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 computer’s 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  , 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 s, 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.

Bohnenkamp, Sk., McDonald, P., Lopez, AM. Krupinski, E., & Blackett, A., (2004). Traditional versus telenursing outpatient management of patients with cancer with new ostomies. Oncology Nursing Forum, 31(5), Retrieved on June 1, 2010, from Yang, B., Rhee, S., & Asada, H., (1998). A twenty-four hour tele- nursing system using a ring sensor. Robotics and Automation. Retrieved from Hoglund, A., & Holmstrom, I. ( ). Ethical Issues In Telenursing. Retrieved June, 1, 2010 from online.com/index.php?id=2695http:// online.com/index.php?id=2695 McGonigle, D., & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MA: Jones and Bartlett Publishers.

National Council of State Boards of Nursing ( NCSBN). (1997). Retrived June 1, 2010 from Registered Nurses’s Association of Nova Scotia. (2000, November). Guidelines for Telenursing Practice. Retrived June1, 2010 from 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 T.pdf T.pdf

Wachter, G., (2002, May). Interstate licensure for telenursing. Telemedicine and Telehealth Articles. Retrieved June 1, 2010 from article=telenur article=telenur