what is the definition of telehealth
Should nurses be at the forefront of telehealth? - News
They may not appear natural allies at first glance but telehealth and nursing have similar aims
Though only a few thousand patients benefit currently from telehealth services in the UK, this number is likely to rise quickly and substantially. A Department of Health announcement on Thursday suggested that telehealth could bring significant benefits, and advocated the use of health and social care technologies to enhance "three million lives" in the UK.
As the largest element of the healthcare workforce, nurses are at the frontline of any changes to the way in which care is delivered. The profession therefore needs to be aware of the impact it can have, and ensure that it plays a part in shaping the inevitable scaling-up of this approach to healthcare delivery.
ISO/TR 16056-1:2004, Health informatics - Interoperability of telehealth systems and networks - Part 1: Introduction and definitionsLearn more
ISO/TC 215
Discussions are often complicated by a lack of clarity regarding definitions. Recent DH publications have tended to use the term telehealth to describe the specific application of remote patient monitoring (which should more correctly be referred to as "telemonitoring"). But it's a much broader term, encompassing any use of technology to remotely support healthcare and promote wellbeing. This wider definition includes – for example – phone-based services (such as NHS Direct) and video-enabled consultation.
At first glance, it is not a natural ally of nursing. Nursing practice has traditionally been based upon face-to-face (and often hands-on) interaction with patients. Telehealth – by definition – is the delivery of care while physically remote from the patient.
However, nursing has a history of improving patient care by embracing innovation and adapting to new ways of working. Nurses are flexible, motivated and dynamic practitioners, ideally placed to be at the forefront of the healthcare revolution.
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Kevin Roebuck
Despite the lack of hands-on interaction, the telehealth's goals have an intuitive fit with those of nursing. It is designed to enhance the patient experience and improve clinical outcomes; it allows patients to receive more of their care at home, rather than in institutional settings. Crucially, it supports self-care by empowering patients – a central tenet of nursing practice.
Already, there are pockets of practice where nurses work within – and lead – telehealth services. The most obvious examples are NHS Direct and NHS24, where nurses have developed the skills required to provide advice, reassurance and support over the phone, without the necessity for face-to-face consultation. Elsewhere, nurses have been key players in the development and use of telemonitoring services for patients with long term conditions, although not all nurses will be keen on the idea of wider adoption.
There are well-rehearsed arguments that telehealth could lessen face-to-face support and increase social isolation among patients. The evidence base is still maturing (and in some areas, equivocal) – a point reinforced in a recent healthcare network article.
In some areas – particularly given the scale of savings currently required by the NHS – nurses may feel that the introduction of technology represents a threat to their jobs.
To dispel these concerns, nurses need to have a better understanding of the benefits for them and their patients. The role that technology can play in care needs introducing to student nurses early within their educational programmes. Continuing professional development opportunities need to be available for registered nurses so that they can learn the skills necessary to work with new technologies.
If integrated fully with existing clinical pathways, telehealth can serve as a valuable adjunct to – not replacement for – nursing care. As technology is introduced into practice, nurses need to have the confidence to place themselves at the centre of developments, acting as a powerful voice for their patients and their profession.
David Barrett is a nurse lecturer in telehealth at the University of Hull.
This article is published by Guardian Professional. Join the healthcare network to receive regular emails and exclusive offers.
Read the complete post at http://www.guardian.co.uk/healthcare-network/2012/jan/20/nurses-needed-at-telehealth-forefront
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