Volume 9, Issue 9, September – 2024 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165 https://doi.org/10.38124/ijisrt/IJISRT24SEP678

Integration of Telehealth in Nursing Practices

Ankita Chhikara Amlan Banik,
Senior Tutor, Sharda School of Nursing Senior Tutor, Sharda School of Nursing
Science and Research, Science and Research,
Sharda University, Knowledge Park III, Sharda University, Knowledge Park III,
Greater Noida, UP, India Greater Noida, UP, India
Corresponding Author: Ankita Chhikara

Abstract:- Nursing practices are being revolutionized by actively, and intervene quickly, all of which improve patient
telehealth, a technology that is redefining healthcare satisfaction and results.
delivery and enabling nurses to visit patients at home, in
underserved areas, and in remote locations. Telehealth As front-line medical professionals, nurses are essential
enhances patient empowerment, early detection of health in utilising telehealth to overcome geographic obstacles,
problems, proactive management of chronic illnesses, and deliver treatment outside of clinical settings, and provide
prompt intervention. Nurses are essential to telehealth, patients the authority to actively participate in their own
bridging geographic barriers and advancing health wellness. Additionally, this study targets to demonstrate the
equity. Despite obstacles such as data confidentiality, revolutionary potential of telehealth in improving health
training, and the digital divide, telehealth in nursing equity, multidisciplinary cooperation, and increased access to
offers advantages such as improved patient outcomes, specialized care in marginalized populations. In addition to
decreased medical costs, efficient monitoring of chronic redefining the parameters of traditional nursing duties,
conditions, and seamless communication between patients telehealth also sparks a paradigm change towards patient-
and healthcare teams. centered, accessible, and equitable healthcare delivery by
promoting synergy between technology and compassionate
Keywords:- Telehealth, Nursing, Telemedicine, Healthcare care.
Services.
Telehealth integration into a family nurse practitioner
I. INTRODUCTION programme was accomplished through curriculum reform
using a quality improvement approach. In a role-transition
Rapid technological breakthroughs have caused a course, the intervention took the form of lecture-style
dramatic upheaval in the healthcare delivery environment in instruction with telehealth learning objectives. In a short test
recent years. Telehealth is one of these breakthroughs that has of transformation, faculty decision-making was guided by a
the capability to completely renovate the way that healthcare Plan-Do-Study-Act cycle. A knowledge survey was used for
services are delivered, especially when it comes to nursing assessing self-reported confidence in one's understanding
practices. The field of telehealth, which includes tele- about telehealth in order to assess if the modification was
monitoring, telemedicine, and remote patient care, has significant. After the intervention, students' confidence in
enormous possibility to enhance resource efficiency, expand their understanding of telehealth enhanced. The modification
access to medical care and improve patient outcomes. The gave professors the chance to think of other strategies for
integration of telehealth into nursing practices is a critical including telehealth learning experiences in practicum
frontier in redefining patient care paradigms as the healthcare classes. Following the intervention, students' self-confidence
sector navigates the challenges of modern healthcare delivery. in their understanding of telehealth grew. The modification
gave professors the chance to think of other strategies for
Telehealth technologies are utilised by nurses to including telehealth learning experiences in practicum
facilitate virtual consultations, track patients' health status, classes. Ultimately, this research offered a framework for
offer education and counselling, and collaborate with development that allows instructors to create and evaluate
additional healthcare personnel involved in the treatment of efficient teaching strategies for preparing graduate nursing
patients. This makes it possible for nurses to visit patients at students to use telehealth technologies.1
their homes, places of employment, or even in underserved
and rural regions where access to healthcare services may be England's four community health agencies that
limited. employed telemedicine to track case studies that focused on
individuals with long-term heart failure and chronic
Since patients may actively participate in their treatment obstructive lung disease.. In order to determine what
plans and get support from nurses without needing in-person obstacles and facilitators stand in the way of the successful
visits, telehealth in nursing improves patient empowerment implementation of remote monitoring for patients suffering
and engagement. Additionally, telehealth makes it possible to from chronic heart failure and chronic obstructive pulmonary
detect health problems early, manage chronic illnesses pro- disease, this study examined frontline staff acceptance of
telehealth. Thematic analysis of data obtained from May

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Volume 9, Issue 9, September – 2024 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165 https://doi.org/10.38124/ijisrt/IJISRT24SEP678

2012 to June 2013 through qualitative interviews with 84 14.43%), musculoskeletal (n = 607; 11.22%), and
frontline staff members, including nurses, and 21 managers miscellaneous (n = 643; 11.88%) issues accounted for the
and important stakeholders. Regarding the reasons for majority of complaints. It was discovered that 43.9% of the
investing in telehealth and its possible influence on nursing cases were solved by nurses with medical aid, and 20.1%
responsibilities, staff attitudes ranged from reluctance to (842) of the cases were resolved digitally, that is, by a
excitement. With adequate training for staff and a discussion with a nurse alone. Out of all the cases, only
collaborative approach to execution, it was concluded that 2676, or 6.6%, required an ER referral. It was found that our
having trustworthy and adaptive technology and resources nurses-driven system resolved 64% of the cases to a perfect
especially earmarked for telemedicine service would be outcome. In many healthcare organisations, there is still a
crucial in assisting in overcoming early acceptability structure that revolves around physicians, which limits the
obstacles. Early achievements that promoted telehealth usage opportunities for cooperation. It thus becomes crucial to
among staff members, aided in clinical learning, and establish a structure driven by ongoing improvements in
expanded acceptance were also crucial. It was determined clinical outcomes and operational efficiency by shifting the
that when implementation challenges arise, practitioners may culture from one that is physician-centered to one that is
get disenchanted with employing technology to carry out patient-centered.5
duties that are customarily performed in-person. For doctors In order to figure out how telehealth material and
to incorporate telehealth into their regular practice, it is experiences are being used in pre-licensure and graduate
imperative that obstacles be addressed.2 nursing programme curricula, a survey study was carried out.
The response rate to the survey was 21% (n = 82). While
Using PubMed, Scopus®, and 17 of the 35 databases 22% and 45% of graduate programmes and prelicensure
available on the EBSCOHost platform, an electronic programmes, respectively, planned to integrate, 55% of them
literature search was conducted. It featured research whereby lacked any telehealth curriculum. The biggest obstacle to
Telehealth concepts and aspects were included into the integration was a financial one. The study found that in order
primary treatment students' curriculum. The data was to assess telehealth in nursing curriculum, further research
retrieved that was necessary to comprehend the breadth and was required. It is imperative that telehealth courses be
sustainability of the programme, and the outcomes were offered in nursing schools for plenty of reasons.6
calculated. Eight publications were included in this
evaluation following a full-text screening of 164 articles and It was said in a research paper on Telehealth
a critical analysis of 34 of them. There was inconsistency in Educational Resources for Graduate Nurse Faculty that while
the way telehealth was included into the different health care few nursing programmes provide the training, graduate
curriculum, according to a comparison of these studies. Basic nursing students must be able to practice telehealth. Lack of
telehealth information was often included in the material that academic expertise, telehealth possibilities, or funding might
was sent, but depending on the treatments, the depth and be obstacles to this deployment. The article outlined the new
scope of the content varied greatly.3 fundamental skills for teaching telehealth and provided
developing advanced practice registered nurses with
In an effort to look at how technology has influenced activities, resources, and advice to help them become ready
Saudi Arabian nursing, a systematic study into how telehealth to organise, conduct, and carry out successful telehealth
is changing nursing care was carried out. The research practices.7
offered a thorough examination of telehealth and its
significance for nursing practice, education, and quality. The methodology of Whittemore and Knafl served as
Following an evaluation and analysis of the literature, it was the basis for an integrated review. After searching various
discovered that telehealth in nursing is understudied; that websites, 16 studies examining telemedicine and telehealth in
telehealth facilitates communication between nurses and New Hampshire surroundings between 2014 and 2020 were
patients, which improves nursing efficiency and quality by found. It was found that there were quantifiable benefits,
encouraging successful results, seamless care for patients, such as fewer ER and hospital admissions, financial savings,
and pleasant interactions; and that telehealth and reduced physical constraints, and improved vital signs, in
telemedicine are essential components of modern nursing addition to procedural advantages such rapid access to
education and practice. These results led to the analysis's specialists. Preliminary statistics seem to favour telemedicine
conclusion that telehealth has to be incorporated into KSA's consultations with geriatricians, psychiatrists, and palliative
nursing curriculum, along with healthcare professionals' care physicians. Financial and medical incentives, such
telehealth training and reskilling, as well as further primary Medicare savings and fewer hospital admissions, were also
research with a major focus on telenursing.4 provided. The COVID-19 epidemic has presented NHs with
further obstacles, which telemedicine and telehealth may be
With the goal to evaluate the feasibility and first able to lessen.8
outcomes of integrating Alice Agora, a telehealth scheme
was used in perpetually cross-sectional study as a means of A purposive sample of nine healthcare professionals
enhancing health care delivery in a new primary care-based (HCPs) who were members of a University Integrated
medical system. Over the previous six months, they had Healthcare Network (UIHN) tele-oncology committee,
4193 consultations (February and August 2021). Initial comprising doctors, nurses, and chemists, was gathered using
findings indicated that patients were quite satisfied. Upper a descriptive qualitative approach. This study sought to
respiratory tract (n = 1542; 28.5%), gastrointestinal (n = 781; determine how health care professionals (HCPs) in a

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Volume 9, Issue 9, September – 2024 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165 https://doi.org/10.38124/ijisrt/IJISRT24SEP678

specialised tele-oncology programme view a newly created REFERENCES

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