Home care telenursing includes which of the following activities

Running Head: TELENURSING TRANSITIONAL NURSING CARE 1

Telenursing and Transitional Nursing Care

Anisley Longa

Nursing Research

Florida National University

Prof: Claudia Davis, Phd. RN- BC

5/30/2020

Claudia Davis
Claudia Davis
Course number
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Telenursing and Transitional Nursing Care

The use of information technology in the healthcare setting has facilitated transitional

nursing activities in several ways (Ghorbanzadeh et al., 2017). Information Technology is one

area that has been embraced in preventing health complications and readmission of patients with

the acute condition by necessitating comprehensive discharge planning and home follow-ups. A

master’s level uses information technology in facilitating communication and telenursing

services to patients with chronic illness. The role of a transitional care nurse is to provide care to

patients with chronic conditions through the use of information and technology. Transitional care

nurses apply the use technology in undertaking the following activities: in conducting a

comprehensive assessment of the health status of the patient, level of social support, health

behaviors, and goals; in development of the individualized plan of care consistent with evidence-

based guidelines, in collaboration with the patient and her/his care practitioners; and in

conducting daily visits to the patient at home focused on improving patient health at discharge.

The job of innovation is to empower transitional consideration medical caretakers to examine,

structure, actualize, and assess data and correspondence framework that patient consideration

results, improve care, and fortify the attendant patient relationship (Gidora, Borycki &

Kushniruk, 2019). Transitional care nurses ensure that they identify nursing informatics tools

which enhance patient care that is equitable, timely, efficient, safe, effective, and patient-

centered.

Today, many healthcare activities rely on the use of technology. The use of technology in

the healthcare setting started in the 18th century. Some of the techniques used during that time

include typewriters, word processors, and paper filing systems. Due to the changing nature of the

healthcare environment and the growing complexities of patients, these older models were

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replaced by the use of computers (Kumar & Snooks, 2011). The use of typewriters and word

processors could not be used to store and track patient records due to the increasing number of

patients and the growth of the healthcare sector. Today, technology is used to offer telemedicine

services. Telehealth services involve making follow-ups or provision of medical services to

patients in remote areas. Since transitional nursing involves special arrangements to continue

with follow-ups on patients after they have been discharged or transferred to other health centers,

the use of telemedicine is essential. The most significant form of telehealth used in transitional

nursing is telenursing. Telenursing involves nursing activities that are offered to patients in

remote areas through the use of information technology (Ghorbanzadeh et al., 2017). Telenursing

is considered part of telemedicine. Telenursing is applied in transitional nursing services in the

form of telediagnosis, telemonitoring, and teleconsultant. Telenursing is mainly used due to the

increasing number of chronically ill and aging populations. It is also applied in transitional

nursing because of preoccupation in lowering the cost of healthcare services. The use of

telenursing in transitional nursing also helps to solve the increasing shortage in several

caregivers. It also helps to keep patients out of hospitals, and it saves travel time and reduces the

distance in seeking care services.

Transitional nursing is usually done by making follow-ups to assess patients' progress

after they are allowed to go home. Transitional nursing is frequent in aging patients with chronic

conditions. The most distinctive application of transitional nursing and telenursing is home care.

Immobile patients or those with chronic ailments such as diabetes, chronic obstructive

pulmonary disease, heart failure, debilitating diseases (Alzheimer's, Parkinson's disease, etc.)

may be discharged from hospital and allowed to stay at home and be visited regularly by a nurse

through videoconferencing, videophone or internet. Patients in immediate post-surgical

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situations, ostomies, disabled individuals, or care of wounds can undergo homecare

(Ghorbanzadeh et al., 2017). Transitional nursing can also be done via call centers. Call centers

are managed by registered nurses who are specialized in case managing, and their role is to

provide information and counseling to home-based patients. Medical follow-ups can also be

done telephone triage. Telephone triage is clinically based on calls. Through telephone triage,

nurses are can perform symptoms assessment by asking detailed questions concerning the

patient's illness. Telephone triage enables nurses to determine if the symptoms are life-

threatening, urgent, emergency, or acute (Ong et al., 2016). In most cases, it involves advising

and educating patients and making useful and safe dispositions.

This research aims to understand the effectiveness of applying telenursing approaches in

transitional nursing services to enhance patient care outcomes and reduce space in emergency

rooms and minimize congestion in healthcare organizations. Telenursing involves the use of

information technology to offer services to patients in remote or distant apart with caregivers. On

the other hand, transitional nursing consists of making follow-ups and monitoring the health

conditions of patients with chronic conditions after they are released. The relationship between

telenursing and transitional nursing is that they offer home care services and are aimed at

enhancing the health conditions of patients by lowering the cost of services and reducing travel

time and distance (Ghorbanzadeh et al., 2017). Most often, the two advanced care services focus

on immobile patients, patients with chronic conditions, and aging patients. According to research

conducted by American Nursing Association in 2015, telenursing can be used to attend to

approximately 12-16 patients in a day as opposed to routine visits where less than ten patients

can be attended to within the same time. This shows how effective telenursing is essential in

facilitating transitional nursing when used effectively. However, one of the most implications of

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Claudia Davis
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using telenursing is that it is only appropriate when there is an excellent corporation between

nurses and patients. There is a high level of integrity and discipline required in applying this

technology. Patients must follow all the guidelines as outlined by the nurse, and they must give

accurate information regarding their sicknesses to enable nurses to provide correct prescriptions.

Wrong information regarding patient sickness can lead to inaccurate symptom assessment and, in

return, can lead to illegal medicines (Ghorbanzadeh et al., 2017). This can be highly dangerous

to patients because it can lead to further damages to the health of the patient or death to the

patient.

Research questions

1. What is the relationship between telenursing and transitional nursing?

2. What is the significance of using telenursing and transitional nursing in nursing?

3. What are the precautions of using telenursing in monitoring patients with chronic

conditions?

4. What is the cost of using telenursing in transitional nursing

5. What are the challenges of using telenursing and transitional nursing to patients and

nurses?

6. What are the ethical considerations in using telenursing?

Master’s Essentials

Some of the Master’s Essentials aligned with this study incorporate quality improvement

and security, informatics and medicinal services innovations, interprofessional joint effort for

improving patient and populace care result, and ace's level nursing practice. The research aims at

improving the safety and quality of the care outcome for patients with chronic illnesses. This

research is mainly based on the application and use of nursing informatics and healthcare

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technologies-telenursing. The study is primarily based on the collaboration between nurses and

other health professionals for the effective delivery of care services.

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References

Ghorbanzadeh, K., Fallahi-Khoshknab, M., Seyed Bagher Maddah, S., & Izadi Darghahlo, M.

(2017). Telehealth and Telenursing Knowledge and Attitude among Students of Nursing

in Ardebil University of Medical Sciences. Iran Journal of Nursing, 30(107), 42-52.

Gidora, H., Borycki, E. M., & Kushniruk, A. W. (2019, March). Effects of Telenursing Triage

and Advice on Healthcare Costs and Resource Use. In ITCH (pp. 133-139).

Kumar, S., & Snooks, H. (Eds.). (2011). Telenursing. Springer Science & Business Media.

Ong, M. K., Romano, P. S., Edgington, S., Aronow, H. U., Auerbach, A. D., Black, J. T., ... &

Ganiats, T. G. (2016). Effectiveness of remote patient monitoring after discharge of

hospitalized patients with heart failure: the better effectiveness after transition–heart

failure (BEAT-HF) randomized clinical trial. JAMA internal medicine, 176(3), 310-318.