Telehealth Nursing Research: Adding to the Evidence-base for Healthcare

Abstract

This paper reviews recent, nurse-led telehealth research with the goal of describing research findings that provide evidence for practice. Methods: Using an iterative search method, of eight electronic databases, 84 nurse-led research papers were separated into intervention research, systematic reviews and meta-analyses, and descriptive research. The main emphasis was on full text analysis of the intervention research. Results: Fifteen intervention research papers reported findings related to cardiovascular disease, diabetes mellitus, older age, young adults, early adolescents, children with special health care needs, people with a stoma, post-partum mothers and nurses. Also reviewed for useable evidence for practice were 10 systematic reviews, two meta-analyses and two papers that described reviews plus meta-analyses. Resuts: Fifty-five papers with descriptive designs are briefly described. Nurse-led intervention research is increasing knowledge about the use of telehealth technology and applications in care delivery. People with healthcare needs do better with individual attention and increased follow-up. People have a tolerance for technology used with them to advance their quality of life and healing but there is a point at which too much technology is overwhelming. Clinical research is a challenge due to the number of extraneous variables that are difficult to control and that can affect a person’s response to the research intervention. Conclusion: Continuation of nurse-led telehealth intervention research will help to ensure that technology used to support and advance care delivery will be evidence-based.

Evaluating IoT-Based Services to Support Patient Empowerment in Digital Home Hospitalization Services

“…Our findings demonstrate that the integration of different methodological approaches from various research fields opens an opportunity to bridge the existing lack of evidence on the applicability of digital technologies. Interventions have been previously developed to promote digital education in home care and specifically in HaH [ 32 , 33 ]. Most of them did not target a wide spectrum of ages and socio-economic profiles, nor address the challenge of building the educational capacity of patients and professionals [ 34 , 35 ].…”

“…When the target group is homogeneous, the educational content is more specific and well-defined. Conversely, addressing different target groups entails difficulties in delivering and adapting the educational content and information [ 31 , 32 , 34 ]. One of the challenges of developing this intervention was in allowing professionals and patients to learn how to use multiple devices and services in a few hours, without compromising patient safety and avoiding any type of risk.…”

Online based nursing intervention and family psychoeducation for reduce anxiety and improve adherence on hypertension clients

“…However, not many have seen the effectiveness of online nursing care. Online nursing care has become commonplace in nursing and provides positive results for both families and clients (Huter et al, 2020)Various types of online nursing care such as telenursing (Afik & Pandin, 2021;Bartz, 2020;Boro & Hariyati, 2019) have been shown to improve the physical and mental conditions of clients and caregivers. The provision of online therapy can be an alternative for providing nursing care to hypertensive clients and their families, especially if families and clients experience obstacles in accessing health services face-to-face during the COVID-19 pandemic.…”

Using telenursing after discharge to counsel patients diagnosed with COVID-19

“…3 Nurses can counsel sick and healthy people of all ages, educating them about diseases by raising awareness, providing information about available resources for coping with dis-eases, encouraging the effective use of healthcare resources, increasing the quality of care, and sharing evidence-based scientific information with patients. 2,3,5 Telenursing practices With advances in technology, nursing science continues to be influenced by telehealth practices. 6 Nurses need to remain up to date on developing information technology and use it in practice to improve the quality of patient care.…”