phases researcj
Running Head: TELENURSING TRANSITIONAL NURSING CARE 1
TELENURSING TRANSITIONAL NURSING CARE 2
Telenursing Transitional Nursing Care
Anisley Longa
Nursing Theory Comment by Claudia Davis: Add course code.
Florida National University Comment by Claudia Davis:
Prof: Claudia Davis, Phd. RN- BC Comment by Claudia Davis: Correction here.
7/28/2020
Results Comment by Claudia Davis: Needs header Introduction
This section will provide qualitative research results. In the study, data was collected using a structured and semi structured interview with a total number of interviewees was seventeen participants. The interview took place in a hospital in Miami, Fl. There were two units where the nurses engaged in the interview operated in namely unit 1 (Coronary care and cCardiothoracic unit) and unit 2 (Oncology unit). The nurses involved in the study are of different cultures, which implies that there was no restriction to only one culture. In Unit 1, there were seven nurses; 2 of the nurses were married female Asians, and the other was white American single female nurses. In Unit 2, there were ten married Hispanic females from Cuba. The tool that was utilized in qualitative research is a questionnaire. The total of nurses was 17. From the analysis, the results showed that different themes can be separated from the information regarding the patients and nurses. Some of the themes include the usefulness of telenursing transitional care for patients, access to vital information, using telecommunication as a form of communication with patients, an adaptation of elderly patients to telenursing, and follow-up telecommunication. Comment by Claudia Davis: The results of the qualitative study, Telenursing Transitional…. Comment by Claudia Davis: And semi structured interviews with seventeen participants Comment by Claudia Davis: Include age and race, height etc.
Themes Identified in the Study
Access to Vital information and services Comment by Claudia Davis: Use upper case for primary words.
The interview was face to face. All interviews were recorded and got consent from all of them. When a patient has been discharged, there is a need to have access to their information for future reference. Also, patients need access to essential services, such as equipment and medical services, whenever they are required. “R1: Is using telenursing transitional care helpful to care for patients? In Unit 1, one of the Asian nurse response was, “I feel it is very efficient and helpful to document patient information.” One white American nurse stated, “I do prefer using telenursing when caring for patients. It facilitates me in documenting as I am interacting with patients, I can advocate for patients better since I have all of the data of each patient right in front of me as I am going to each patient room versus, having to go back to the chart to document”. The rest of the nurses in unit 1 agreed it makes patient care better. In unit 2, most of the nurses had similar responses to the nurses in unit 1, that telenursing was very useful and efficient for them. There was a Hispanic nurse that had different feedback “I do think it is helpful using telenursing, for both nurses and patients. However, I don’t think it’s helpful if there’s a power outage since we could lose all clinical data that was inputted if it wasn’t saved fast enough”. Comment by Claudia Davis: Excellent data here.
From the research, it can be established that it is easier to document information while using telenursing because of the ease of access to essential files. Even on a worst-case scenario of a power outage happening we can always go back to input the information and save it. Also, there is no need to carry out files from one place to another when wanting to attend to a patient. It is easier for patients to get access to services from their homes because the nurses can listen to the issues and recommend the appropriate services that they require. Therefore, telenursing is helpful and efficient for use by nurses and patients. Nurses do not have to get to the hospital to attend patients because they can exercise their skills from their places of comfort Comment by Claudia Davis: You must place reported speech in parentheses.
The usefulness of telenursing transitional care for patients
The usefulness of telenursing transitional care is the first theme of concern. For patients transitioning from hospital-based care to home care, they are placed in the transitional care unit where they are prepared to go home for some time to observe them. Telenursing is efficient in the case. Nurses benefit a lot in the process because they can attend to many patients compared to visiting them at their various rooms. Also, it is a cost-efficient method. Nurses do not have to carry patient files from one place to another because the files are accessible from the storage place. Recording patient information is much simpler, as stated by one nurse. However, transitional care can be challenging, especially when providing correct medication. Some of the errors that can occur in the process include unclear information, the omission of information, duplication, or duplication of information. At the point, patients and nurses experience a lot of challenges because of incorrect medication provision and getting the wrong information about treatment. The errors that happen in telenursing can lead to potential complications such as rehospitalization. Therefore, there is a need to consider the possible errors that occur during telenursing in transitional nursing care to prevent the chances of occurrence of complications. Comment by Claudia Davis: References needed here to support information Comment by Claudia Davis: Add reference to support data.
Using telecommunication as a form of communication with patients
The main focus of the interview question regarding telecommunication is the effect it has. One of the nurses mentioned that there are security issues with patient information when using telenursing. There is a fear of identity theft and a breach of patient information. Technology is risky if not handled carefully. There are people around the world who do not want to see the success of others. Also, hackers have arisen, and they are in the search for places to hack. Hackers have the aim of stealing personal information from organizations and hospitals. Therefore, nurses have a fear of having patient information stolen by unauthorized personnel and the breach of confidential information. If data gets into the wrong hands, it can be handled carelessly, which can result in problems. Therefore, nurses in the hospital have a problem with telehealth because of the fear of breaching confidentiality and losing patient trust. If patients lose their trust in nurses, then they will be afraid to provide full information regarding their illnesses, which will reduce the effectiveness of treatment, thus reducing the quality of care. Comment by Claudia Davis: You must support with evidence here.
Adaptation of elderly patients to telenursing
Elderly patients have proven to be the hardest to adhere to telenursing given that some of them are illiterate, and some of them have families that are difficult to handle. From the interview question, “R3: How do you think that the elderly patients are adapting to telenursing?” the response from the nurses were as follows: “In Unit 1, the white America nurse said, “Unfortunately, some patients do not like the new modern normality since they do not know how to navigate in the technical world.” “With these patients, we have to go over steps often to make sure they comprehend since they are used to the old-fashioned ways.” Responded an Asian nurse. In the Oncology unit they agreed with Unit 1, one of the nurses stated: “it’s hard for those people to adapt since, they don’t have the skills in the technology world; we have to make sure they understand since they can’t see well, hear well, etc.”
Older people prefer the old method of nursing services because most of the things are done for them. It is difficult for them to handle materials regarding technology because some of them have visual and hearing problems. Therefore, the result of the question reveals that there is a need to consider the age of the patient before offering telenursing services.
Follow-up Telecommunication
Regarding the use of telenursing, the researcher has implemented follow-up telecommunication services, which are meant to establish how patients are adhering to treatment. Also, follow-up is meant to ensure that the elderly patients are well taken care of by their family members after receiving education about telenursing. Follow-up calls can help nurses establish the areas where patients have difficulties and determine the services that patients need at a specific time. Through the use of telecommunication, nurses can know when a patient needs a home visit to check their health status. Also, there can be adjustments in medication if the medicine a patient is taking shows no signs of improvement. The approach helps in reducing the chances of rehospitalization (Kamei et al., 2018).
Discussion of Findings
The participants of the study find telenursing to be an efficient way of attending to transitional care patients. Patients transitioning from hospital-based care to the transitional care unit need to be carefully monitored. Nurses find it hard to attend to many patients at a time because of the waste of time. Also, it is costly having to attend to each patient at their rooms because of the need to carry files around containing patient information. Therefore, telenursing is both cost-effective and time saving because many patients can be attended to from a single point. During a vulnerable period, telenursing ensures that patients stay connected to their families and healthcare providers (Kash et al., 2017).
Elderly patients suffering from cardiovascular conditions find it efficient to use telenursing because it is cheap and efficient. Even though other elderly patients have developed eye and ear problems, they can be assisted by their family members and care providers to adhere to telenursing and treatment they are given. The main problem that patients get when receiving care from home is access to medication. There is a need for effective telecommunication to ensure that patients get access to medication for those that stay in rural areas. When offering telenursing services, there is a need to provide patient education regarding the prevention of illnesses, adherence to medication, and effective methods to take care of themselves.
Limitations of a Study
Evidence supported that Telenursing has been proven to improved the interaction between nurses and patients. The problem is that the study does not establish whether telenursing helps reduce the utilization of healthcare services. There is a need for more research to establish the effectiveness of telenursing in reducing the risk of readmissions and emergency hospital visits. Also, the study is based on seven participants, which may not be effective when making assumptions about the hospital population. There is a need for more research, where more participants are added, and the questionnaire contains many questions enough to make assumptions. Comment by Claudia Davis: Reference here.
Conclusion
The paper aimed at establishing the usefulness of telenursing, access to vital information and services, telecommunication, and adherence of elderly patients to telenursing in the transitional care unit in the hospital Miami, FL. The results obtained are of benefit because they show the usefulness of telenursing and how it helps both nurses and patients. Telenursing is efficient in ensuring both nurse and patient satisfaction. Nurses get enough time to attend to many patients by the use of telecommunication, and it is a benefit for patients because their needs are attended. There is a need for more research on the impact of telenursing to establish its usefulness over a large group of people. Also, the issue of security should be addressed to ensure that patient information is safe in the hands of healthcare providers. Comment by Claudia Davis: Include evidence here.
References
Kamei, T., Yamamoto, Y., Kanamori, T., Nakayama, Y., & Porter, S. E. (2018). Detection of early‐stage changes in people with chronic diseases: A telehome monitoring‐based telenursing feasibility study. Nursing & health sciences, 20(3), 313-322.
Kash, B. A., Baek, J., Davis, E., Champagne-Langabeer, T., & Langabeer II, J. R. (2017). Review of successful hospital readmission reduction strategies and the role of health information exchange. International journal of medical informatics, 104, 97-104.
Kalia, R., & Saggi, M. (2019). Telenursing and challenges in India. Asian Journal of Nursing Education and Research, 9(4), 573-576.
Uysal, H., & Yeni, K. (2016). Impact of health information technologies in nursing practices. ARC Journal of Nursing and Healthcare, 2(3), 17-22.
Yang, S., Jiang, Q., & Li, H. (2019). The role of telenursing in the management of diabetes: A systematic review and meta‐analysis. Public Health Nursing, 36(4), 575-586. Comment by Claudia Davis: This is an excellent Result of your qualitative study. I am seeing evidence of your methodology. Great tools identified. However, the reference page is not reflected in your text. Please insert your evidence (references) accordingly.