Nurses can also help continue to develop the best practices for specific circumstances as they arise. Hutcherson served as Senior Policy Advisor for the National Council of State Boards of Nursing, the organization which coordinates regulatory and licensure issues for all nurses in the United States. It is important to note, that most telehealth programs are acutely attuned to quality issues and patient care follow-up, and aggressively monitor the outcome of recommended interventions. An often-told story identifies the first telehealth interaction occurring when Alexander Graham Bell placed a call to Mr. The decision was a result of a site visit completed in November 2013. The Scope and Standards of Practice for Professional Telehealth Nursing, 6th Edition aligns telehealth nursing with extensive health care environmental and technological transformation. Telehealth nursing can be done anywhere.
Abstract During the last century the world has become increasingly reliant on a variety of technologies to manage information needs. In line with this, the results developed from the analyzed data that was obtained. To assist with evaluation of the overall telemedicine environment, Congress mandated preparation of a comprehensive report analyzing the obstacles to the advancement of telemedicine. Only one article was found that directly focused on safety issues: That article provided important information on the safety of wireless technologies; however, it was not a research article. Telehealth technology offers increased productivity for nurses by decreasing travel time to remote areas, thereby increasing the average daily census.
Telehealth in the school setting: An integrative review. She was instrumental in development of a proposed new model for nursing licensure to accommodate multistate practice. The ability to reach certain populations is limited based upon how many state licenses a provider holds. The role of school nursing in telehealth Position Statement. Telemedicine has been shown to reduce the cost of health care and increase efficiency through better management of chronic diseases, shared health professional staffing, reduced travel times, and fewer or shorter hospital stays. One of the ways nurses can advocate for telemedicine is by taking an active role in shaping policy.
Use our sample or order a custom written research paper from Paper Masters. As is often the case, adoption of innovative new approaches to care has occurred at a much more rapid pace than legal and regulatory questions have been answered. Special concerns related to patient safety emerge with each of these methods of health care delivery. Pediatrics, 136 7 , 202-209. Telehealth can provide the illusive tool that will enable us to meet this goal, once the legal and regulatory issues related to telehealth have been resolved. Patients and healthcare providers throughout the world are enjoying the benefits of telemedicine. Nursing Research It is crucial for a healthcare facility to disseminate a solution using an effective approach that reached the target audience.
The safety issues associated with telehealth are, in turn, more complex and include not only apprehension about malfunctioning equipment, but also concerns regarding potential adverse effects on patient management decisions through delayed or missing information, misunderstood advice, or inaccurate findings due to patient or caregiver error. As with other specialty practice, nurses practicing in this new environment must met the challenge of developing standards for safe and effective practice. The article focuses on the ongoing development of a telemedicine program within a health system. Many of the calls for certification are from those who take a very narrow definition of telemedicine, and believe that the technology is so complex that some sort of credentialing mechanism is needed. Monitoring and Surveillance Related to Telehealth and Telenursing Practice Adding to the problem of adherence in patients is a lack of access to quality health care, specialists, or nurses. Hutcherson was also Executive Director for the Georgia Board of Nursing for over ten years. In a non-federal setting, telehealth nurses must have a registered nurse license that complies with both state and federal regulations.
Safety and Quality Topics as Related to Telehealth It became clear to the authors that issues such as measuring return on investment are often tied to clinical outcomes; thus these studies were included in the review. Have you used telehealth to enhance your health care? One issue is that providers cannot do a consult across state lines unless the provider is licensed in the same state the patient is located. Safety of the patient can be assessed without the patient purposely getting in front of a camera or logging on to speak to a nurse. Nursing has already risen to meet this need. After an initial appraisal of the articles, they were examined for semantic similarities and differences. Nurses are the catalyst to a successful patient experience in the hospital.
In the mean time the room should be. How Will Telemedicine Impact the Future of Health Care? As these articles were located, the reference list of each was also reviewed and relevant articles flagged for further searching. Routine pre surgical and post surgical care can be administered with telehealth nurse help. In 1997, the American Academy of Ambulatory Care Nursing published the first Telehealth Nursing Practice Administration and Practice Standards to articulate expectations for nurses engaged in telehealth practice, and has published revised versions on a regular basis. For example, Schwabb and colleagues found that the remote interpretation and diagnosis with electrocardiogram results was just as good as interpretation in person. Download file to see next pages Read More. Health advice has been telephonically dispensed since the advent of the telephone.
The Journal of School Nursing, 31 1 , 44-53. This could be paid as a salary based on hours available or as a per diem when a call is taken and handled appropriately. Barriers to Telemedicine The benefits of telemedicine are incredible. However, no state is empowered to grant authority for professional practice in another state. The technology has evolved so much that a provider can communicate with a patient in real-time with the use of audio and video, which is how many people believe telemedicine is delivered, but in reality telemedicine takes many forms.
And when reimbursement policies are being considered, nurses should be there to advocate for coverage of preventive services. Organizational Barriers that May Inhibit a Successful Implementation of a Research Utilization Proposal Evidence-based nursing is carried out in order to ensure that the integration of the research findings into a clinical setup will promote the provision of quality healthcare and improve the outcomes among patients. The health care climate demands an innovative approach to health care delivery with an attention to scalable and sustainable models. Such services offer patients the access to providers that might not be available otherwise, as well as medical services without the need to travel long distances. This remote monitoring capability resulted in creative approaches to disease management. The American Telemedicine Association notes reported that Canada recently announced establishment of a nationwide health care call center service, to be provided free for all Canadians.
Therefore, inventive and efficient telehealth-based methods of caring for patients are increasingly being used to improve compliance or adherence to the prescribed regimen of care, as well as for symptom management. Module Nursing Research The critical elements of an excellent quantitative design include the setting, sample, control, independent and dependent variable. There are some nursing programs that offer associate degrees, but more healthcare organizations are leaning toward requiring a bachelor's degree of nursing for those who work in these positions. This short, confidential online survey should take no more than five minutes. More patient education is required initially for the use of the equipment with this type of technology, and the initial investment costs for the telehealth equipment can be large.