Telenursing…the Future Is Now Paper
wally9111Wally, I have reviewed your explanantion of your paper; however, please review the instructions below and compare . This paper should have been focused on telenursing, not the use of EHRs. In each paragraph, your focus started with telenursing, but quickly changed to EHRs. EHRs can be used in telenursing, and this was the primary focus in your paper. Describing the advantages and disadvantages of telenursing would include allowing PCPs to assess their patients from a distance using telecommunications, allow patients to be assessed at home using monitors that are in healthcare facilities, allow physicians to utilize specialist to obtain a second opinion about their patients, etc. Telenursing can be used to monitor patients at home, via video streaming, between healthcare settings, etc.This is the use of telecommunication and IT to provide care or services to patients. Once you review the topic and instructions below, please contact me at (229) 376-1539.
Directions From Doc Sharing
1. You are to research (find evidence), compose, and type a scholarly paper based on the scenario described above. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be on the professional nurse’s role in telehealth, such as telenursing. Therefore, do not limit your review of the literature to your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical thinking skills to development of your paper.
2. Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Take advantage of the writing service, Smarthinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home tab. Also, review and use the various documents in Doc Sharing related to APA.
3. The length of the paper should be 4–5 pages, excluding the title page and the reference page. Limit your references to key sources.
4. The paper should contain an Introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. The Body should present the advantages and disadvantages of telenursing from a patient perspective. The Conclusion and Recommendations should summarize your findings and state your position on whether Manuel should accept the position should it be offered to him. Student's Comments and Excerpts from Week Four Paper
I have the last paragraph stating the advantages and disadvantages of Telenursing. please read it again.
here is a copy of the paragraph. I have spend many hours on this paper and I think I deserve more points.
I will appreciate it.
here is copy of the paragraphs:
EHRs and advanced information technologies have many good uses. A growing number of patients and consumers seek health care and disease information that are made automatic in the clinical applications to patients and medical staff with specific information targeted their use and their role in that specific situation has the potential to improve and probably detect a decline in patient health status and to improve patient satisfaction. For instance, patient portals that have the capacity to allow patients to interact with the health care providers and ambulatory care practices via the internet, often have better outcome when compared to a traditional office visits (Hebda, 2013). Certainly, EHR reduces documentation time especially when certain things are automated. More time spent with patient result in more patient satisfaction especially when patient receive comprehensive explanation of their condition. During this precious time, the clinician can remember to cover all points regarding a complicated disease if the health record is accessible in clicks and patient can receive relevant information with a click if needed. In many EHR, the patient can make flow sheets of activities on their charts anywhere with an internet access and record their clinical data such as blood sugar, fluid intake amount, their daily weight and etc. Patients can ask their physicians through a click about medications, side effects, and any recommendations whenever and wherever they are. This increase patient compliance and more personal and stronger relationship between patients and doctors. EMR also give a privacy assurance to the patient when HIPAA rules are flowed which aim to prevent private or secure medical document from being leaked. In long run, EMR is more advantageous to every aspect of medical field and improves compliance, satisfaction, productivity, and improves the medical community image (Hebda, 2013).
Despite the conveniences, Telenursing still has its share of downsides as well. According to Hebda, 2013, there are three most common area of this sort. The first being electrical glitches which the technology lies on its reliability. Research show that nurses should be the major part of EMR because majority of charting done by RN’s (Technology informatics Guiding Educational Reform, 2012). When feedback is not received in full from the sender, the data reliability decreases especially when the nurse have little computer knowledge and about how it interacts. Most nurses are basics clerks entering data and Hebda, 2013, blames it on under staffing and overwork issues. When data is unreliable, the second challenge takes over which is physician resistance and acceptance of the data. Many times I have been asked ‘are you sure this data entry is correct’. Majority of responsibly lies on the physician who takes care of the patient and nurses usually get away with mistakes. Also, physicians do not trust nurses 100% due to the fact that most nurses use common language rather than medical terms to describe a situation and do not diagnose. Patient care needs specifics to direct a symptom to a diagnosis. For these reasons, doctors do their own assessment and work and leave the general patient care such as inserting of IV, patient hygiene, and other simple tasks. My personal experience as a nurse tells me that even though I have a MD degree, I still do not use enough medical terminology to describe, document, and relay medical data to another physician and I blame it on the nursing profession and its practices. The third factor that is important in patient care is also not being practiced in its full extend is assessment. Most nurses and medical staff rely on the previous data to prescribe or manage an issue. Many times physical therapist and respiratory therapist ask me or look at my charting to decide and treat. They are simply a machine performing a task. Certain non-verbal cues might slip through the cracks if not enough time is given to do a complete assessment. Worse of all is when a doctor treat a patient sole on his EMR record without even touching the patient. From my reading somewhere I can’t remember which said "I don't think you can start an IV with it. There are places where we still have to have people touching people. But it brings a higher level of care … than we've been able to provide before." It is true that EMR has all the information, data, analysis, and MAR but it cannot be compared to a human touch.
The Term Meaningful use has major criteria’s that each has to be met and those include: Coordination has to show improvement, public health and the rest of the public has to show improvement in quality of health, ensure privacy, security, and stability of medical records, families has to be involved in care, and finally and most importantly quality, efficiency and health disparities has to show a reduction. Nurse informatics are the key player in constructing the bridge in between the transition to EMRs. Murphy's article states that this is the time and opportunity to increase our knowledge and understanding of better research, evidence based treatment and therapies, innovations, and use of new technology to better care for patients and for a better outcome (Murphy, p. 286, 2010). Manuel will pay a major role in this transition by relaying the relevant information to the proper group so they can fix and improve the system better. Nurse informatics will continue to be very important in planning and construction a solid ground for the EMR process and without that foundation, the potential for having mistake will be high. Most often nurses are the main player of patient care and therefore super critical to entering data and improving Electronic medical records. They can help by gathering data for examining evidence-based practice, for creating logarithms of care best suited for unique situations and to overall advance. "Nurses need to be prepared to practice nursing in the digital age and become meaningful users of EHRs (Hebda, 2013). Current research has found that nurses' perceptions of the overall quality of care and improvements in the quality of the care delivered was positively related the number of Telenursing present in their perspective unit (De-soches, 2012). Technology Informatics Guiding Educational Reform (TIGER) recommends the practice of informatics competencies to all nurses and nurse in trainings to fully utilize and engage in the unfolding of digital era in healthcare (http://www.tigersummit.com). I look forward to your response, as I will look to see if there are any other points that I may able to add. I would encourage you to reconsider resubmitting this paper for an increase in points. You covered a lot of information; however, the main focus was still not on telenursing. I do not have a problem with having my faculty manager to review as well. Warm Regards, Mattie Shiloh