Systematic Reviews and Meta Analysis
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Tele Yoğun Bakım Hemşireliği: Bir Sistematik Derleme

Year 2025, Volume: 8 Issue: 1, 270 - 277, 05.04.2025
https://doi.org/10.38108/ouhcd.1334889

Abstract

Amaç: Bu sistematik derleme, tele yoğun bakım hemşireliği hizmetleri ile ilgili çalışmaları sistematik olarak incelemek amacıyla planlanmıştır.
Yöntem: Anahtar kelime olarak “Tele-yoğun bakım, Tele-hemşirelik” kullanılmıştır. Son dokuz yıla ait Ocak 2015-Temmuz 2023 literatürü taranmış, yapılan literatür taramasında Pubmed (n:84), Cochrane (n:56), Google Scholar (n:375), Science Direct (n:50) veri tabanları kullanılmıştır. Toplamda n:565 araştırmaya ulaşılmış olup dahil edilme ve dışlanma kriterlerinin uygulanmasının ardından tam metinlerine ulaşılabilen n:6 çalışma araştırmanın örneklemini oluşturmuştur. Bu sistematik derlemede PRISMA raporlama yönergeleri kullanılmıştır.
Bulgular: Yapılan literatür incelemesi sonucunda araştırma kriterlerini sağlayan toplam 6 (n:6) çalışmaya ulaşılmıştır. Bu çalışmalar tanımlayıcı (n:4), kalitatif (n:1), retrospektif ve prospektif (n:1) desene sahip olmakla birlikte, 2016 (n:2), 2017 (n:3) ve 2021 (n:1) yıllarında yayınlanmıştır. Bu çalışmaların örneklem gruplarında hemşireler, hastalar veya diğer sağlık çalışanları yer almaktadır. Bu çalışmaların içerikleri hemşirelerin tele yoğun bakıma ilişkin algıları, görüşleri, memnuniyetleri veya etkili hasta bakımı vermede yetkinliklerinin değerlendirilmesini içermektedir.
Sonuç: Tele yoğun bakım ile ilgili yapılmış olan araştırmalarda, bu uygulamanın hem hastaların hem de sağlık çalışanlarının memnuniyetini arttırdığı, konsültasyonları ve hasta bilgilerinin aktarılmasını kolaylaştırdığı, hastaların farklı hastanelere sevk edilmesini azalttığı görülmüştür.
Anahtar Kelimeler: Medikal teknoloji, yoğun bakım, tele hemşirelik, tele yoğun bakım, teletıp

References

  • Arpag N, Kanan N. (2019). Tele yoğun bakım hemşireliği. Hemşirelik Bilimi Dergisi, 2(1), 32-36. Erişim Tarihi: 01.06.2023, https://dergipark.org.tr/ tr/pub/hbd/issue/46927/526148
  • Bikmoradi A, Masmouei B, Ghomeisi M, Roshanaei G. (2016). Impact of tele-nursing on adherence to treatment plan in discharged patients after coronary artery bypass graft surgery: A quasi-experimental study in Iran. International Journal of Medical Informatics, 86, 43-48. DOI: 10.1016/j.ijmedinf.2015.12.001.
  • Chandra S, Hertz C, Khurana H, Doerfler ME. (2021). Collaboration between tele-ICU programs has the potential to rapidly increase the availability of critical care physicians-our experience was during coronavirus disease 2019 nomenclature. Critical Care Explorations, 3(3),e0363. https://doi.org/10.1097/ CCE. 0000000000000363
  • Cloyd B, Thompson J. (2020). Virtual care nursing: The wave of the future. Nurse Leader, 18(2), 147-150. https://doi.org/10.1016/j.mnl.2019.12.006
  • Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L, Scandroglio I et. al. (2020). Surgery in COVID-19 patients: Operational directives. World Journal of Emergency Surgery, 15(1), 1-7. https://doi.org/10.1186/s13017-020-00307-2
  • Fadaizadeh L, Shajareh E, Taheri MJ, Heydari G, Fazanegan B, Sistani M. (2018). Role of telemedicine in pace of consultation and physicians' satisfaction in thoracic surgery ICU. Tanaffos, 17(2), 117. PMID: 30627183.
  • Forrester JD, Nassar AK, Maggio PM, Hawn MT. (2020). Precautions for operating room team members during the COVID-19 pandemic. Journal of the American College of Surgeons, 6, 1098-1101. https://doi.org/ 10.1016/j.jamcollsurg.2020.03.030
  • Goedken CC, Moeckli J, Cram PM, Reisinger HS. (2017). Introduction of tele-ICU in rural hospitals: Changing organisational culture to harness benefits. Intensive and Critical Care Nursing, 40, 51-56. https://doi.org/10.1016/j.iccn.2016.10.001
  • Gonzales-Zamora JA, Alave J, De Lima-Corvino DF, Fernandez A. (2020). Videoconferences of Infectious Diseases: An educational tool that transcends borders. A useful tool also for the current COVID-19 pandemic. Le Infezioni in Medicina, 28(2), 135-138. PMID: 32275254.
  • Hao JF, Cui HM, Han JM, Bai JX, Song X, Cao N. (2014). Tele-ICU: The way forward in geriatric care?. Aging Clinical and Experimental Research, 26(6), 575-582. https://doi.org/10.1007/s40520-014-0217-z
  • Haranath SP, Udayasankaran JG. (2020). Tele-intensive care unit networks: A viable means for augmenting critical care capacity in India for the COVID pandemic and beyond. Apollo Medicine, 17(3), 209-216. https://doi.org/10.4103/am.am_104_20
  • Hoonakker PLT, Pecanac KE, Brown RL, Carayon P. (2017). Virtual collaboration, satisfaction, and trust between nurses in the Tele-ICU and ICUs: Results of a multilevel analysis. Journal of Critical Care, 37, 224-229. https://doi.org/10.1016/j.jcrc.2016.10.018
  • Kahn JM, Le TQ, Barnato AE, Hravnak M, Kuza CC, Pike F et. al. (2016). ICU telemedicine and critical care mortality: A national effectiveness study. Medical Care, 54(3), 319. https://doi.org/10.1097/ MLR.0000000000000485
  • Khunlertkit A, Carayon P. (2013). Contributions of tele-intensive care unit (Tele-ICU) technology to quality of care and patient safety. Journal of Critical Care, 28, 315-315. https://doi.org/10.1016/j.jcrc.2012.10.005
  • Kleinpell R, Barden C, Rincon T, McCarthy M, Zapatochny Rufo RJ. (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
  • Larinkari S, Liisanantti JH, Ala-Lääkkölä T, Meriläinen M, Kyngäs H, Ala-Kokko T. (2016). Identification of tele-ICU system requirements using a content validity assessment. International Journal of Medical Informatics, 86, 30-36. https://doi.org/10.1016/j. ijmedinf.2015.11.012
  • Leverone NA, Ramnath VR, Munce D, Raphelson JR, Ma J, Akuthota P et. al. (2021). Critical care education in a pandemic through tele-ICU. ATS Scholar, 2(1), 29-33. PMID: 33870321.
  • Lilly CM, Cody S, Zhao H, Landry K, Baker SP, McIlwaine J, ... & Irwin RS. (2011). Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. Jama, 305(21), 2175-2183. https://doi.org/10.1001/ jama.2011.697
  • Macedo BRD, Garcia MVF, Garcia ML, Volpe M, Sousa MLDA, Amaral TF et. al. (2021). Implementation of tele-ICU during the COVID-19 pandemic. Jornal Brasileiro de Pneumologia, 47. https://doi.org/ 10.36416/1806-3756/e20200545
  • Marx G, Greiner W, Juhra C, Elkenkamp S, Gensorowsky D, Lemmen S, ... & Deisz R. (2022). An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients (TELnet@ NRW): Stepped-wedge cluster randomized controlled trial. Journal of Medical Internet Research, 24(3), e34098. https://doi.org/10.2196/34098
  • Nahcivan N, Incirkus K. (2018). Türkiye’de hemşirelik dergilerinde yayınlanan sistematik derlemelerin raporlama özellikleri. Hemşirelikte Eğitim ve Araştırma Dergisi, 15, 106-16. https://doi.org/10.5222/HEAD.2018.106
  • Panlaqui OM, Broadfield E, Champion R, Edington JP, Kennedy S. (2017). Outcomes of telemedicine intervention in a regional intensive care unit: A before and after study. Anaesthesia and Intensive Care, 45(5), 605-610. https://doi.org/10.1177/0310057X1 704500511
  • Pannu J, Sanghavi D, Sheley T, Schroeder DR, Kashyap R, Marquez A et. al. (2017). Impact of telemedicine monitoring of community intensive care units on inter-hospital transfers. Critical Care Medicine, 45(8), 1344. https://doi.org/10.1097/CCM.000000000000 2487
  • Parmar P, Mackie D, Varghese S, Cooper C. (2015). Use of telemedicine technologies in the management of infectious diseases: A review. Clinical Infectious Diseases, 60(7), 1084-1094. https://doi.org/10.1093/ cid/ciu1143
  • Pazar B, Tastan S, Iyigun E. (2015). Tele sağlık sisteminde hemşirenin rolü. Bakırköy Tıp Dergisi, 11(1), 14. https://doi.org/10.5350/BTDMJB2015111 01
  • Rincon TA, Bourke G, Seiver A. (2011). Standardizing sepsis screening and management via a tele-ICU program improves patient care. Telemedicine and e-Health, 17(7), 560-564. https://doi.org/10.1089 /tmj.2010.0225
  • Saghaeiannejad-Isfahani S, Jahanbakhsh M, Hejazi M, Talebkhani R. (2016). Readiness assessment of tele-ICU implementation in technical and human aspects in teaching hospitals with ICUs affiliated to Isfahan University of Medical Sciences in 2015. International Journal of Academic Research in Business and Social Sciences, 6(9), 195-209. https://doi.org/10.6007/ IJARBSS/v6-i9/2305
  • Shahin TB, Balkan B, Mosier J, Subbian, V. (2019). The connected intensive care unit patient: Exploratory analyses and cohort discovery from a critical care telemedicine database. Journal of Medical Internet Research Medical Informatics, 7(1), e13006. https://doi.org/10.2196/13006
  • Siddiqui J, Herchline T, Kahlon S, Moyer KJ, Scott JD, Wood BR et. al. (2017). Infectious diseases society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clinical Infectious Diseases, 64(3), 237-242. DOI: https://doi.org/10.1093/cid/ciw773.
  • Sohrabi C, Alsafi Z, O'neill N, Khan M, Kerwan A, Al-Jabir A et. al. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery, 76, 71-76. https://doi.org/10.1016/j.ijsu. 2020.02.034
  • Senyuz KY, Senturk, S. (2017). Yoğun bakım hemşireliği hizmetlerin yeni bir kavram: Tele-hemşirelik. Göller Bölgesi Aylık Hakemli Ekonomi ve Kültür Dergisi Ayrıntı Sayı, 56. Erişim Tarihi: 01.06.2023, https://www.researchgate.net/publication/322049793_yogun_bakim_hemsireligi_hizmetlerinde_yeni_bir_ kavram_tele-hemsirelik
  • Trombley MJ, Hassol A, Lloyd JT, Buchman TG, Marier AF, White A et. al. (2018). The impact of enhanced critical care training and 24/7 (tele‐ICU) support on medicare spending and postdischarge utilization patterns. Health Services Research, 53(4), 2099-2117. https://doi.org/10.1111/1475-6773.12821
  • Tuna A, Uysal E, Bakir H, Gurer A. (2017). Tele-nursing for informing breast cancer patients in the post-operative period. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 98-104. Erişim Tarihi: 01.06.2023, https://www.researchgate.net/publication /328416895_Tele-Nursing_for_Informing_Breast _Cancer_Patients_in_the_Post-Operative_Period

Tele Intensive Care Nursing: A Systematic Review

Year 2025, Volume: 8 Issue: 1, 270 - 277, 05.04.2025
https://doi.org/10.38108/ouhcd.1334889

Abstract

Objective: This systematic review aims to examine studies related to tele-intensive care nursing services systematically.
Methods: The keywords “Tele-intensive care” and “Tele-nursing” were used during the research. A literature search was conducted from January 2015 to July 2023, including databases such as PubMed (n=84), Cochrane (n=56), Google Scholar (n=375), and Science Direct (n=50). A total of 565 studies were identified, and after applying inclusion and exclusion criteria, 6 studies with accessible full texts were included in the review. PRISMA reporting guidelines were employed in this systematic review.
Results: The literature review revealed a total of 6 studies (n:6) that met the research criteria. These studies had descriptive (n:4), qualitative (n:1), retrospective and prospective (n:1) designs and were published in 2016 (n:2), 2017 (n:3) and 2021 (n:1). The sample groups of these studies included nurses, patients or other healthcare professionals. The contents of these studies include the evaluation of nurses' perceptions, opinions, satisfaction or competencies in providing effective patient care regarding tele-intensive care.
Conclusion: The findings of the studies indicate that tele intensive care improves patient and healthcare worker satisfaction, facilitates consultations and transfer of patient information, and reduces the need for patient referrals to different hospitals.

References

  • Arpag N, Kanan N. (2019). Tele yoğun bakım hemşireliği. Hemşirelik Bilimi Dergisi, 2(1), 32-36. Erişim Tarihi: 01.06.2023, https://dergipark.org.tr/ tr/pub/hbd/issue/46927/526148
  • Bikmoradi A, Masmouei B, Ghomeisi M, Roshanaei G. (2016). Impact of tele-nursing on adherence to treatment plan in discharged patients after coronary artery bypass graft surgery: A quasi-experimental study in Iran. International Journal of Medical Informatics, 86, 43-48. DOI: 10.1016/j.ijmedinf.2015.12.001.
  • Chandra S, Hertz C, Khurana H, Doerfler ME. (2021). Collaboration between tele-ICU programs has the potential to rapidly increase the availability of critical care physicians-our experience was during coronavirus disease 2019 nomenclature. Critical Care Explorations, 3(3),e0363. https://doi.org/10.1097/ CCE. 0000000000000363
  • Cloyd B, Thompson J. (2020). Virtual care nursing: The wave of the future. Nurse Leader, 18(2), 147-150. https://doi.org/10.1016/j.mnl.2019.12.006
  • Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L, Scandroglio I et. al. (2020). Surgery in COVID-19 patients: Operational directives. World Journal of Emergency Surgery, 15(1), 1-7. https://doi.org/10.1186/s13017-020-00307-2
  • Fadaizadeh L, Shajareh E, Taheri MJ, Heydari G, Fazanegan B, Sistani M. (2018). Role of telemedicine in pace of consultation and physicians' satisfaction in thoracic surgery ICU. Tanaffos, 17(2), 117. PMID: 30627183.
  • Forrester JD, Nassar AK, Maggio PM, Hawn MT. (2020). Precautions for operating room team members during the COVID-19 pandemic. Journal of the American College of Surgeons, 6, 1098-1101. https://doi.org/ 10.1016/j.jamcollsurg.2020.03.030
  • Goedken CC, Moeckli J, Cram PM, Reisinger HS. (2017). Introduction of tele-ICU in rural hospitals: Changing organisational culture to harness benefits. Intensive and Critical Care Nursing, 40, 51-56. https://doi.org/10.1016/j.iccn.2016.10.001
  • Gonzales-Zamora JA, Alave J, De Lima-Corvino DF, Fernandez A. (2020). Videoconferences of Infectious Diseases: An educational tool that transcends borders. A useful tool also for the current COVID-19 pandemic. Le Infezioni in Medicina, 28(2), 135-138. PMID: 32275254.
  • Hao JF, Cui HM, Han JM, Bai JX, Song X, Cao N. (2014). Tele-ICU: The way forward in geriatric care?. Aging Clinical and Experimental Research, 26(6), 575-582. https://doi.org/10.1007/s40520-014-0217-z
  • Haranath SP, Udayasankaran JG. (2020). Tele-intensive care unit networks: A viable means for augmenting critical care capacity in India for the COVID pandemic and beyond. Apollo Medicine, 17(3), 209-216. https://doi.org/10.4103/am.am_104_20
  • Hoonakker PLT, Pecanac KE, Brown RL, Carayon P. (2017). Virtual collaboration, satisfaction, and trust between nurses in the Tele-ICU and ICUs: Results of a multilevel analysis. Journal of Critical Care, 37, 224-229. https://doi.org/10.1016/j.jcrc.2016.10.018
  • Kahn JM, Le TQ, Barnato AE, Hravnak M, Kuza CC, Pike F et. al. (2016). ICU telemedicine and critical care mortality: A national effectiveness study. Medical Care, 54(3), 319. https://doi.org/10.1097/ MLR.0000000000000485
  • Khunlertkit A, Carayon P. (2013). Contributions of tele-intensive care unit (Tele-ICU) technology to quality of care and patient safety. Journal of Critical Care, 28, 315-315. https://doi.org/10.1016/j.jcrc.2012.10.005
  • Kleinpell R, Barden C, Rincon T, McCarthy M, Zapatochny Rufo RJ. (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
  • Larinkari S, Liisanantti JH, Ala-Lääkkölä T, Meriläinen M, Kyngäs H, Ala-Kokko T. (2016). Identification of tele-ICU system requirements using a content validity assessment. International Journal of Medical Informatics, 86, 30-36. https://doi.org/10.1016/j. ijmedinf.2015.11.012
  • Leverone NA, Ramnath VR, Munce D, Raphelson JR, Ma J, Akuthota P et. al. (2021). Critical care education in a pandemic through tele-ICU. ATS Scholar, 2(1), 29-33. PMID: 33870321.
  • Lilly CM, Cody S, Zhao H, Landry K, Baker SP, McIlwaine J, ... & Irwin RS. (2011). Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. Jama, 305(21), 2175-2183. https://doi.org/10.1001/ jama.2011.697
  • Macedo BRD, Garcia MVF, Garcia ML, Volpe M, Sousa MLDA, Amaral TF et. al. (2021). Implementation of tele-ICU during the COVID-19 pandemic. Jornal Brasileiro de Pneumologia, 47. https://doi.org/ 10.36416/1806-3756/e20200545
  • Marx G, Greiner W, Juhra C, Elkenkamp S, Gensorowsky D, Lemmen S, ... & Deisz R. (2022). An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients (TELnet@ NRW): Stepped-wedge cluster randomized controlled trial. Journal of Medical Internet Research, 24(3), e34098. https://doi.org/10.2196/34098
  • Nahcivan N, Incirkus K. (2018). Türkiye’de hemşirelik dergilerinde yayınlanan sistematik derlemelerin raporlama özellikleri. Hemşirelikte Eğitim ve Araştırma Dergisi, 15, 106-16. https://doi.org/10.5222/HEAD.2018.106
  • Panlaqui OM, Broadfield E, Champion R, Edington JP, Kennedy S. (2017). Outcomes of telemedicine intervention in a regional intensive care unit: A before and after study. Anaesthesia and Intensive Care, 45(5), 605-610. https://doi.org/10.1177/0310057X1 704500511
  • Pannu J, Sanghavi D, Sheley T, Schroeder DR, Kashyap R, Marquez A et. al. (2017). Impact of telemedicine monitoring of community intensive care units on inter-hospital transfers. Critical Care Medicine, 45(8), 1344. https://doi.org/10.1097/CCM.000000000000 2487
  • Parmar P, Mackie D, Varghese S, Cooper C. (2015). Use of telemedicine technologies in the management of infectious diseases: A review. Clinical Infectious Diseases, 60(7), 1084-1094. https://doi.org/10.1093/ cid/ciu1143
  • Pazar B, Tastan S, Iyigun E. (2015). Tele sağlık sisteminde hemşirenin rolü. Bakırköy Tıp Dergisi, 11(1), 14. https://doi.org/10.5350/BTDMJB2015111 01
  • Rincon TA, Bourke G, Seiver A. (2011). Standardizing sepsis screening and management via a tele-ICU program improves patient care. Telemedicine and e-Health, 17(7), 560-564. https://doi.org/10.1089 /tmj.2010.0225
  • Saghaeiannejad-Isfahani S, Jahanbakhsh M, Hejazi M, Talebkhani R. (2016). Readiness assessment of tele-ICU implementation in technical and human aspects in teaching hospitals with ICUs affiliated to Isfahan University of Medical Sciences in 2015. International Journal of Academic Research in Business and Social Sciences, 6(9), 195-209. https://doi.org/10.6007/ IJARBSS/v6-i9/2305
  • Shahin TB, Balkan B, Mosier J, Subbian, V. (2019). The connected intensive care unit patient: Exploratory analyses and cohort discovery from a critical care telemedicine database. Journal of Medical Internet Research Medical Informatics, 7(1), e13006. https://doi.org/10.2196/13006
  • Siddiqui J, Herchline T, Kahlon S, Moyer KJ, Scott JD, Wood BR et. al. (2017). Infectious diseases society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clinical Infectious Diseases, 64(3), 237-242. DOI: https://doi.org/10.1093/cid/ciw773.
  • Sohrabi C, Alsafi Z, O'neill N, Khan M, Kerwan A, Al-Jabir A et. al. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery, 76, 71-76. https://doi.org/10.1016/j.ijsu. 2020.02.034
  • Senyuz KY, Senturk, S. (2017). Yoğun bakım hemşireliği hizmetlerin yeni bir kavram: Tele-hemşirelik. Göller Bölgesi Aylık Hakemli Ekonomi ve Kültür Dergisi Ayrıntı Sayı, 56. Erişim Tarihi: 01.06.2023, https://www.researchgate.net/publication/322049793_yogun_bakim_hemsireligi_hizmetlerinde_yeni_bir_ kavram_tele-hemsirelik
  • Trombley MJ, Hassol A, Lloyd JT, Buchman TG, Marier AF, White A et. al. (2018). The impact of enhanced critical care training and 24/7 (tele‐ICU) support on medicare spending and postdischarge utilization patterns. Health Services Research, 53(4), 2099-2117. https://doi.org/10.1111/1475-6773.12821
  • Tuna A, Uysal E, Bakir H, Gurer A. (2017). Tele-nursing for informing breast cancer patients in the post-operative period. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 98-104. Erişim Tarihi: 01.06.2023, https://www.researchgate.net/publication /328416895_Tele-Nursing_for_Informing_Breast _Cancer_Patients_in_the_Post-Operative_Period
There are 33 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​
Journal Section Systematic Review
Authors

Hatice Merve Alptekin 0000-0002-4544-7987

Ayşe Nur Yerebakan 0000-0003-4446-5785

Nuray Akyüz 0000-0002-1552-4136

Early Pub Date March 27, 2025
Publication Date April 5, 2025
Submission Date August 3, 2023
Published in Issue Year 2025 Volume: 8 Issue: 1

Cite

APA Alptekin, H. M., Yerebakan, A. N., & Akyüz, N. (2025). Tele Intensive Care Nursing: A Systematic Review. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 8(1), 270-277. https://doi.org/10.38108/ouhcd.1334889