Sunday, February 24, 2019

Information Systems in Healthcare Essay

Nurses face new situations and challenges with todays rapid emergence training technology and tele intercourse outlines. Tele health is a progressively advancing system that incorporates the give of technology to enhance unhurried explosive charge in the close to potent and efficient way possible at a outperform (Epidirippulige, 2010). Telenursing is a part of telehealth that is gaining signifi foott growth as a subspecialty. The practise of remote unhurried supervise, often referred to as telehealth, has been widely adopted by health awe toleraters, particularly domicile care agencies (Suter et al., 2011). Patients with continuing health indispositions such as congestive heart failure (CHF) benefit from telehealth function. The using up of Telenursing services cannister improve health outcomes, leaven self-care through focal point and education, as well as decrease readmissions to the hospital and their related checkup cost. Telenursing is emerging rather quic kly due to the ongoing shortage of imbibes globally. recent ways to manage chronic complaint are imperative, especially as the population ages, chronic illness increases and the nursing shortage continues (Bowles et al., 2009, p. 344).The purpose of my research is to translate information on the role of nursing in telehealth practices, the usefulnesss and disadvantages for patients, as well as legal factors to consider when providing nursing care to patients with chronic illnesses within central office health agencies. Telenursing is defined by the National Council of tell apart Boards of Nursing (NCSBN) as the practice of nursing over distance exploitation telecommunications technology (American Telemedicine Association (ATA), 2008). A few examples of terms commonly utilise to refer to telehealth are telenursing, telecare, telemonitoring, telehomecare and telemedicine (Artinian, 2007). All of which are the provision of clinical care at a distance through the use of electr onic communication and information technologies (Artinian, 2007, p. 25).Telehealth services can be contributeed at doctors offices, hospitals, and within the patients home. Through the use of telephones, video, computers, and other monitoring equipment patients have the capability of receiving expert quality aesculapian care. It allows patients the ability to tonus comfortable hunch forwarding a health professional is monitoring their illness regularly and not only between doctor visits. The role of a Tele shelter is a unique approach to nursing care and component of the telehealth system. The nurse engages in the practice of nursing by interacting with a client at a remote site to electronically receive the clients health status data, initiate and transmit therapeutic interventions and regimens, and monitor and accede the clients response and nursing care outcomes (NCSBN Position piece of music on Telenursing A Challenge to Regulation, 1997).Telehealth nursing (THN) allows nu rses to see more patients on a daily basis, while decreasing the over-all work load of the nurses on a unit due to understaffing issues. The nurse can accomplish this without loss the hospital or doctors office, saving considerable amounts of magazine by using interactive telehealth equipment, allowing other health care professionals to focus on patients admitted with emergencies. Nurses have access to the patients health issues and provide education as well as counseling regarding their ailment processes and heed as they progress. Effective communication between the nurse, family and patient is a springy role for successful management of the disease process and for the encouragement of patient involvement with self-care.The availability of telehealth nursing offers numerous advantages to patients with chronic health diseases. more and more home care agencies are beginning to offer telehealth services due to the advantages in improvements in health care outcomes, decreased re-h ospitalizations and medical costs, as well as promoting patients to become more proactive with their disease management. Depending on the severity of the patients medical condition, these benefits can be accomplished with the proper devotion to treatments and telehealth monitoring systems in place. Patients with chronic diseases turn tail to contact more visits to the hospital and develop more health care expenses than patients without chronic health diseases (Suter et al., 2011). Within the comforts of their home, patients are able to witness their vital signs and report symptoms using medical technology (blood pressure machine,glucometer, angle scale or pulse oximetry) and reported to the THN via the telephone, in-person through home visits, or by telemonitoring (Bowels et al., 2009).The information provided by the patient allows the nurse to make decisions based on the patients symptoms and vital signs. A gross(a) example, as reported by Edirippulige (2010), is through wound care management, here(predicate) studies have shown to prove that THN care can be quick and effective with the ability to take digital images of the wound during an at home visit. both(prenominal) the THN and wound care specialist were able to collaborate and make necessity treatment plans, resulting in fewer at home visits, a reduction in healing time, and the hold backion of hospitalization (Edirippulige, 2010). A second advantage to THN is the promotion of self-care management. According to Shea & Chomoff (2012), patients who are active in self-care communicate with healthcare providers and develop partnerships as collaborators (p. 111). This allows patients to develop the knowledge and skills needed to gain the dominance with the management of their medical problems including regular assessment of progress and problems, goal setting, and problem-solving countenance (Suter et al., 2011, p. 111).Therefore, decreasing the possibility of their disease process from becoming worse and prevent unnecessary hospitalizations. A third advantage is the ability of telehealth services to offer frequent follow-up care to patients that can deuce-ace to fewer complications with their disease management (Artinian, 2007). While there are not bad(p) advantages to THN disadvantages have also been seen that can lead to unsuccessful implementation of telehealth services. iodine disadvantage to THN is the patients lack of motivation, which can interfere with the patients ability to collect data appropriately necessary to provide quality nursing care. Therefore, it is important to assess the patients formulation to learn for appropriate disease management. Another disadvantage is lack of communication.Shea & Chamoff (2012), say that Patients who do not talk to the nurse as often may rely on the telemonitored data more, but because of lack of communication, the THN does not know that the information is being used for self-care (p. 114). Maintaining effective communi cation by pass detailed information regarding the plan of care and goals between the patient and nurse can prevent mis run intoings that may implicate the patients health condition. Lastly, age can be a factor. In a study conducted by Bowles (2010),patients who refused to use the technology were significantly older than those who recognised it (p. 3).Conclusion and RecommendationsMy research has shown that telehealth can improve the overall quality of patient care at a distance by reducing readmissions to the hospital and its related medical cost, promote self-care, and improve health outcomes. A telehealth nurse can play a vital role with the success of home health agencies providing telehealth services. Before recommending that you dupe for the position of THN, there are certain aspects to keep in header when it comes to guidelines and legalities. It is important to understand your role at adhering to the standards of quality, patient privacy and confidentiality as established in traditional nursing practice and governed law (ATA, 2008, p. 2). Artinian 2007, (as cited by ANA, 1999), reported that in 1999 the American Nursing Association published nerve Principles on Telehealth describing professional standards in telehealth (p. 29).These guidelines provide information to assist nurses with protect a clients privacy when services are rendered. Be cautious of licensure issues. There may come a time when you may receive directions from a provider on behalf of a patient who is laid in another severalize. Its important to practice within your state jurisdiction. Legal issues on behalf of negligence may arise. It is the responsibility of the nurse to understand and know how equipment is used. To avoid negligence, staff and patients must be educated active the proper use and care of any telehealth devices (Artinian, 2007, p. 29). I wish you heap and hope that I was able to provide you with enough information to frequent your decision.ReferencesAmerican Tel emedicine Association. (2008). Telehealth nursing A white paper developed and accepted by the telehealth nursing special interest group. Artinian, N. (2007). Telehealth as a calamus for enhancing care for patients with cardiovascular disease. Journal Of Cardiovascular Nursing, 22(1), 25-31. Bowles, K. H. (2010). Achieving meaningful use with information technology telehealth research. Online Journal Of Nursing Informatics, 14(3). Bowles, K. H., Holland, D. E., & Horowitz, D. A. (2009). A comparison of in-person home care, home care with telephone contact and home care with telemonitoring for disease management. Journal of telemedicine and telecare,15(7), 344-350. Edirippulige, S. (2010). Readiness of nurses for practicing telehealth. Studies In Health Technology & Informatics, 16149-56. National Council of maintain Boards of Nursing (NCSBN). (1997). Position Paper on Telenursing A Challenge to Regulation. https//www.ncsbn.org/TelenursingPaper.pdf Shea, K., & Chamoff, B. (2012). Te lehomecare colloquy and Self-Care in Chronic Conditions Moving Toward a Shared Understanding. Worldviews On Evidence-Based Nursing, 9(2), 109-116. inside10.1111/j.1741-6787.2012.00242.x Suter, P., Suter, W., & Johnston, D. (2011). Theory-Based Telehealth and Patient Empowerment. Population Health Management, 14(2), 87-92. doi10.1089/pop.2010.0013

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