Telenursing Vs Home Visits In Post

Telenursing vs. Residence Visits in Post-Acute Care

  • Advantages

    The united states features one of typically the largest elderly multitude on the globe. As that stands, the latest range of elders good old 65 or elderly is around forty-five million people, which in turn, in line with the Population Reference point Bureau (2016), is certainly estimated to rise to about 98 million at the conclusion involving 2060. As well, typically the average fertility charge in the US is 1 ) 80, which means below two children for every woman, which pledges an impending catastrophe of a demographical hole. Mainly because it stands, typically the number of rns in the US is shrinking thanks to inefficient procedures, long shifts, substantial turnover rates, along with the likelihood of termes conseillés. Basically, the likelihood of a health-related crisis in typically the future is substantial. While all offered resources needs to be expended on rectifying this example, an effort need to also be created to make for a condition in which a smaller range of nurses can have to package with a heightened range of patients.

    Elderly people constitute a group group that calls for medical attention on some sort of regular basis thanks to possessing some sort of variety of serious diseases and staying prone to injuries (Hirschman et al. 2015). Post-acute care is definitely related to transition care in nursing jobs and is single of the almost all likely services to be able to suffer from workers shortages. As that stands, post-acute attention is primarily appearing done via place visits and cell phone calls. In typically the event of some sort of nursing crisis, typically the available nurses probably would not be able to be able to leave their discussions in order to be able to perform home sessions. As well, developments throughout communication technology would likely make long-distance nurse-patient communication possible. Typically the purpose of this kind of studies to investigate whether more elaborate and frequent web-based and telephone-based communication channels would be an effective substitute for nursing visits in post-acute transitional patient care.

    Identification of the Problem

    The suggested framework for this research is the Patient, Intervention, Comparison, Outcome, Time (PICOT) framework. It helps identify all the crucial aspects of the problem and the suggested intervention in an accurate and succinct manner.

    P (Population): Post-acute care patients aged 65 or older.

    I (Intervention): Daily web-based and phone-based communication

    C (Comparison): Standard protocol for post-acute transitional care (nursing visits and telephone instructions)

    O (Outcome): Decreased number of accidents and re-hospitalizations

    T (Time): Estimated timeframe for this research is 12 months.

    Significance of the Problem for Nursing

    The significance of this problem to nursing is two-fold. First, the lack of personnel to perform home nursing duties is significant even at this point, whereas in the future, with the number of elderly patients in acute and post-acute home care increasing, it is going to become even more challenging and resource-demanding (Hirschman et al. 2015). Secondly, nursing home visits are very time-consuming tasks, especially when patients live far away from healthcare centers. Lastly, keeping a large body of nurses is financially taxing for healthcare institutions, which is going to be a financial burden for the federal budget. Thus, finding alternative solutions with an emphasis on preventive care, self-care, and long-distance monitoring is important to avert the current and future crisis.

    Purpose of the Research

    The purpose of this research is to increase the quality and efficiency of transitional post-acute home care. Telephone hotlines and long-distance care have been thoroughly researched and integrated into modern hospital systems. At the same time, nursing home visits have remained the primary intervention tool for post-acute transitional care. While the ability to see and inspect the patient in person is more efficient than what any communication device could provide, it is a slow, expensive, and limiting process, as not all patients would have the same access to direct nursing care. According to Comans et al. (2016), over 62% of post-acute re-hospitalizations could be prevented through various means, some of which include patient education and preventive care. This research will help realize whether an increased quantity and quality of web-based and telephone instruction and care would be able to compensate for lack of frequent and timely nursing home visits, as it often happens in real-life scenarios.

    Research Questions

    The proposed research will investigate and compare several factors and scenarios in order to answer the following research questions:

  • Our web and telephone-based patient communication with a video feed a more efficient way of patient instruction and communication compared to regular phone-based communication?
  • Is extended web and phone-based patient communication with video feed more efficient than standard post-acute transitional care protocol?
  • Can nurse visiting be replaced with extended web and phone-based patient communication for post-acute home-based patients in non-dangerous scenarios?
  • How costly and labor-intensive is the proposed intervention compared to the standard post-acute transitional care protocol?
  • These questions will be answered in the course of our research and will be used to define the effectiveness (or lack thereof) of the proposed intervention.

    Master’s Essentials aligned with the Topic

    Identifying master’s essentials is necessary in order to determine how well the proposed topic of research correlates with my studies and the nursing profession in general. Three major master’s essentials, aligned with my selected topic, are as follow:

    – Quality Improvement and Safety. This essential subject has a connection to my research as one of the purposes of the study is to understand whether an emphasis on telephone-based and online care would improve the quality and safety of home practices for post-acute elderly patients.

    – Informatics and Healthcare Technology. The basis for the proposed research and intervention is based on advancements in healthcare technology, communication technology, and informatics. The use of new means and ways of communication is expected to increase the patient’s capabilities for self-care as well as the hospital’s awareness of the patient’s state of health. Without informatics and healthcare technology, this intervention would be impossible to organize and perform.

    – Clinical Prevention and Population Health Improvement. This essential of nursing studies constitutes for the purpose of this proposed intervention and study. The emphasis on patient communication is done with the scope of improving the skills and abilities of self-caring. In accordance with Self-Care Deficit Nursing Theory by Dorothea Orem, every patient wants to feel better and to be able to facilitate healthcare without having to rely on outside assistance. The purpose of this intervention is always to act on that need and to provide tools and means of communication with healthcare professionals in order to be able to receive instructions and facilitate self-care.

    Other essentials, such as organizational and systems leadership, health policy and advocacy, and interprofessional collaboration for improving patient and population health outcomes, are also present in this paper, though their influence fades into the background in comparison to the three essentials that this work is built around.


    Comans, T. A., Peel, N. M., Hubbard, R. E., Mulligan, A. D., Gray, L. C., & Scuffham, P. A. (2016). The increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program. Age and Ageing, 45 (2), 317-320.

    Hirschman, K. B., Shaid, E., McCauley, K., Pauly, M. V., & Naylor, M. D. (2015). Continuity of care: The transitional care model. The Online Journal of Issues in Nursing, 20 (3), Manuscript 1. Web.

    Population Reference Bureau. (2016). Fact sheet: Aging in the Unit

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