UDC 378:004.9:621.3

DOI: http://doi.org/10.15350/2409-7616.2024.1.08

Lanina S.Yu.¹ (Blagoveshchensk, Russian Federation) – swetl.lanina@yandex.ru; Plashchevaya E.V.² (Blagoveshchensk, Russian Federation) – elena-plashhevaja@rambler.ru; Zabelin D.A.³ (Astrakhan, Russian Federation) – link23487@mail.ru; Voronov E.Yu.³ (Astrakhan, Russian Federation) – foron789@yandex.ru

¹Blagoveshchensk State Pedagogical University

³Amur State Medical Academy

³Astrakhan State Medical University

Abstract. The ubiquitous penetration of telehealth technologies in today’s healthcare ecosystems necessitates a comprehensive examination of their integration into nursing practice. This study addresses the need for a thorough understanding of the nuanced challenges and potential benefits associated with the implementation of telemedicine in nursing practice. The primary purpose of this study is to identify and articulate the nuances associated with the implementation of telehealth technologies in nursing practice. Through a systems analysis, we aim to identify barriers that may impede seamless integration, while at the same time clarifying transformative perspectives that may change the landscape of nursing care. Our empirical findings delineate a spectrum of challenges ranging from lack of technological skills and ethical concerns to the intricacies of patient communication. At the same time, we identified favorable perspectives that include increased accessibility to healthcare, improved patient monitoring practices, and increased interdisciplinary collaboration among health care providers. Thus, the implementation of telehealth technologies in nursing practice presents a combination of challenges and opportunities. Targeted interventions, including specialized training, ethical frameworks, and technologically enhanced infrastructures, are required to overcome obstacles. Sanguine perspectives emphasize the need for ongoing research, policy development, and pedagogical initiatives that will ensure nursing professionals are well prepared to capitalize on the transformative potential of telemedicine. This collective endeavor promises to improve patient outcomes and enhance the efficiency of health care delivery systems. In conclusion, incorporating telehealth technologies into nursing practice is a challenging but promising endeavor.

Keywords: nurse training, nurse training, tele-walking, tele-nursing.

References:

1. Vladzimirsky A.V. Telemedicine. Monograph. Donetsk, Knowledge Publ., 2011. 436 с. (In Russian).
2. McVey C. Telenursing: A Concept Analysis. CIN: Computers. Informatics. Nursing, 2023, vol. 41(5), pp.  275-280. DOI: 10.1097/CIN.0000000000000973 
3. Qomi M., Rakhshan M., Ebrahimi Monfared M. et al. The effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with multiple sclerosis: a quasi-experimental study. BMC Neurol, 2023, vol. 23(1), pp. 71. DOI: 10.1186/s12883-023-03115-8 
4. Bashir A., Bastola D.R. Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study. JMIR Med Inform, 2018, vol. 6(2), ID. e35. DOI: 10.2196/medinform 
5. Dai Z. Telehealth in long-term care facilities during the Covid-19 pandemic – Lessons learned from patients, physicians, nurses and healthcare workers. BMC Digit Health, 2023, vol. 1(1), ID. е2. DOI: 10.1186/s44247-022-00003-y
6. Grinberg K., Sela Y. The Quality of Telenursing-Israeli Nursing Staff’s Perceptions. Healthcare (Basel), 2023, vol. 11(22), ID. е2915. DOI: 10.3390/healthcare11222915  
7. AlThiga H., Mohidin S., Park Y.S. et al. Preparing for practice: Nursing intern and faculty perceptions on clinical experiences. Medical teacher, 2017, vol. 39(1), pp. 55–62. DOI: 10.1080/0142159X.2016
8. Gibson N.A., Arends R., Hendrickx L. Tele-U to Tele-ICU: Telehealth Nursing Education. Critical Care Nurse, 2021, vol. 41(5), pp. 34–39.
9. Gustin T.S., Kott K., Rutledge C. Telehealth etiquette training: a guideline for preparing interprofessional teams for successful encounters. Nurse Educator, 2020, vol. 45(2). pp. 88–92. DOI: 10.1097/NNE.0000000000000680  
10. Frolov S.V., Frolova M.S. Trends in the development of telemedicine technologies in the Russian Federation. Bulletin of Tambov State Technical University, 2018, vol. 11 (2), pp. 328-340. (In Russian).
11. Moriyama M., Kazawa K., Jahan Y. et al. The Effectiveness of Telenursing for Self-Management Education on Cardiometabolic Conditions: A Pilot Project on a Remote Island of Ōsakikamijima, Japan. J Prim Care Community Health, 2021, vol. 12, ID. е21501327211030817. DOI: 10.1177/21501327211030817  
12. Jackson D., Bradbury‐Jones C., Baptiste D. et al. Life in the pandemic: Some reflections on nursing in the context of COVID‐19. Journal of clinical nursing, 2020, vol. 29, issue13-14, pp. 2041-2043. DOI: 10.1111/jocn.15257 
13. Ivanchuk O.V., Plashchevaya E.V. Issues of telemedicine: problems of studying in medical universities. CITISE, 2023, no. 1, pp. 144-154. (In Russian). DOI: 10.15350/2409-7616.2023.1.12
14. Khraisat O.M.A., Al-Bashaireh A.M., Alnazly E. Telenursing implications for future education and practice: Nursing students’ perspectives and knowledge from a course on child health. Plos One, 2023, vol. 18(11), ID. e0294711. DOI: 10.1371/journal.pone.0294711
15. Abdel-Aleem M.M.M. Telenursing perception among nursing students at Port Said University. IOSR J Nurs Health Sci, 2019, vol. 8, pp.18-23.
16. Poreddi V., Veerabhadraiah K.B., Reddy S. et al. Nursing Interns’ Perceptions of Telenursing: Implications for Nursing Education. Telehealth and Medicine Today, 2021, vol. 6(2). DOI:10.13140/RG.2.2.18400.71681
17. Kim Ik.-Ji., Kim Mi., Jeong Min Kyung. Exploring nursing students’ views on telenursing using Q methodology. СIN: Computers, Information Science, Nursing, 2021, vol. 39(12), pp. 1007-1016. DOI: 10.1097/CIN.0000000000000767
18. Harada T., Shibuya Y., Kamei T. Effectiveness of telenursing for people with lung cancer at home: A systematic review and meta‐analysis. Japan Journal of Nursing Science, 2022, vol. 20, issue 2,ID. e12516. DOI: 10.1111/jjns.12516
19. Van Houwelingen C.T., Moerman A.H., Ettema R.G. et al. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today, 2018, vol. 39, pp. 50-62. DOI: 10.1016/j.nedt.2015.12.025
20. Naditz A. Telenursing: front-line applications of telehealthcare delivery. Telemed J E Health, 2019, vol. 15(9), pp.825-859. DOI: 10.1089/tmj.2009

For citation: Lanina S.Yu., Plashchevaya E.V., Zabelin D.A., Voronov E.Yu. Medical information systems: competence of nurses. CITISE, 2024, no. 1, pp. 95-105. DOI: http://doi.org/10.15350/2409-7616.2024.1.08