Telepsikiyatri Hemşireliği ve Psikiyatri Hemşireliğinde Dijital Uygulamaların Yeri

Year 2025, Volume: 8 Issue: 5, 218 - 226, 15.09.2025

Rana Ceviz

https://doi.org/10.19127/bshealthscience.1723745

Abstract

Bu derleme, sağlık hizmetlerinde dijitalleşmenin hemşirelik uygulamalarına etkisini incelemekte ve özellikle telehemşirelik ile telepsikiyatri hemşireliği alanlarını güncel literatür ışığında analiz etmektedir. Dijital sağlık teknolojileri, COVID-19 pandemisi ve doğal afetler gibi kriz durumlarıyla birlikte hemşirelik hizmetlerinin sunum biçiminde köklü değişimlere yol açmış; hemşirelerin uzaktan bakım, izlem, danışmanlık ve psikoeğitim gibi rolleri dijital ortamda yeniden tanımlanmıştır. Telehemşirelik, hem bireysel hem de toplum sağlığına yönelik hizmetlerde erişilebilirlik ve süreklilik sağlarken, telepsikiyatri hemşireliği özellikle ruh sağlığı hizmetlerinde terapötik iletişim, kriz müdahalesi ve psikososyal destek işlevlerini güçlendirmiştir. Bu dönüşüm, hemşirelik mesleğinde yalnızca teknolojik entegrasyonla sınırlı kalmayıp, aynı zamanda etik sorumluluklar, profesyonel sınırlar ve dijital yeterlilikler açısından da yeni paradigmalar ortaya koymaktadır. Literatürde hasta memnuniyetinin yüksek olduğu, hizmet kalitesinin arttığı ve hemşirelerin dijital becerilerinin geliştiği saptanmış; ancak altyapı eksiklikleri, dijital eşitsizlik, veri güvenliği ve mevzuat boşlukları gibi çok boyutlu sorunların da sürdürülebilirlik açısından risk oluşturduğu belirtilmiştir. Bu bağlamda, hemşirelik hizmetlerinin dijital dönüşüm sürecinde etkin, güvenli ve etik bir çerçevede yürütülebilmesi için kapsamlı politika geliştirme, eğitim reformları ve teknolojik altyapı yatırımlarına ihtiyaç duyulmaktadır. Dijital hemşirelik, yalnızca bir adaptasyon süreci değil, aynı zamanda sağlık hizmetlerinin geleceğini şekillendiren stratejik bir dönüşüm alanı olarak değerlendirilmelidir. Derleme, sağlık hizmetlerinin dijitalleşme sürecinde hemşirelik uygulamalarında meydana gelen dönüşümleri kapsamlı biçimde incelemeyi; özellikle telehemşirelik ve telepsikiyatri hemşireliği bağlamında, dijital teknolojilerin mesleki rollere, etik sorumluluklara ve hizmet kalitesine etkilerini literatür temelli olarak analiz etmeyi amaçlamaktadır. Aynı zamanda, mevcut uygulamalardaki yapısal, teknolojik ve eğitsel eksiklikleri ortaya koyarak alandaki literatür boşluklarına dikkat çekmekte ve dijital hemşirelik pratiklerinin geliştirilmesine yönelik kanıta dayalı öneriler sunmayı hedeflemektedir.

Keywords

Dijital sağlık hemşireliği , Telehemşirelik , Telepsikiyatri hemşireliği , Hemşirelik bilişimi

Ethical Statement

Bu çalışma bir literatür derlemesi olup insan ya da hayvan katılımcıları içermemektedir. Bu nedenle etik kurul onayı gerekmemektedir.

Telepsychiatry Nursing and the Integration of Digital Applications in Psychiatric Nursing

Abstract

This review examines the impact of digitalization in healthcare on nursing practices, with a particular focus on the fields of telenursing and telepsychiatric nursing, analyzed through the lens of current literature. Digital health technologies, especially during crisis situations such as the COVID-19 pandemic and natural disasters, have led to fundamental transformations in the delivery of nursing services. Nurses’ roles in remote care, monitoring, counseling, and psychoeducation have been redefined within digital environments. Telenursing enhances accessibility and continuity in both individual and public health services, while telepsychiatric nursing has strengthened functions such as therapeutic communication, crisis intervention, and psychosocial support in mental health care. This transformation is not limited to technological integration in the nursing profession; it also introduces new paradigms in terms of ethical responsibilities, professional boundaries, and digital competencies. Literature indicates that patient satisfaction is high, service quality has improved, and nurses’ digital skills have developed. However, multifaceted challenges such as infrastructure deficiencies, digital inequality, data security issues, and regulatory gaps pose risks to sustainability. In this context, comprehensive policy development, educational reforms, and investments in technological infrastructure are needed to ensure that the digital transformation of nursing services is conducted within an effective, safe, and ethical framework. Digital nursing should be regarded not merely as an adaptation process but as a strategic transformation area that shapes the future of healthcare services. This review aims to comprehensively examine the transformations occurring in nursing practices during the digitalization process of healthcare. Specifically, it seeks to analyze, based on literature, the effects of digital technologies on professional roles, ethical responsibilities, and service quality within the contexts of telenursing and telepsychiatric nursing. Additionally, by identifying structural, technological, and educational deficiencies in current practices, it highlights gaps in the literature and aims to offer evidence-based recommendations for the development of digital nursing practices.

Keywords

Digital health nursing , Telenursing , Telepsychiatric nursing , Nursing informatics

Ethical Statement

This study is a literature review and does not involve human or animal participants. Therefore, ethics committee approval is not required.

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