Evidence Based Nursing Research

Running Head: EVIDENCE BASED NURSING RESEARCH
Evidence Based Nursing Research
Name of the student:
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Introduction:
According to WHO (2019), telehealth is defined as the type of telecommunication and
the virtual technology in order to provide healthcare facilities in more convenient way as
compared to the traditional way of providing care to the patient. It provide care to the patient
based on the principle of eHealth which involves use of broader range of communication and
information technologies (WHO, 2019).
Telehealth is used widely by the nurses to assess and treat the patient by interacting with
the patient over computer, video and audio accessories and monitoring their condition and then
suggesting the treatment (Ali, Carlton & Ali, 2015). The mortality rate of individual in rural
areas is more as compared to the other individual due to the less accessibility of the healthcare
facilities. In such cases, telehealth can be used to provide healthcare facilities to the rural
individuals (Steventon et al., 2016). It is considered as one of the challenges to take care of the
individual residing in rural areas. With the help of telehealth, healthcare accessibility of the
individual of the rural areas can be increased. Instead of having wider use, use of
telecommunication in the healthcare sector is limited as people do not have the accurate
knowledge about telehealth (Rubin, 2019). Hence in order to increase the awareness regarding
the use of telehealth, the proposal of the literature review is presented. This report focusses on
the use of telehealth in the healthcare setting by conducting the literature review. This is a report
proposal for to introduce telehealth in increasing the patient satisfaction and providing quality
care to the patient. This proposal includes, the significance of the current practice along with the
importance of telehealth. Theoretical framework which includes Salmon White’s construct for
public health nursing theory. Review of literature is conducted based on the formulated PICO
question. After conducting the literature review, practice recommendations are provided. The

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proposal also includes the project description where the healthcare setting is Miami Cancer
Institute at Baptist Hospital in Florida, USA. At last the project is evaluated and plans for the
dissemination is explained.
Significance of the Practice Problem:
Barriers in the healthcare services such as, absence of reliable transportation, distance
between the patient and the healthcare provider, disintegration in the care of the patient due to
appointment gaps and the lack of healthcare providers as compared to the number of patient.
Telehealth can be considered as a strategies that helps the healthcare organization to overcome
such barriers and provide advantage over the traditional methods. According to National Quality
Forum (2017, August), telehealth assist in enhancing the interaction among the healthcare
providers and the patient residing at far places in order to provide patient care with the help of
distant specialist such as consultation. Telehealth supports in providing provider-to-provider
training. It also helps in enabling direct interaction among the patient and the healthcare provider
which helps in better assessment, treatment and monitoring of the patient which includes follow-
up for hypertension and diabetes. Telehealth helps in managing multiple chronic illness in the
patient from a distance by enhancing quality and service capacity such as, providing small
emergency hospital in rural areas and the pharmacy service. Telehealth not only increases the
access of the health care service, but also improves the quality of the care delivery and increases
patient satisfaction (Polinski et al., 2016). Apart from the health care service, it also have
financial impact on the individual as it reduces the cost of travelling to the healthcare setting.
According to Lazare (2013), telemedicine care saves about 19 percent of the expenditure over
the inpatient healthcare cost. It provide better satisfaction to the patient by involving the patient
engagement as in case of the telehealth patient gets better convenience, real of time and the

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flexibility. There are certain ethical issue associated with the broader use of the telehealth.
Professional relationships and the conduct as it takes time for the patient to trust the clinical over
the phone. Privacy, human values and the patient safety is also considered as ethical issue due to
the fear of poor cyber security which can be managed by the help of improving the software.
Protecting the autonomy of the patient is also extremely necessary which can be achieved by
telehealth as communication between the patient and the providers is easy as compared to the
traditional method (Warner et al., 2019). Telehealth also helps in better patient care as it assist in
the involvement of the family of the patient. Hence it is important for the family member to
acknowledge the importance of telehealth in the quality care of the patient (Chaet et al., 2017).
Pico Question:
The implementation of telehealth to provide care to patients at Miami Cancer Institute
will increase the patient satisfaction resulting in effective patient care in 2020?
Populations: Population involved in this proposal is the patient at Miami Cancer Institute. The
patient at the Miami Cancer Institute is taken as respondents and their health is monitored.
Interventions: Intervention used to improve the patient care quality is the telehealth, which is a
type of telecommunication between the patient and the health care provider.
Comparison: patient treated with telehealth is compared with the patient where the telehealth is
not intervened.
Outcome: Outcome of this intervention is improved patient satisfaction which results in effective
patient care.