Telenursing The Future is Now


Telenursing:The Future is Now

Telenursingis currently being embraced in the provision of health care mostly inthe western countries especially for the benefits that it brings tonurses and patients. Telenursing can be described as the delivery andmanagement of health care and services through the use of informationand telecommunication technologies. The technologies utilized intelenursing include computers, telephones, and the internet amongother communication technologies (Schlachta-Fairchild et al, 2010).Despite telenursing changing the method in which nursing servicesbecome delivered, it does not basically change the nursing practicenature. Registered nurses that engage in telenursing continue to usethe nursing process in assessing, planning, implementing, evaluating,and documenting the nursing care. Telenurses also engage in theprovision of information, education, referrals and support. Nursesengaging in telenursing must have acquired the necessary competencesthat can help him or her in using the information andtelecommunication technologies.


Articlefrom PubMed Database:Informationand communication technology for home care in the&nbspfuture

of the Article

Thisarticle provides report concerning how nurses can use information andcommunication technologies in providing care to patients havingchronic diseases while still at their homes. According to thearticle, telenursing uses telecommunication technologies in providingnursing care to patients living in places that are far fromhealthcare facilities (Kamei,2013).The system is usually based on patient-nurse interaction and iscapable of providing timely health direction to patients living inany area. The article also provides that the use of the ICT inproviding care to patients became established by the World HealthOrganization due to the increasing rate and incidences ofnon-communicable diseases. This WHO strategy became adopted in theentire world for the provision of health care among pregnant womenand those patients having chronic diseases. The strategy becameimplemented through the cooperation of different professionals. Thearticle provides that telenursing was among the practices andprinciples involved in the implementation of the strategy. Besides,the article is of the idea that telenursing has some benefits thatinclude alleviating the expenses borne by patients in seeking healthcare, mitigating the number of emergency and outpatient room visits,enhancing health-related quality of life, and minimizing the cost ofhealth care.

Articlefrom CINAHL Database:Telenursingin the Intensive Care Unit: Transforming Nursing Practice

of the Article

Thisarticle argues that telenursing is a developing subspecialty incritical care, which is not well documented and not well understoodwithin the nursing profession. The documentation and quantificationof the telenursing interventions can help in clarifying the effect ofthe role of the telenurse on the nursing practice, patient careenhancement, safety of patient, and outcomes. Besides, the article isof the opinion that the nursing practice is constantly developingalongside technology in enhancing care delivery. The article has alsooffered information on tele-ICU, where it has indicated thattelenursing and telemedicine are used together in the tele-ICU arenain impacting the care of patients that are critically ill (Williams,2012). Further, the article argues that the use of ICT has positivebenefits because it enhances patients’ outcomes, avoids extracosts, and provides safety. Tele-ICU nursing has the potential ofadding and enhancing care delivery. Although the role played by thebedside care-giver may not become replaced or diminished, it isfacilitated, augmented and enhanced by the use of the ICT.

Articlefrom Google Scholar:TELENURSINGand Home Healthcare: The Many Facets of Technology

of the Article

Thisarticle provides the argument that telenursing has continued todevelop and grow as a valuable that can be used in providing nursingcare, especially to patients that are geographically disadvantaged inaccessing healthcare facilities. According to the article,telenursing became established as an effective mode for offering careto patients that tend to be geographically distant from thehealthcare providers. This was critical in making these patientsaccess healthcare, despite their residence. Through the use ofinformation and telecommunications technologies, nursing care wasoffered remotely to patients. In addition, the article presents theidea that nurses have come to recognize the value of telehomecare andtelecare as essential components of telenursing, which tend toprovide patients with an easy access to enhanced care and eliminateexpenses and difficulties related to travelling to healthcarefacilities (Madeline, 2008). Furthermore, the article argues thatpatient contentment with telenursing is associated with promptquality care that they receive from professional nurses.


Fromthe case scenario presented, it is critical to look at the differentaspects that may be necessary in the making of the decision in orderto accept or decline entering into telenursing. Such aspects entailthe advantages and demerits of this care to patients, the ethicalissues involved, professional benefits, proficiency in technologyrequired and patient satisfaction among other things. It is afteranalyzing such issues that the decision to make an application to theagency can be made.

Providingtelenursing services to the patients would be advantageous to thepatients because they will not need to travel to the healthcarefacility in order to access the assistance that they require.Besides, the patients will also benefit from this service becausethey will not use extra costs in making trips to the health facility(Schlachta-Fairchild et al, 2010). Patients would also benefit fromthe service because they will be in a position to receive maximumcare since they will be attended to promptly, whenever they requireany service a move that will enhance their satisfaction on the caregiven. On the other hand, as a nurse, one can benefit from havingflexible working hours and one can earn more resources. When workingfrom home, it is possible to work at any time which implies that anurse will be capable of assisting many clients serving more clientswould imply getting more resources. The nurse can also benefitthrough telenursing since there will be less travel cost from home tothe healthcare facility this is a benefit to the nurse because theextra transport expenses can be used for other purposes. Moreover, anurse can benefit from telenursing because there will be anopportunity for skill development.

However,telenursing can bring problems to both the nurse and patients, whenthere is difficulty in using the technology. When a nurse havedifficulty in using the technology in consideration due to lack ofeducation, instructions, or help it can be difficult to reach thepatients. This can lead to patients having problems because they mayneed to go back to the healthcare facility to seek services, despitethere being an alternative and better service that they could haveused at their homes (Steinecke et al, 2013). Besides, technologyfailure may threaten the safety of the patient. The patients may alsohave problems since their information may not remain confidential.For instance, because of the increasing technology developments,individuals have discovered new ways of tapping information. This canbe a threat to the privacy of the patients, which is a denial oftheir rights of having their information privately stored.Nevertheless, this would not be as a result of the nurse’s fault,but may emerge as a potential risk in case there is data theft.Moreover, a patient may not be in a position to offer self service asdirected by the telenurse due to understanding complications or anyother difficulty, a move that may threaten the patient’s safety.

Oneof the ethical issues that may emerge from telenursing is that anurse may not be in a position to work independently. According tothe expectations of telenursing, a nurse should be capable ofproviding the patients with prompt responses (Steinecke et al, 2013).However, telenursing task is knowledge intensive and complex, whichmay hinder a nurse from providing a fast response because he/she mayneed to enquire from other professionals. This may threaten thesafety of the patient because in case some decisions are not madefaster, and the patient is in a remote area, the patient may end updying. Another ethical issue is that the telenurse may make a wrongdecision, when not dealing with face to face interaction with thepatient because they may misinterpret the way they see the patientcondition on the monitoring device with the real interpretation.


Fromthe findings, it is apparent that patients would receive differentbenefits. This is critical to the nursing profession because the goalshould be to maximize the benefits of the patients. For instance,patients from the remote areas will be in a position to accesshealthcare services for chronic illnesses without the need of usingany transport costs to the healthcare facility. The patients willalso be capable of receiving prompt services. On the other hand, as anurse, one is also likely to benefit from engaging in telenursingbecause of working flexibility and reduced travelling cost since onewould not need to travel to the agency on a daily basis. Providedwith these benefits, telenursing is a good consideration. However,this is not all because there are problems that are associated withtelenursing. One of the problems entails the use of technology. Incase one is not well educated on the technologies that will supporttelenursing, it is not good to engage as a telenurse because one mayend up threatening the life of the patients since he/she cannotcommunicate with the patients as required. However, in case one iswell educated on the use of the technologies that supporttelenursing, it would be a good thing to join the agency providingthe service. In addition, individual interests are also critical inthe making of the decision of whether to join telenursing.Individuals that have an interest in the field should considerfulfilling every requirement such as understanding the technologiesused and feel free to join. However, in case one does not have aninterest in joining the field, he/she should not attempt it becausehe/she may end up threatening the patients’ condition.

Sincetelenursing is developing as technology develops, it would becritical to consider entering the agency having the opportunity for atelenurse. This will provide an opportunity since it would give achance to understand how technology can relate with nursing (NIFTE,2003). Besides, the nursing practices would not change, but themethod it would be a great opportunity joining the agency becausethe nursing practice will be enhanced in providing of care deliveryto patients as well as provide an opportunity for self development.Therefore, I would consider applying for the position with theagency.


Thecurrent position, I am not employed. I have a great interest in usingthe emerging technologies in reaching out to the vulnerable groupsthat are not in a position to acquire services such as healthcareservices due to lack of resources and accessibility problems.Therefore, joining the telenursing field would help in accomplishingthis interest. After graduating from Chamberlain, I am more thanwilling to join telenursing because it matches with the career goals.Besides, since I would like to have an opportunity for furtherpersonal development, I think joining the telenursing field wouldoffer this opportunity since there is a chance of working within aflexible schedule since one does not need to always go to thehealthcare facility itself in order to work. Therefore, the careergoals and situation that I have for the future fit well to joiningthe telenursing field. From the findings of the telenursing practice,I have the position that it is in my future because it will morebenefits both to the profession and to me as an individual. On theother hand, I would apply for the position in the agency.


Schlachta-Fairchild,L., et al. (2010). Telehealth and telenursing are live: APN policyand practice implications. TheJournal for Nurse Practitioners,6(2), 98-106.

NationalInitiative for Telehealth (NIFTE). (2003). Nationalinitiative for telehealth framework of guidelines.Ottawa: NIFTE.

Steinecke,R., Maciura, J., &amp LeBlanc, B. (2013). Finally,some guidance on telepractice.Grey Areas, (April: No. 175). Toronto, ON.

Madeline,L. (2008). Telenursingand Home Healthcare: The Many Facets of Technology.Vol. 26 (4) pp 237-243. Lippincott Williams &amp Wilkins, Inc.

Williams,L. (2012). Telenursingin the Intensive Care Unit: Transforming Nursing Practice. Journalfor High Acuity, Progressive and Critical Care Nursing,Vol. 32 (6) pp 62-69.

Kamei,T. (2013). Information and communication technology for home care inthe&nbspfuture. Journalof Nursing Science,Vol. 10(2):154-61.

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