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Danica S Tuden, Elizabeth M Borycki, Andre W Kushniruk
OBJECTIVE: Understand the cognitive processes of telenurses' decision making with the use of health information systems (HIS), specifically Clinical Decision Support Systems (CDSS). In addition, identify the factors that influence how telenurses use CDSS. METHODS: Eight telenurses were recruited to manage two call scenarios in a clinical simulation. The call encounters were video recorded and the phone calls were audio recorded. The screens were also recorded to capture the HIS navigation...
2019: Studies in Health Technology and Informatics
Hanne Gidora, Elizabeth M Borycki, Andre W Kushniruk
Telenursing triage and advice services are continuing to expand both nationally and internationally. A primary role of telehealth nursing triage is to channel patients or clients towards appropriate levels of care, thereby reducing healthcare costs and freeing up resources. PURPOSE: The objective of this research is to: (a) present an overview of the current research, (b) describe the extent to which telenursing services are fulfilling this role, (c) identify gaps in the literature and (d) propose future research directions...
2019: Studies in Health Technology and Informatics
Masoumeh Shohani, Mosayeb Mozafari, Ali Khorshidi, Shohreh Lotfi
Background: Taking care of patients with cancer is often done at home and by family caregivers. However, these groups do not receive the necessary education regarding care at home. Objectives: The present study aimed to compare the effects of face-to-face and telenursing training methods on the quality of services provided by the family caregiver for patients with cancer. Materials and Methods: A total of 103 family caregivers of patients with cancer were randomly divided into 3 groups: control ( N = 35), face to face ( N = 34), and telenursing ( N = 34)...
November 2018: Journal of Family Medicine and Primary Care
Agnes Monica Victor
PURPOSE: Telemedicine in psychiatry is a validated and effective practice of medicine that increases access to health care. Telepsychiatry is also termed as telemental health or E-mental health using video conferencing which is broadly defined to provide and support psychiatric mental health services across distances. The consumption of knowledge in the mental health field has been renowned sporadically since the sixth decade of the last century. PRACTICE IMPLICATIONS: It is imperative for nurses to see the telehealth technology as a medium for care, and not a tool to replace high-quality nursing practices...
November 26, 2018: Perspectives in Psychiatric Care
Nastaran Heydarikhayat, Tahereh Ashktorab, Camelia Rohani, Farid Zayeri
Background: Patients with burn injuries still face various burn-related challenges after being discharged from the hospital. Hence, a follow-up program for such patients is essential. The present study aimed to evaluate the health status of burn victims after 1.5 months follow-up. Methods: The present randomized clinical trial was of a pretest-posttest design, carried out in Kermanshah (Iran) from July 2016 to September 2017. A total of 117 participants were recruited out of which 86 were included in the analysis...
October 2018: International Journal of Community Based Nursing and Midwifery
Tomoko Kamei, Yuko Yamamoto, Takuya Kanamori, Yuki Nakayama, Sarah E Porter
Chronic diseases, such as chronic obstructive pulmonary disease, amyotrophic lateral sclerosis, and diabetes mellitus, require long-term management, which daily telenurse monitoring can provide. The aim of the present feasibility study was to determine if using a telenursing protocol with home monitoring during a 12 week implementation could also identify early signs of deterioration and factors correlated with participants' change in status, while attaining patient acceptance and satisfaction. The purposive sample of 43 participants provided 4533 combined days of monitoring...
September 4, 2018: Nursing & Health Sciences
Armin Spreco, Olle Eriksson, Örjan Dahlström, Benjamin John Cowling, Toomas Timpka
The growing availability of big data in healthcare and public health opens possibilities for infectious disease control in local settings. We prospectively evaluated a method for integrated local detection and prediction (nowcasting) of influenza epidemics over 5 years, using the total population in Östergötland County, Sweden. We used routine health information system data on influenza-diagnosis cases and syndromic telenursing data for July 2009-June 2014 to evaluate epidemic detection, peak-timing prediction, and peak-intensity prediction...
October 2018: Emerging Infectious Diseases
Maryam Goudarzian, Masoud Fallahi-Khoshknab, Asghar Dalvandi, Ahmad Delbari, Akbar Biglarian
Background: Telenursing is a low-cost, highly accessible method that can lead to increased awareness on the principles of care, and may eventually help reduce the stress experienced by caregivers of patients with stroke. The present study aimed to investigate the effect of telenursing through phone consultation on the levels of depression and anxiety in family caregivers of patients with stroke. Materials and Methods: This was a randomized clinical trial including 152 caregivers of stroke patients discharged from Mohammad Vase'ee Hospital in Sabzevar in 2016...
July 2018: Iranian Journal of Nursing and Midwifery Research
Andrija S Grustam, Johan L Severens, Daniele De Massari, Nasuh Buyukkaramikli, Ron Koymans, Hubertus J M Vrijhoef
OBJECTIVES: To assess the cost effectiveness of home telemonitoring (HTM) and nurse telephone support (NTS) compared with usual care (UC) in the management of patients with chronic heart failure, from a third-party payer's perspective. METHODS: We developed a Markov model with a 20-year time horizon to analyze the cost effectiveness using the original study (Trans-European Network-Home-Care Management System) and various data sources. A probabilistic sensitivity analysis was performed to assess the decision uncertainty in our model...
July 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Anna Carin Wahlberg, Annica Bjorkman
AIMS AND OBJECTIVES: To describe telenurses' reflections on their work environment and how it impacts on their nursing care. BACKGROUND: Telenursing is one of the largest healthcare settings in Sweden today; approximately 5.5 million care-seekers call the designated number-1177-each year. Telenursing is regarded as highly qualified nursing care, and providing care over the telephone is considered a complex form of nursing. Within other fields of nursing, the work environment has been shown to affect the outcome of care, patient safety, nurse job satisfaction and burnout...
July 10, 2018: Journal of Clinical Nursing
Akram Shahrokhi, Jalil Azimian, Atousa Amouzegar, Sonia Oveisi
We aimed to assess the effect of telenursing on referral rates of patients with head trauma and their family's satisfaction after discharge. Seventy-two patients with head trauma were randomly allocated to equal intervention and control groups. The caregivers in both groups were provided with 1-hr face-to-face training on patients' home care and educational booklets, 2 days before discharge. The cell phone numbers of the telenurse was given to the caregivers of the intervention group. Then, the patients in the intervention group were followed up every week through phone calls by the telenurse for 12 weeks and the patient status checklists were completed...
July 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Ann E Fronczek, Nicole A Rouhana
Access to essential health-promoting nursing care is increasingly facilitated through the expanding scope and capabilities provided through the utilization of telehealth technologies. Telehealth technologies facilitate the nursing process with clients at a distance in multiple ways, such as video conferencing, video conferencing with peripheral diagnostic tools, and store and forward modalities. Nursing care needs to remain the focus of care, but technology is a useful ancillary tool to help clients achieve health outcomes...
July 2018: Nursing Science Quarterly
Suzanne Morony, Kristie Weir, Gregory Duncan, Janice Biggs, Don Nutbeam, Kirsten J Mccaffery
BACKGROUND: Telehealth professionals require advanced communication skills, in part to compensate for lack of visual cues. Teach-Back is a best practice communication technique that has been recommended but not previously evaluated for consumer telehealth. We aimed to implement Teach-Back at a national maternal and child health telephone helpline. We describe the intervention and report telenurse experiences learning to use Teach-Back. METHODS: We identified barriers (time, knowledge, skills, beliefs) and enablers (self-reflection) to using Teach-Back, and developed a novel training program to address these, guided by the Theoretical Domains Framework...
March 7, 2018: BMC Health Services Research
Annica Bjorkman, Martin Salzmann-Erikson
The aim of the study was to describe the telephone nurses' experiences of encountering callers with mental illnesses. Telenursing services are solely staffed with telenurses, who with the support of a decision support system (CDSS) independently triage callers based on the severity of the main symptoms presented by the care seeker. The system focuses on somatic symptoms, while information regarding mental health and mental illnesses is limited. Information about telenurses' experiences of encountering care seekers with mental illnesses is scarce, despite the increase in mental illnesses in the population...
October 2018: International Journal of Mental Health Nursing
Konstantia Kotsani, Vasiliki Antonopoulou, Aikaterini Kountouri, Maria Grammatiki, Eleni Rapti, Spyridon Karras, Christina Trakatelli, Panagiotis Tsaklis, Kiriakos Kazakos, Kalliopi Kotsa
BACKGROUND: Diabetes Mellitus type 1 (T1DM) is a chronic disease that requires patients' self-monitoring and self-management to achieve glucose targets and prevent complications. Telenursing implicates technology in the interaction of a specialized nurse with patients with chronic diseases in order to provide personalized care and support. OBJECTIVE: To evaluate the effect of telenursing on T1DM patients' compliance with glucose self-monitoring and glycemic control...
April 2018: International Journal of Nursing Studies
Akram Shahrokhi, Jalil Azimian, Atousa Amouzegar, Sonia Oveisi
Telenursing is a suitable tool for increasing health-related awareness of the caregivers for a better home care. But its efficacy may be affected by several factors. Considering the important complications of head trauma injury and high rate of readmission, we aimed to assess the effect of telenursing on care provided by the family members of patients with head trauma.This randomized controlled trial investigated 72 patients with head trauma, who were randomly allocated to intervention and control groups (36 patients in each group)...
January 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
M Lister, J Vaughn, J Brennan-Cook, M Molloy, M Kuszajewski, R J Shaw
An innovative simulation was used to teach pre-licensure USA nursing students about telenursing for screening, assessment, and patient education during a home visit. The students used telepresence technology to deliver nursing care to a homebound geriatric patient. After the simulation, students (N = 73) felt increased confidence with the skills needed to deliver telenursing care and in using telepresence technology. Students reported that they modified and improved their communication in order to adapt to perceived barriers posed by the new technology...
March 2018: Nurse Education in Practice
Bethany Johnson, Margaret M Quinlan, Jaclyn S Marsh
The purpose of this study is to examine patient perceptions of practitioner-patient communication in reproductive endocrinology and infertility (REI) practices. During this study, we uncovered the importance of telenursing for nurse-patient communication during REI treatment. Telenursing, which is defined as the use of wireless technology for out-of-office communication, is the basis for out-of-office communication. We examined participants' conceptualization of supportive and unsupportive communication, through the lens of biomedicalization theory...
March 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Martin Gerdes, Frode Gallefoss, Rune Werner Fensli
Introduction Patients with chronic obstructive pulmonary disease require help in daily life situations to increase their individual perception of security, especially under worsened medical conditions. Unnecessary hospital (re-)admissions and home visits by doctors or nurses shall be avoided. This study evaluates the results from a two-year telemedicine field trial for automatic health status assessment based on remote monitoring and analysis of a long time series of vital signs data from patients at home over periods of weeks or months...
January 1, 2017: Journal of Telemedicine and Telecare
Anne-Sylvie Ramelet, Béatrice Fonjallaz, Laura Rio, Sandra Zoni, Pierluigi Ballabeni, Joachim Rapin, Christophe Gueniat, Michaël Hofer
BACKGROUND: Children suffering from rheumatic disease are faced with multidimensional challenges that affect their quality of life and family dynamics. Symptom management and monitoring of the course of the disease over time are important to minimize disability and pain. Poor disease control and anticipation of the need for treatment changes may be prompted by specialist medical follow-up and regular nurse-led consultations with the patient and families, in which information and support is provided...
July 17, 2017: BMC Pediatrics
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