Telehealth Challenges in Nursing: A Narrative Review

Authors

  • Samer Hatem Sharkiya Nursing Ph.D Candidate, Dorot Geriatric Medical Center Affiliated to the Technion Faculty Of Medicine, Haifa, Israel

DOI:

https://doi.org/10.55677/IJCSMR/V4I8-01/2024

Keywords:

Telehealth, nursing, employing technology

Abstract

Background: Telehealth, employing technology such as Internet-based video, live chat, or telephone, has become essential for enhancing healthcare accessibility and cost-effectiveness. Despite its benefits, telehealth adoption faces challenges, particularly among nurses. This narrative review investigates the specific challenges nurses encounter with telehealth, focusing on a lack of training and resistance to change.

Methods: The review analyzed literature from Web of Science, PubMed, ScienceDirect, and Google Scholar. A narrative review methodology was used, whereby the retrieved studies were thematically synthesized to address the review’s aim.

Results: The search yielded eight primary studies. Findings of the narrative synthesis reveal that inadequate training is a significant barrier, with nurses often lacking the time and resources to engage in telehealth training. Additionally, resistance to change, influenced by workflow interruptions and discomfort with being monitored, further hampers adoption.

Recommendations: Recommendations include addressing nursing understaffing, integrating telehealth education into nursing curricula, and developing tailored training programs. Future research should focus on nurses' unique perspectives and test interventions to address identified challenges. Understanding and addressing these barriers can enhance telehealth integration in nursing, ultimately improving healthcare delivery.

References

Alghamdi, S. M., Aldhahir, A. M., Alqahtani, J. S., Siraj, R. A., Alsulayyim, A. S., Almojaibel, A. A., Alhotye, M., Alanazi, A. M., & Alqarni, A. A. (2022). Healthcare providers’ perception and barriers concerning the use of telehealth applications in Saudi Arabia: A cross-sectional study. Healthcare, 10(8), 1527. https://doi.org/10.3390/healthcare10081527

Allison, M. K., Curran, G. M., Walsh, W. A., Dworkin, E. R., & Zielinski, M. J. (2023). Factors affecting telemedicine implementation in emergency departments and nurses’ perceptions of virtual sexual assault nurse examiner consultation for sexual assault survivors. Journal of Forensic Nursing, 19(1), 41–49. https://doi.org/10.1097/JFN.0000000000000385

American Telemedicine Association. (2020). Telehealth: Defining 21st century care. https://marketing.americantelemed.org/hubfs/Files/Resources/ATA_Telehealth_Taxonomy_9-11-20.pdf

Bagot, K., Moloczij, N., Arthurson, L., Hair, C., Hancock, S., Bladin, C. F., & Cadilhac, D. A. (2020). Nurses’ role in implementing and sustaining acute telemedicine: A mixed‐methods, pre‐post design using an extended technology acceptance model. Journal of Nursing Scholarship, 52(1), 34–46. https://doi.org/10.1111/jnu.12509

Ben-Assuli, O. (2022). Measuring the cost-effectiveness of using telehealth for diabetes management: A narrative review of methods and findings. International Journal of Medical Informatics, 163, 104764. https://doi.org/10.1016/j.ijmedinf.2022.104764

Dopelt, K., Avni, N., Haimov-Sadikov, Y., Golan, I., & Davidovitch, N. (2021). Telemedicine and eHealth literacy in the era of COVID-19: A cross-sectional study in a peripheral clinic in Israel. International Journal of Environmental Research and Public Health, 18(18), 9556. https://doi.org/10.3390/ijerph18189556

Haimi, M., Goren, U., & Grossman, Z. (2024). Barriers and challenges to telemedicine usage among the elderly population in Israel in light of the COVID-19 era: A qualitative study. DIGITAL HEALTH, 10, 20552076241240235. https://doi.org/10.1177/20552076241240235

Heyer, A., Granberg, R. E., Rising, K. L., Binder, A. F., Gentsch, A. T., & Handley, N. R. (2021). Medical oncology professionals’ perceptions of telehealth video visits. JAMA Network Open, 4(1), e2033967. https://doi.org/10.1001/jamanetworkopen.2020.33967

Hoffman, D. A. (2020). Increasing access to care: Telehealth during COVID-19. Journal of Law and the Biosciences, 7(1), lsaa043. https://doi.org/10.1093/jlb/lsaa043

Jonasdottir, S. K., Thordardottir, I., & Jonsdottir, T. (2022). Health professionals’ perspective towards challenges and opportunities of telehealth service provision: A scoping review. International Journal of Medical Informatics, 167, 104862.

https://doi.org/10.1016/j.ijmedinf.2022.104862

Kleinpell, R., Barden, C., Rincon, T., McCarthy, M., & Zapatochny Rufo, R. J. (2016). Assessing the impact of telemedicine on nursing care in intensive care units. American Journal of Critical Care, 25(1), e14–e20. https://doi.org/10.4037/ajcc2016808

Larson, S., Popov, V., Ali, A. M., Ramanathan, P., & Jung, S. (2021). Healthcare professionals’ perceptions of telehealth: Analysis of tweets from pre- and during the COVID-19 pandemic. In A. R. Ruis & S. B. Lee (Eds.), Advances in Quantitative Ethnography (Vol. 1312, pp. 390–405). Springer International Publishing.

https://doi.org/10.1007/978-3-030-67788-6_27

MacGeorge, C. A., King, K., Andrews, A. L., Sterba, K., Johnson, E., Brinton, D. L., Teufel, R. J., Kruis, R., & Ford, D. (2022). School nurse perception of asthma care in school-based telehealth. Journal of Asthma, 59(6), 1248–1255.

https://doi.org/10.1080/02770903.2021.1904978

Moeckli, J., Cram, P., Cunningham, C., & Reisinger, H. S. (2013). Staff acceptance of a telemedicine intensive care unit program: A qualitative study. Journal of Critical Care, 28(6), 890–901. https://doi.org/10.1016/j.jcrc.2013.05.008

Mullen-Fortino, M., DiMartino, J., Entrikin, L., Mulliner, S., Hanson, C. W., & Kahn, J. M. (2012). Bedside nurses’ perceptions of intensive care unit telemedicine. American Journal of Critical Care, 21(1), 24–32. https://doi.org/10.4037/ajcc2012801

Niu, B., Mukhtarova, N., Alagoz, O., & Hoppe, K. (2024). Cost-effectiveness of telehealth with remote patient monitoring for postpartum hypertension. The Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 7555–7561.

https://doi.org/10.1080/14767058.2021.1956456

Odeh, B., Kayyali, R., Nabhani-Gebara, S., & Philip, N. (2014). Implementing a telehealth service: Nurses’ perceptions and experiences. British Journal of Nursing, 23(21), 1133–1137. https://doi.org/10.12968/bjon.2014.23.21.1133

Penn, N., & Laron, M. (2023). Use and barriers to the use of telehealth services in the Arab population in Israel: A cross sectional survey. Israel Journal of Health Policy Research, 12(1), 21.

https://doi.org/10.1186/s13584-023-00569-6

Penny, R. A., Bradford, N. K., & Langbecker, D. (2018). Registered nurse and midwife experiences of using videoconferencing in practice: A systematic review of qualitative studies. Journal of Clinical Nursing, 27(5–6).

https://doi.org/10.1111/jocn.14175

Ward, M. M., Ullrich, F., Potter, A. J., MacKinney, A. C., Kappel, S., & Mueller, K. J. (2015). Factors affecting staff perceptions of tele-ICU service in rural hospitals. Telemedicine and E-Health, 21(6), 459–466. https://doi.org/10.1089/tmj.2014.0137

Xu, J., Hamadi, H., Hicks-Roof, K., Zeglin, R., Bailey, C., & Zhao, M. (2021). Healthcare professionals and telehealth usability during COVID-19. Telehealth and Medicine Today. https://doi.org/10.30953/tmt.v6.270

Downloads

Published

2024-08-03

How to Cite

Sharkiya , S. H. (2024). Telehealth Challenges in Nursing: A Narrative Review. International Journal of Clinical Science and Medical Research, 4(8), 287–290. https://doi.org/10.55677/IJCSMR/V4I8-01/2024