Nurse-Led Telehealth Interventions During COVID-19

Abstract

Since the outbreak of COVID-19, telehealth expanded rapidly and was adopted as a substitute for in-person patient and nurse visits. However, no studies have mapped nurse-led telehealth interventions during the pandemic. This study aimed to identify and summarize the strengths and weaknesses of nurse-led telehealth interventions for community-dwelling outpatients during the COVID-19 pandemic. This study used a scoping review methodology and was guided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses Scoping Review Extension. Five electronic databases were searched to find studies published in English peer-reviewed publications between January 2020 and February 2022. A total of 490 articles were retrieved, of which 23 empirical studies were selected based on the inclusion/exclusion criteria. Primary studies from nine countries with a variety of research designs were included. Four strengths and three weaknesses of nurse-led telehealth interventions for patients during COVID-19 were identified. For telehealth services to provide effective, efficient, and quality patient care, future research and nursing practice need to overcome the identified weaknesses of current nurse-led telehealth interventions. More rigorous evidence-based research and updated and standardized guidelines for nurses' telehealth services will help improve the quality of patient care. Nurse managers, leaders, and policymakers can use the findings of this scoping review to refine the current telehealth services system.

Barriers and facilitators to utilizing digital health technologies by healthcare professionals

“…Most studies did not precisely consider one medical specialty, disease, or condition. However, some reviews focused on diseases of the respiratory system (e.g., tuberculosis, asthma, and chronic pulmonary obstructive disease) 19 , 22 , 31 , 32 , 46 , 93 , 101 , 123 , pregnancy, childbirth, or puerperium (e.g., maternal health, postpartum hemorrhage, and reproductive health) 19 , 22 , 23 , 26 , 31 , 35 , 46 , 56 , 61 , 77 , 94 , certain infectious or parasitic diseases (e.g., malaria, human immunodeficiency virus infection, and influenza) 19 , 22 , 23 , 28 , 31 , 46 , 50 , 61 , endocrine, nutritional, or metabolic diseases (e.g., diabetes mellitus) 57 , 64 , 76 , 93 , 123 , mental and behavioral disorders (e.g., post-traumatic disorder syndrome, stress, depression, and burnout) 23 , 41 , 44 , 64 , 70 , 76 , 94 , 125 , neoplasms 50 , 67 , 85 , 123 , diseases of the circulatory system (e.g., hypertension) 19 , 25 , 48 , 50 , 57 , 67 , 93 , 123 , diseases of the blood or blood-forming organs (e.g., anemia) 22 , and diseases or disorders of orofacial complex (e.g., oral lesions) 28 , 42 . Identified reviews mostly included quantita...…”

Nurse-led telehealth intervention effectiveness on reducing hypertension: a systematic review

“…The COVID-19 pandemic has increased barriers of face-to-face interactions between patients and healthcare providers, particularly in primary health settings. To continue to provide care for patients, nurses have begun incorporating different strategies to care for their patients, such as telehealth interventions to monitor and support patients with chronic conditions like hypertension [ 9 , 10 ].…”

The role of nurse‐led telehealth interventions in bridging healthcare gaps and expanding access

“…The rapid advancement of telehealth technologies has transformed the landscape of healthcare delivery, offering innovative solutions to overcome barriers related to geographical distance, limited access, and time constraints (Macduff et al., 2001; MacKenzie et al., 2010; Mizukawa et al., 2019). Among these novel approaches, nurse‐led telehealth interventions have emerged as a promising avenue to improve patient outcomes, enhance patient engagement, and optimize resource utilization (Joo, 2022; Kappes et al., 2023). This editorial explores the significance of nurse‐led telehealth interventions, their impact on healthcare delivery, and the potential challenges and benefits associated with their implementation.…”

“…Nurse‐led telehealth interventions involve the use of technology to enable nurses to deliver healthcare services remotely using technology such as phone, video conferencing and remote monitoring devices, bridging the gap between patients and providers (Barton et al., 2023; Joo, 2022). As the global healthcare landscape evolves, nurse‐led telehealth interventions have gained attention for their ability to provide timely, patient‐centred care while addressing issues of accessibility and convenience (Joo, 2022).…”

“…Nurse‐led telehealth interventions involve the use of technology to enable nurses to deliver healthcare services remotely using technology such as phone, video conferencing and remote monitoring devices, bridging the gap between patients and providers (Barton et al., 2023; Joo, 2022). As the global healthcare landscape evolves, nurse‐led telehealth interventions have gained attention for their ability to provide timely, patient‐centred care while addressing issues of accessibility and convenience (Joo, 2022). The rapid advancement of telehealth technologies has transformed the landscape of healthcare delivery, offering innovative solutions to overcome barriers related to geographical distance, limited access, and time constraints (Macduff et al., 2001; MacKenzie et al., 2010; Mizukawa et al., 2019).…”