Telehealth: A new venue for health care delivery

Schlachta-Fairchild, Loretta

doi:10.1053/sonu.2001.20417

Cited by 15 publications

(13 citation statements)

References 18 publications

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“…The role of nurses does not change in telehealth, only the way in which it is delivered and the locations differ. 19 The experience reported in the present study was generally positive and the CPNs reflected on continuing and even developing the use of videoconferencing. Professionals who are conducting telehealth interventions may need further experience in using the technology to feel comfortable with the approach, 29 which accords with our findings.…”

Section: Discussionmentioning

confidence: 82%

Experience with videoconferencing between a neonatal unit and the families' home from the perspective of certified paediatric nurses

2009

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Parents of preterm-born infants need support after returning to their homes with their baby. We studied the experience of certified paediatric nurses (CPNs) with the use of videoconferencing between the neonatal intensive care unit and the families' home. Families were given a home videoconferencing unit, which allowed them to contact staff at the neonatal unit, day and night. Over a period of 12 months, ten families used the videoconferencing equipment. Families made a median of 4 telemedicine calls each (range 2-30). Narrative interviews were performed with 10 CPNs after the study ended. Qualitative thematic content analysis was applied to the interview data and one theme was identified: smoothing the transition of infants from the neonatal unit to the families' home. The CPNs found that videoconferencing helped them to assess the overall situation at home and facilitated the relationship between parents and the infant. The CPNs felt that they were able to provide security to the family. The use of videoconferencing was considered as a generally positive experience and as a tool to improve nursing care at home.

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Section: Discussionmentioning

confidence: 82%

Experience with videoconferencing between a neonatal unit and the families' home from the perspective of certified paediatric nurses

2009

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“…Advances in technology allow medical specialists to provide care to patients in alternative care sites and remote geographical areas. 11 The areas of use have increased and include teleconsultation/teleconferences, 12 telementoring, 13,14 telesurgery and robotics. 15 Our experience of using videoconferencing between a vascular specialist and the patient's home is that it allows early and safe discharge one day after carotid endarterectomy.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in vascular surgery: clinical experience in a single centre

Robaldo¹,

Ρούσας²,

Bianca³

et al. 2010

J Telemed Telecare

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Over a three-year period we performed 630 carotid endarterectomy procedures in 588 patients. From these we selected 90 patients (group A) who fulfilled the criteria for discharge one day after surgery. These patients were given an electronic blood pressure meter, a video phone for use at home and an antihypertensive drug (amlodipine). Using web-based video conferencing, we monitored the patients every 4 hours for the first two days. The other 498 patients (group B) were discharged on the second postoperative day. There were no significant differences between the groups in demographic characteristics, risk factors, carotid lesions, operative time, postoperative complications or blood loss. No cervical hematomas developed in group A. No patients needed to be readmitted because of major complications relating to the carotid endarterectomy. During the video-communication, 28 patients (31%) with a hypertensive crisis were treated by administration of amlodipine. At discharge, a questionnaire showed that there was a feeling of insecurity in both groups: 87% in group A vs. 79% in group B (P > 0.05). In group A, insecurity decreased after the first video connection and disappeared after the 8th day postoperatively. Telemedicine appears feasible and useful in carotid endarterectomy and may have other applications in vascular surgery care.

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“…Observou-se também que, a prática do acompanhamento por telefone está sendo realizada em agências de atendimento, hospitais psiquiátricos, empresas de planos de saúde, centro de reabilitação e até em ramos das forças armadas. Foi identificado que tal tecnologia tem o potencial para efetuar a redução de custos (7) . E a especialidade oncológica oferece um campo para o uso da tecnologia de telessaúde, já que são pacientes que requerem longos períodos de cuidados com monitorização cuidadosa e consistente.…”

Section: Categoria Temática Artigosunclassified

“…E a especialidade oncológica oferece um campo para o uso da tecnologia de telessaúde, já que são pacientes que requerem longos períodos de cuidados com monitorização cuidadosa e consistente. Particularmente, para aqueles que estão localizados geograficamente em área remotas, a telessaúde tem sido utilizada para monitoramento, educação do paciente e apoio à família, avaliação, gestão de medicamentos e de cateter, manejo nutricional, entre outras aplicações (7) . Foi mencionado também, como benefício, a diminuição da permanência hospitalar, bem como os custos do sistema de saúde.…”

Section: Categoria Temática Artigosunclassified

“…Esta falha em promover a cobertura destes serviços ameaça a expansão da telessaúde, restringe o acesso aos serviços desta ordem, além de prejudicar a capacidade das empresas prestadoras de cuidados afins de usar tecnologias na redução de custos e no aumento da qualidade do serviço ofertado (7) . Um contraponto da pesquisa de telessaúde é que tal estudo não possibilita o registro de adesão do paciente ao autocuidado ou a adesão à intervenção por parte do paciente.…”

Section: Desvantagens Do Acompanhamento Por Telefone Realizado Pelo unclassified

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Acompanhamento por telefone no p�s-alta dos pacientes onco-hematol�gicos: revis�o integrativa da literatura

Sousa

Santo

Pinheiro

2017

R. Enferm. Cent. O. Min.

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RESUMOObjetivo: analisar a produção científica acerca do acompanhamento, por telefone, pelo enfermeiro, no pós-alta do paciente com doença onco-hematológica, na redução do evento de readmissão hospitalar. Método: trata-se de uma revisão integrativa da literatura. Tal revisão visa responder à seguinte questão de pesquisa: A intervenção no acompanhamento por telefone, pelo enfermeiro, no pós-alta, reduz a readmissão hospitalar dos pacientes com doença onco-hematológica? A pesquisa foi realizada nas seguintes bases de dados: Cochrane Library, PubMed, LILACS e CINAHL. A busca foi iniciada no segundo semestre de 2016 e finalizada em fevereiro de 2017, sem qualquer restrição quanto a idioma e período. Após a análise das publicações, foram selecionados para compor a amostra da pesquisa, seis artigos, que foram submetidos à análise de conteúdo. Resultados: Foram elaboradas duas categorias temáticas: benefícios e desvantagens da consulta através do acompanhamento por telefone realizada pelo enfermeiro-oncologista; elementos necessários à avaliação, pelo enfermeiro durante o acompanhamento por telefone. Conclusão: A intervenção telefônica tem sido um instrumento de trabalho do enfermeiro, que possibilita estar mais próximo ao paciente, quando este se encontra geograficamente longe e mais necessitado de um cuidado que lhe forneça segurança, conforto e qualidade de vida. ABSTRACTObjective: to analyze the scientific production about the telephone follow-up by the nurse in the post-discharge of oncohematological disease patients, in the reduction of the hospital readmission event. Method: this is an integrating review of literature. This review aims to answer the following research question: Does intervention in the telephone follow-up by the nurse in the post-discharge period reduce the hospital readmission of patients with onco-hematological disease? The research was carried out in the following databases: Cochrane Library, PubMed, LILACS and CINAHL. The search began in the second half of 2016 and ended in February 2017 without any restriction on language and period. After the publications analysis, six articles were selected to compose the research sample and were submitted to content analysis. Results: The study elaborated two thematic categories: benefits and disadvantages of the consultation through the telephone follow-up performed by the oncologist nurse and necessary elements for evaluation by the nurse during the telephone follow-up. Conclusion: The telephone intervention has been nurse's tool that makes it possible to be closer to the patient when this one is geographically far away and needs more care to provide safety, comfort and quality of life. Descriptors: Telemedicine; Patient readmission; Oncology nursing; Hematologic Diseases. RESUMENObjetivo: analizar la producción científica sobre el seguimiento telefónico por los enfermeros después de alta hospitalaria de los pacientes con enfermedades onco-hematológicas, en la reducción de eventos de reingreso hospitalario. Método: Se trata de una revisión integrativa...

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Telehealth: A new venue for health care delivery

Cited by 15 publications

References 18 publications

Experience with videoconferencing between a neonatal unit and the families' home from the perspective of certified paediatric nurses

Experience with videoconferencing between a neonatal unit and the families' home from the perspective of certified paediatric nurses

Telemedicine in vascular surgery: clinical experience in a single centre

Acompanhamento por telefone no p�s-alta dos pacientes onco-hematol�gicos: revis�o integrativa da literatura

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