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Wednesday, December 26, 2018

'Information Systems in Healthcare Essay\r'

'Nurses face recent situations and challenges with today’s rapid emergence info technology and telecommunication systems. Tele soundness is a distributeively advancing system that incorporates the ex axerophtholle of technology to enhance affected role compassionate in the most good and effectual way possible at a distance (Epidirippulige, 2010). Tele armorial bearing for is a part of tele easyness that is gaining authoritative growth as a sub sparety. â€Å"The office of opposed uncomplaining supervise, practically touch onred to as telewellness, has been widely adopted by wellness c ar providers, particularly shoes financial aid daysncies” (Suter et al., 2011). longanimouss with degenerative wellness diseases such as congestive heart failure (CHF) derive from telehealth serve. The role of Tele treat services chamberpot correct health outcomes, promote self- bearing through steerage and education, as well as slump readmissions to the hosp ital and their related checkup cost. Tele defy is uphill rather quickly ascribable to the ongoing shortage of nurses globally. â€Å"New ways to neck chronic distemper argon imperative, in particular as the population ages, chronic illness increases and the nursing shortage continues” (Bowles et al., 2009, p. 344).\r\nThe purpose of my research is to provide information on the consumption of nursing in telehealth habituates, the favors and disadvantages for unhurrieds, as well as legal factors to consider when providing nursing maintenance to patients with chronic illnesses within business firm health agencies. Telenursing is defined by the subject field Council of State Boards of breast feeding (NCSBN) as â€Å"the answer of nursing over distance victimization telecommunications technology” (Ameri tin Telemedicine Association (ATA), 2008). A some examples of terms comm just now used to refer to telehealth atomic number 18: telenursing, telecare, tele monitoring, tele nucleotide officecare and telemedicine (Artinian, 2007). All of which are â€Å"the grooming of clinical care at a distance through the use of electronic communication and information technologies” (Artinian, 2007, p. 25).\r\nTelehealth services can be proposeed at doctor’s offices, hospitals, and within the patient’s topographic point. with the use of telephones, video, computers, and other monitoring equipment patients deal the capability of receiving expert timberland medical care. It allows patients the ability to feel comfortable cognize a health professional is monitoring their illness regularly and not only mingled with doctor visits. The consumption of a Telenurse is a unique approach to nursing care and component of the telehealth system. â€Å"The nurse engages in the practice of nursing by interacting with a lymph node at a remote site to electronically receive the leaf node’s health status selective information, initiate and transmit therapeutic interventions and regimens, and monitor and put down the client’s response and nursing care outcomes” (NCSBN bearing Paper on Telenursing: A take exception to Regulation, 1997).\r\nTelehealth nursing (THN) allows nurses to key out much patients on a everyday basis, while decreasing the over-all work incumbrance of the nurses on a unit due to under plying issues. The nurse can accomplish this without divergence the hospital or doctor’s office, saving considerable amounts of time by using interactive telehealth equipment, allowing other health care professionals to focus on patients admitted with emergencies. Nurses throw access to the patient’s health issues and provide education as well as counseling regarding their disease affectes and oversight as they progress. Effective communication mingled with the nurse, family and patient is a critical role for successful forethought of the disease process and for the encouragement of patient involvement with self-care.\r\nThe accessibility 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 rectifyments in health care outcomes, decreased re-hospitalizations and medical costs, as well as promoting patients to become more proactive with their disease management. Depending on the stiffness of the patient’s medical condition, these benefits can be accomplished with the proper fealty to treatments and telehealth monitoring systems in place. Patients with chronic diseases lean to make more visits to the hospital and stand up more health care expenses than patients without chronic health diseases (Suter et al., 2011). Within the comforts of their home, patients are able to obtain their vital signs and bill symptoms using medical technology (blood nip machine, glucometer, weight scale or instant oxi metry) and report to the THN via the telephone, in-person through home visits, or by telemonitoring (Bowels et al., 2009).\r\nThe information provided by the patient allows the nurse to make decisions establish on the patient’s symptoms and vital signs. A perfect example, as reported by Edirippulige (2010), is through transgress care management, here studies have shown to prove that THN care can be quick and sound with the ability to take digital images of the injury during an at home visit. Both the THN and wound care specialist were able to collaborate and make necessary treatment plans, resulting in less at home visits, a reduction in healing time, and the barroom of hospitalization (Edirippulige, 2010). A second advantage to THN is the promotion of self-care management. According to Shea & Chomoff (2012), â€Å"patients who are active in self-care communicate with healthcare providers and develop partnerships as collaborators” (p. 111). This allows patien ts to develop the association and skills needed to gain the confidence with the management of their medical problems including â€Å"regular assessment of progress and problems, goal setting, and problem-solving support” (Suter et al., 2011, p. 111).\r\nTherefore, decreasing the possibility of their disease process from becoming worsened and prohibit unnecessary hospitalizations. A ternary advantage is the ability of telehealth services to offer frequent follow-up care to patient’s that can lead to fewer complications with their disease management (Artinian, 2007). While on that point are great advantages to THN disadvantages have also been seen that can lead to unsuccessful carrying into action of telehealth services. One disadvantage to THN is the patient’s miss of motivation, which can interfere with the patient’s ability to collect information trancely necessary to provide quality nursing care. Therefore, it is important to assess the patien t’s readiness to learn for appropriate disease management. Another disadvantage is lack of communication.\r\nShea & Chamoff (2012), stated that â€Å"Patients who do not talk to the nurse as often whitethorn rely on the telemonitored data more, but because of lack of communication, the THN does not kip down that the information is being used for self-care” (p. 114). Maintaining effective communication by offering fine information regarding the plan of care and goals between the patient and nurse can prevent mis pull inings that whitethorn implicate the patients’ health condition. Lastly, age can be a factor. In a study conducted by Bowles (2010), â€Å"patients who refused to use the technology were significantly older than those who pass judgment it” (p. 3).\r\nConclusion and Recommendations\r\nMy research has shown that telehealth can improve the overall quality of patient care at a distance by reducing readmissions to the hospital and its relate d 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 apply for the specify of THN, there are certain aspects to go along in mind when it comes to guidelines and legalities. It is important to understand your role at adhering to â€Å"the standards of quality, patient hiding and confidentiality as established in traditional nursing practice and governed law” (ATA, 2008, p. 2). Artinian 2007, (as cited by ANA, 1999), reported that â€Å"in 1999 the American Nursing Association published Core Principles on Telehealth describing professional standards in telehealth” (p. 29).\r\nThese guidelines provide information to assist nurses with protecting a client’s 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 pati ent who is located in another state. It’s 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, â€Å"staff and patients must be educated some the proper use and care of all telehealth devices” (Artinian, 2007, p. 29). I wish you luck and swear that I was able to provide you with plenteous information to support your decision.\r\nReferences\r\nAmerican Telemedicine Association. (2008). Telehealth nursing: A white paper real and accepted by the telehealth nursing special interest group. Artinian, N. (2007). Telehealth as a scratch 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,\r\n15(7), 344-350. Edirippulige, S. (2010). solidification of nurses for practicing telehealth. Studies In Health Technology & Informatics, 16149-56. National Council of State Boards of Nursing (NCSBN). (1997). Position Paper on Telenursing: A Challenge to Regulation. https://www.ncsbn.org/TelenursingPaper.pdf Shea, K., & Chamoff, B. (2012). Telehomecare Communication and Self-Care in inveterate Conditions: Moving Toward a Shared Understanding. Worldviews On Evidence-Based Nursing, 9(2), 109-116. doi:10.1111/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. doi:10.1089/pop.2010.0013\r\n'

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