Tele-Nursing Practices in Elderly People

Abstract

The number of older adults who benefit most from health care services is increasing in our country as well as in the world. However, during the pandemic process, older adults had difficulties in meeting the health care needs they needed. In this direction, the need for tele-health applications has gained importance once again. Tele-health applications are an application that facilitates individuals’ access to health care services in their own home environment, increases the independence of individuals, facilitates disease management, saves time and aims to provide health care in a short time and in the most efficient way. In addition, thanks to the tele-nursing service within the scope of tele-health applications, all the steps of the nursing process can be carried out with the developing technological devices. In this way, both older adults and nurses are positively affected by the care process. The purpose of this review is to raise awareness against tele-nursing applications used in the care of older adults, to present examples of tele-nursing applications in line with the literature, and to examine the advantages and disadvantages of tele-nursing applications.

Keywords

• Older people
• technology
• nursing
• tele-nursing

Yaşlılarda Tele Hemşirelik Uygulamaları

Abstract

Sağlık bakım hizmetlerinden en fazla yararlanan yaşlı bireylerin sayısı dünyada olduğu gibi ülkemizde de giderek artmaktadır. Ancak pandemi sürecinde, yaşlı bireyler, gereksinim duydukları sağlık bakım ihtiyaçlarını karşılamakta zorluk yaşamıştır. Bu doğrultuda tele sağlık uygulamalarına yönelik gereksinimde bir kez daha önem kazanmıştır. Tele sağlık uygulamaları, bireylerin kendi ev ortamlarında sağlık bakım hizmetlerine erişimini kolaylaştıran, bireylerin bağımsızlıklarını arttıran, hastalık yönetimini kolaylaştıran, zaman tasarrufu sağlayan ve sağlık bakımının kısa sürede ve en verimli şekilde sunulmasını amaçlayan bir uygulamadır. Ayrıca tele sağlık uygulamaları kapsamında yer alan tele hemşirelik hizmeti sayesinde de hemşirelik sürecinin tüm adımları gelişen teknolojik cihazlar ile yürütülebilmektedir. Bu sayede bakım sürecinden hem yaşlı bireyler hem hemşireler olumlu etkilenmektedir. Bu derlemenin amacı, yaşlı bireylere yönelik bakımında kullanılan tele hemşirelik uygulamalarına karşı farkındalık yaratmak, literatür doğrultusunda tele hemşirelik uygulama örneklerini sunmak, tele hemşirelik uygulamalarının avantaj ve dezavantajlarını incelemektir.

Keywords

• yaşlı
• teknoloji
• hemşirelik
• tele hemşirelik

References

1. World Health Organization. Ageing [Internet] [cited 2022 Apr 10]. Available from: https://www.who.int/health-topics/ageing#tab=tab_1
2. Dağdelen S. Teletıp yaşlılık ve teletıp uygulamaları [Internet]. TELETIP. 2021 Mayıs 127. Erişim adresi: https://geriatri.org.tr/pdf/TELETIP-K%C4%B0TABI%202021.pdf#page=135
3. Astell A. Technologies for active aging. Technology and fun for a happy old age [Internet]. Springer. 2013; 9: 169-187. Available from: https://link.springer.com/book/10.1007%2F978-1-4419-8348-0
4. Eccles A, Damodaran L, Olphert W, Hardill I, Gilhooly M. Technologies for active aging. Assistive technologies: ethical practice, ethical research, and quality of life [Internet]. Springer. 2013; 9: 47-68. Available from: https://link.springer.com/chapter/10.1007/978-1-4419-8348-0_4
5. Kawaguchi T., Toyomasu K. Health informatics: translating information into innovation innovation of community-based ıntegrated care. Innovation of community-based integrated care: the history and current status of telenursing in Japan [Internet]. Springer. 2021; 24: 25- 35. Available from: https://link.springer.com/chapter/10.1007/978-981- 15-3781-3_2#citeas
6. Souza-Junior VD, Mendes IAC, Mazzo A, Godoy S. Application of telenursing in nursing practice: an integrative literature review. ANR. 2016; 29: 254-260.
7. Ersoy S, Yıldırım Y, Aykar FŞ, Fadıloğlu Ç. Hemşirelikte inovatif alan: Evde bakımda telehemşirelik ve telesağlık. AUHSJ. 2015; (4): 194-201.
8. Alzheimer’s Association. Alzheimer’s disease facts and figures 2021 [Internet]. Available from: https://www.alz.org/media/documents/ alzheimers-facts-and-figures.pdf

9. Gordon NP, Hornbrook MC. Differences in access to and preferences for using patient portals and other ehealth technologies based on race, ethnicity, and age: a database and survey study of seniors in a large health plan. JMIR. 2016; 18(3): e5105.
10. Van den Berg N, Schumann M, Kraft K, Hoffmann W. Telemedicine and telecare for older patients—a systematic review. Maturitas. 2012; 73(2): 94-114.
11. Terkeş N. Bektaş H. Yaşlı sağlığı ve teknoloji kullanımı. DEUHFED. 2016; 9(4):153-159
12. Ajalli A, Fallahi KM. Tele nursing care in chronic patients/a systematic review. IJRN. 2015; 1(3):76–86.
13. Vaidya B, Patel A, Panchal A, Mehta R, Mehta K, Vaghasiya P. Smart home automation with a unique door monitoring system for old age people using Python, OpenCV, Android and Raspberry pi. ICICCS. 2017; 82-86.
14. Choi YK, Hilaire JT, George D. Use of an internet-of-things smart home system for healthy aging in older adults in residential settings: Pilot feasibility study. JMIR aging. 2020; 3(2): e21964.
15. Thapliyal H, Nath RK, Mohanty SP. Smart home environment for mild cognitive impairment population: Solutions to improve care and quality of life. IEEE Access. 2018; 7(1): 68-76.
16. Pal D, Funilkul S, Vanijja V, Papasratorn B. Analyzing the elderly users’ adoption of smart-home services. IEEE Access. 2018; 6: 51238-51252.
17. Eudes Y, Mangeney K, Diméo M, Pierrel S, Sokolakis S, Carnein S. La télémédecine et l’accès aux soins des personnes âgées ou handicapées [The benefit of telemedicine for enabling elderly or disabled people to access care]. Soins. 2016; 61(810): 41-44.
18. Javanmardifard S, Ghodsbin F, Kaviani MJ, Jahanbin I. The effect of telenursing on self-efficacy in patients with non-alcoholic fatty liver disease: A randomized controlled clinical trial. GHFBB. 2017; 10(4): 263.
19. Zulfiqar AA, Hajjam A, Andrès E. Focus on the different projects of telemedicine centered on the elderly ın France. Current Aging Acience. 2019; 11(4): 202–215.
20. Boreskie KF, Hay JL, Duhamel TA. Preventing frailty progression during the COVID-19 pandemic. J Frailty Aging. 2020; 9: 130-131.
21. De Luca R, Torrisi M, Bramanti A, Maggio MG, Anchesi S, Andaloro A, et al. A multidisciplinary Telehealth approach for community dwelling older adults. Geriatr Nurs. 2021; 42(3): 635-642.
22. Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC. 2020; 20(1): 1-9.
23. 23.Sävenstedt S, Zingmark K, Sandman PO. Video-phone communication with cognitively impaired elderly patients. J Telemed Telecare. 2013; 9(2): 52–54.
24. Mohammed HM, El-sol AESH. Tele-nursing: Opportunities for nurses to shape their profession’s future. IJSR. 2020; 7(3): 660-676.
25. Çetin B, Eroğlu N. Hemşirelik bakımında yenilikçi teknolojiler. Acta Medica Nicomedia. 2020; 3(3): 120-126.
26. Özdemir E, Örsal Ö. Türkiye’de hemşirelik tezlerindeki tele-hemşirelik uygulamalarının etkisinin incelenmesi: Sistematik Derleme. Turkiye Klinikleri J Nurs Sci. 2020; 12(4).
27. Scalvini S, Zanelli E, Volterrani M, Martinelli G, Baratti D, Buscaya O, et al. A pilot study of nurse-led, home-based telecardiology for patients with chronic heart failure. J Telemed Telecare. 2004;10(2):113-7.
28. Ajalli A, Fallahi-Khoshknab M. Tele nursing care in chronic patients/a systematic review. Iran J Rehabil Res Nurs. 2015; 1(3): 76-86.
29. Ertek Sibel. Endokrinolojide tele-sağlık ve tele-tıp uygulamaları. AUHSJ. 2011;3: 126-130.
30. Güler NF, Übeyli ED. Theory and applications of telemedicine. J. Med. Syst. 2002; 26(3): 199-220.
31. Davis TM, Olff C. Tele-ICU today: Connecting care through innovation. Nurs. Crit. Care. 2015; 10(5): 15-18.
32. Hoonakker PL, Carayon P, McGuire K, Khunlertkit A, Wiegmann DA, Alyousef B, et al. Motivation and job satisfaction of Tele-ICU nurses. J. Crit. Care. 2013; 28(3): 315. e313-315. e321.
33. Özgüç S, Tanrıverdi D. Tele-psikiyatri. Psikiyatr. Hemşire. Derg. 2019; 10(4): 302-308.
34. Bal U, Yılmaz E, Tamam L, Çakmak S. Telepsikiyatri: Şimdi ve burada. Psikiyatr. Guncel Yaklasimlar. 2015; 7:136–48.
35. Yıldırım S, Yalçıner N, Güler C. Caregiver burden in chronic mental illness: a systematic review. J. Psychiatr. Nurs. 2017; 8(3): 165-71.