Tele Nurse

Dr. Wung is addressing an important component of critical care nursing: the role of technology in pateint care. She has assembled top authors to provide current clinical information in the following areas: Sensory overload and technology in critical care; Alarm fatigue; Nurse-technology Interactions; Safety steps to prevent Infusion errors; Product design and medical devices for nurses ; Technologies to assess physiologic parameters (hemodynamics/cardio output); Technologies to support hemodynamics (e.g., balloon pump. ECMO, etc); Interactive computer programs for application of critical thinking skills; Information technology Electronic health records (EHR); Real-time detection of clinical care deviations in ICU; Medication safety technology; and eICU/iCARE. Readers will come away with the updates they need to improve patient outcomes.

When a patient calls a medical provider with questions or to report symptoms, a nurse experienced in telephone triage will likely take the call. The goals of the triage nurse are to gain the confidence of the patient, relieve anxiety, obtain relevant information about the patient's symptoms, assess the information, and determine the level of medical intervention needed. The triage nurse is an experienced practitioner with excellent communication and interpersonal skills. This reference offers an overview to telephone triage, identifies liability and risk issues, describes the protocol or guideline structure, discusses a typical model (flow chart) of a triage call, and provides specific protocols by which the nurse obtains information leading to an assessment. A new telephone triage nurse can benefit from the information provided in this reference.

This book is dedicated to the promotion of the International Classification Nursing practice (ICNP) in Europe and to demonstrate how comparative tele-matic based nursing data can be used in nursing modules of the electronic patient records. Using ICNP as structured data entry will counter the lack of uniform comparative descriptive data on nursing care and enhance the clinical nursing research potential of electronic patient records. It is the aim of TELENURSE not only to advance nursing documentation from the stage of paper and pen to the stage of modern telematic but also to advance electronic nursing documentation from isolated systems to integrated nursing modules of the electronic patient records. Integrations spanning from data integration to integration of nursing modules with an overall architecture of electronic patient records require on the one hand different competencies and skills. On the other hand integration can only be accomplished between equal partners. The marriage of nursing knowledge to telematic knowledge within TELENURSE is believed to result in new generations of comprehensive and integrated telematic applications which will be of benefit to the whole health care sector. This book will update you on the insights with respect to the electronic applicability of the ICNP (in a European Health Environment).

This is the first book to explore this emergent role of the nursing profession. It examines the unique legal, regulatory and professional issues this neoteric mode of nursing practice presents. Telenursing as a subset of telehealth is defined and a review of its history, present status, and future in the U.S. health care system is discussed. Concomitant legal accountability and risk for malpractice liability are examined. Risk management strategies and survival tactics in the event of a lawsuit are presented—particularly the legal significance of, and essential need for, defensive nursing documentation. A brief overview of malpractice law is provided and the essentials of requisite malpractice insurance for the telenurse practitioner are outlined. The book also addresses a number of other professional, regulatory, and licensure issues, particularly the contentious issue of multistate licensing and the various models to facilitate it that are being offered, and rejected, by nursing organizations and associations. The anticipated changes in our health care delivery system that will be engendered by breakthroughs in science and technology are described. The implications of such changes for patients as consumers of health care are analyzed—particularly the privacy and confidentiality of electronic medical records.

Nursing Informatics and the Foundation of Knowledge, Sixth Edition continues to help nursing students make sense of nursing informatics in an easy-to-follow approach. A practical guide for understanding how to efficiently use modern technology in today's healthcare system, this award-winning nursing textbook teaches students how to acquire, process and disseminate knowledge. The authors use their unique Foundation of Knowledge Model throughout as an organizational structure by which to learn and teach nursing informatics. This comprehensive framework guides students through the basic building blocks of nursing informatics (nursing science, information science, computer science, cognitive science) before diving into current technologies, tools, and trends in nursing informatics. The updated Sixth Edition provides nurse educators with the necessary tools to transfer the knowledge their students need to succeed in the information age. Rich learning features, including Case Studies, Working Wisdom, and Application Scenarios demonstrate how these technologies can be applied in practice, linking information and knowledge management within a real-world context.

Performing telephone triage requires the ability to make quick and effective decisions based on limited information.This rapid-access resource delivers over 200 triage protocols for evaluating patients' symptoms over the telephone. Each symptom entry lists questions, grouped by urgency level, to determine whether the caller should seek emergency care immediately, seek medical care the same day, call back for appointment, or follow home care instructions. Detailed home care instructions are then provided. Simple, direct, and useful, it is the most comprehensive and user-friendly telephone triage book available. This new edition features several new protocols--Swine Flu (H1N1 virus), Bedbug Problems, Tattoo Problems, and Emergency Contraception--as well as new information in the introductory chapter about program development, management issues, and staff development, including training. Also featured is a new reminder about documentation in each protocol as well as a new anatomic Table of Contents and expanded home care instructions.

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Background: Telenursing has rapidly expanded in many countries. In Sweden, a national telephone advisory nursing service reaches the entire nation and receives approximately 4,5 million calls per year. The six phase nursing process – assessment, nursing diagnosis, setting goals, planning, implementation and evaluation – can be used when managing a caller’s health problem. In telenursing, a person-centred approach makes for more satisfied and appreciative callers. The core component of interaction is the verbal communication between the telenurse and caller. Several studies have revealed the need for the development of communication competence in telenursing. Structured analyses of conversations between telenurses and callers is one way to increase telenurses’ awareness of their communication and interpersonal competence. This type of analysis requires a valid formative self-assessment tool. To evaluate communicative effectiveness, the patient perspective of the interpersonal aspects of interaction are described as a necessary component, and satisfaction surveys designed for a telenursing context are recommended. Therefore, a questionnaire is needed that evaluates the effects of telenurse communication training from the caller’s perspective. Aims: The overall aim of these two studies was to develop tools to enable improvements and evaluations in communication and interpersonal competence in telenursing from the perspective of both the telenurse and the caller. Study 1: To develop a self-assessment tool aiming to raise telenurses’ awareness of their communication and interpersonal competence and highlight areas in need of improvement. Study 2: To develop and assess content validity of a theoretically anchored questionnaire that explores caller satisfaction in TAN as a result of the interaction between the caller and the telenurse. Methods: Study 1: The development and the evaluation of content validity of the Telenursing Self-Assessment Tool (TSAT) started with a literature search and domain identification, which were used to generate the items. The assessment of the content validity was performed in two steps. First, an expert group completed two rounds of assessments using Content Validity Index (CVI). Second, telenurses tested the tool and assessed the content validity using CVI. Thereafter, the telenurses participated in consensus discussions. Refinements of the tool were done after every assessment. Study 2: The development and the evaluation of content validity of the Telenursing Interaction and Satisfaction Questionnaire (TISQ) started with a literature search and domain identification, which were used to generate the items. The assessment of the content validity was performed in two steps. First, cognitive interviews were performed with the callers, the target population. Next, experts evaluated the content validity using CVI. Refinements of the tool were done after every assessment. The Interaction Model of Client Health Behavior (IMCHB) provided theoretical guidance and support. Results: Study 1: The TSAT with 58 items was developed. The items were structured according to the nursing process and the tool was judged as having good content validity. Study 2: The TISQ consisting of 60 items based on the IMCHB was developed. The questionnaire was found to exhibit good content validity. Conclusions: This thesis describes the development and assessment of content validity of two theoretically anchored tools aimed to improve and evaluate communication and interpersonal competence in telenursing from the perspective of both the telenurse and the caller. The TSAT is meant to create learning opportunities, to provide self-direction, feedback, and coaching, and to guide the telenurse through the nursing process using a person-centred approach. The TISQ aims to explore the callers’ satisfaction and the callers’ perceptions of the interaction with the telenurse. With better knowledge about this, communication improvement and education in telenursing can be tailored to enhance caller satisfaction.