health Sci. (2007), Mar;9(1):23-8. Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses.Retrived from http:www.ncbi.nlm.nih.gov/pubmed/17300541 Pinzari, G.., (2003)Software update. Retrieved 4/20/2010 from http://www.nomachine.com/news-read.php?idnews=92 Polycom.(2010)VideoHealthcare.Montana.Retrieved 3/31/10 from http://response.polycom.com/forms/SearchRegForm_Health_MontanaCS Staggers, N. (2003). Human factors imperative concepts for information systems in critical care. AACN Critical Issues, 14(3) Wachter, G. W.,( May, 2002). Interstate Licensure for Telenursing.Retrieved4/14/2010fromfile:///Users/joanribbons/Downloads/Telenursing2010/article.asp.html Wachter, G., (May, 2002) . Retrieved 4/14/2010 from http://tie,telemed.org/citations_t2.asp?citation=9915