Telehealth nursing ( second part ) بالانجليزية
Nurses play a vital role in telehealth by developing and implementing programs, overseeing activities, developing protocols, scheduling appointments, obtaining consents, selecting technology, and identifying patients who can benefit from telehealth services. They also manage the program, evaluate results, and strive to enhance and expand it. Furthermore, nurses coordinate telehealth operations, implement encounters according to standards and guidelines, educate providers on the program, assess patients for telehealth services, manage equipment inventory and utilization, and ensure program evaluation.
Another key duty of nurses in telehealth is to interact directly with patients and their families as educators and health coaches. They provide education in both real-time and non-real-time settings, help manage medications, explain test results, review patient-uploaded data, and provide guidance on making behavioural changes. The health coach collaborates with the triage nurse to assess patients and determine if they need to go to the emergency room, as well as coordinates transfers between different healthcare facilities and providers. Nurses also play a role in coordinating care for chronically ill or post-operative patients before and after they are discharged. They serve as tele presenters, assisting with setting up connections, ensuring security measures are in place, and facilitating communication through various technologies for telehealth visits. Additionally, nurses enrol and manage patients, confirm provider orders and patient consent, and support patient participation. In their capacity as bedside or ICU nurses, they help isolated patients stay connected with family members and arrange virtual consultations with specialists. When it comes to remote patient monitoring, nurses remotely monitor patients' health by analysing data from wearable devices, conduct virtual visits with patients or caregivers, and use algorithms to anticipate care needs.
The final aspect of telehealth nursing in healthcare professional collaboration can be broken down into different areas. For example, as a patient navigator or care coordinator, the tele-nurse uses technology to connect the interprofessional team and patients to navigate care, scheduling visits via phone or video. They also function as a nurse consultant by arranging virtual consultations between providers in different locations. Acting as a care transition coordinator, the tele-nurse coordinates care delivery across various healthcare settings through technology. They are also involved in case management, the tele-nurse organizes virtual access for tasks typically done in person, such as intake, scheduling, payment and documentation. Lastly, tele nurses play a role in tele-ICU by providing clinical knowledge to nurses in critical care units through technology, virtual rounding, and increased collaboration, as well as managing remote patient telemetry monitoring.
In the near future, a significant development will involve incorporating artificial intelligence (AI) into telehealth systems. AI will assist nurses in making medical decisions, monitoring patients, and predicting health problems. Furthermore, there will be an increase in the use of wearable devices for monitoring vital signs and health data remotely, resulting in reduced hospital visits and improved patient outcomes.
References
Gajarawala, S.N., & Pelkowski, J.N. (2021). Telehealth benefits and barriers. J Nurse Pract, 17(2),218-
221. doi: 10.1016/j.nurpra.2020.09.013.
Rutledge, C.M., & Gustin, T. (2021). Preparing nurses for roles in telehealth: Now is the time!.
The Online Journal of Issues in Nursing, 26 (1).
University of Illinois Chicago. (2023). How will telehealth impact the future of nursing? Retrieved
from https://online.uic.edu/degrees/nursing/rn-to-bsn/telehealth-impact-future-of-nursing/
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