Abstract
Healthcare is being confronted with questions on how to deliver quality, affordable, and timely care to patients, especially those in rural areas, in systems already burdened by the lack of providers. Advanced Practice Registered Nurses (APRNs) have been challenged to lead this movement in providing care to these populations through the use of technologies, specifically telehealth. Unfortunately, APRNs have limited exposure to telehealth during their educational experience, thereby limiting their understanding and comfort with telehealth. To address this problem, a telehealth program was developed at a large university that prepares Doctor of Nursing Practice (DNP) APRN students. The telehealth program, embedded into the DNP curriculum, consisted of a simulation workshop, practice immersion, and written project. This program was well received by students, making them aware of the benefits and barriers to the implementation of telehealth as a care delivery modality. Telehealth was embraced as students implemented the program in their own practices.
References
Armer, J. M. (2003). A case study of the use of telemedicine by advanced practice nurses in rural Missouri. Journal of Continuing Education in Nursing, 34(5), s226–233.10.3928/0022-0124-20030901-11Search in Google Scholar PubMed
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 191–215.10.1037/0033-295X.84.2.191Search in Google Scholar
Brewer, R., Goble, G., & Guy, P. (2011). A peach of a telehealth program: Georgia connects rural communities to better health care. Perspectives in Health Information Management, 8(winter), 1–8.Search in Google Scholar
Burkes, P. (2010, May 23). Nurse practitioners to fill key roles in healthcare reform. Retrieved July 17, 2013 from NewsOK website: http://newsok.com/nursepractitioners-to-fill-key-role-in-health-care-reform/article/3463203Search in Google Scholar
Cady, R., Finkelstein, S., & Kelly, A. A. (2009). Telehealthnursing intervention reduces hospitalizations inchildren with complex health conditions. Journal of Telemedicine and Telecare, 15, 317–320. doi:10.1258/jtt.2009.090105Search in Google Scholar
Chen, H. F., Kalish, M. C., & Pagan, J. A. (2011). Telehealth and hospitalizations for medicare home health care patients. The American Journal of Managed Care, 17(6), e224–230.Search in Google Scholar
Conger, M. M., & Plager, K. A. (2008). Advanced nursing practice in rural areas: Connectedness versus disconnectedness. Online Journal of Rural Health Nursing and Health Care, 8(1), 24–38.10.14574/ojrnhc.v8i1.127Search in Google Scholar
Ferguson, E. W. (2008, January 17). The real crisis in our healthcare “system.” Retrieved July 16, 2013 from Rural Health Advocate website: http://www.csrha.org/advocate/winter08/pointofview.ferguson.htmlSearch in Google Scholar
HB 346. (2012). Nurse practitioners; practice as part of patient care teams that includes a physician. Retrieved from http://lis.virginia.gov/121/sum/HB346.HTMSearch in Google Scholar
Institute of Medicine (IOM). (2010). The future of nursing – Leading change, advancing health. Retrieved from http://books.nap.edu/openbookphp?record_id=12956&page=R1Search in Google Scholar
Luptak, M., Dailey, N., Juretic, M., Rupper, R., Hill, R. D., Hicken, B. L., & Blair, B. D. (2010). The care coordination home telehealth (CCHT) rural demonstration project: A symptom-based approach for serving older veterans in remote geographical settings. Rural and Remote Health, 10(2), 1–10.10.22605/RRH1375Search in Google Scholar
National Organization of Nurse Practitioner Faculties (NONPF). (2012). Nurse practitioner core competencies. Washington, DC: NONPF.Search in Google Scholar
National Rural Health Association (NRHA). (2012, January). Healthcare workforce distribution and shortage issues in rural America [Policy Brief]. Retrieved from http: www.ruralhealthweb.org/index.cfm?objectid=3D776162-3048-651ASearch in Google Scholar
Patterson, C. M., Osborne, M., & Gregory, D. (2004). How different can you be and still survive? Homogeneity and difference in clinical nursing education. International Journal of Nursing Education Scholarship, 1(1), 1–13. doi:10.2202/1548-923X.1005Search in Google Scholar
Peters, D. (2008). Reducing hospitalizations through the implementation of a telehealth program. Home Health Care Management Practice, 21(1), 39–43. doi:10.1177/1084822308321609Search in Google Scholar
Phillips, B. C. (2010, October 8). Healthcare reform and the future of nursing and nurse practitioners. Nurse practitioners business owner blog [Web Log Post]. Retrieved from http://npbusiness.org/health-care-reform-future-nursing-nurse-practitioners/Search in Google Scholar
Rosenblatt, R. A., Chen, F. M., Lishner, D. M. & Doescher, M. P. (2010, August). The future of family medicine and implications for rural primary care physician supply. Final Report #125. Seattle, WA: WWAMI Rural Health Research Center, University of Washington. Retrieved from WWAMI Rural Health Research Center website: http://depts.washington.edu/uwrhrc/uploads/RHRC_FR125_Rosenblatt.pdfSearch in Google Scholar
Roupe, M. Y., & Young, S. L. (2003, July/August). Interactive home telehealth: A complimentary addition to disease management programs. The Remington Report, 14(1), 14–16.Search in Google Scholar
Rutledge, C. M., Barham, P., Wiles, L., & Benjamin, R. S. (2008). Integrative simulation: A novel approach to educating culturally competent nurses. Contemporary Nurse, 28(1–2), 119–128.10.5172/conu.673.28.1-2.119Search in Google Scholar PubMed
Schlachta-Fairchild, L., Varghese, S. B., Deickman, A., & Castelli, D. (2010). Telehealth and telenursing are live: APN policy and practice implications. The Journal of Nurse Practitioner, 6(2), 98–106.10.1016/j.nurpra.2009.10.019Search in Google Scholar
Schweickert, P., Rutledge, C., Cottrell-Gordon, D., Jensen, M., & Goughen, J. (2011). Telehealth stroke education for rural elderly Virginians. Telemedicine and e-Health, 17(10), 784–788. doi:10.1089/tmj.2011.0080Search in Google Scholar
Stanley, J. M., Werner, K. E., & Apple, K. (2009). Positioning advanced practice nurses for health care reform: Consensus on APRN reform. Journal of Professional Nursing, 25(6), 340–348. doi:10.1016/j.profnurs.2009.10.001Search in Google Scholar
US Department of Health and Human Services. (2012, November). The role of telehealth in an evolving healthcare environment. Retrieved from http://www.hrsa.gov/ruralhealth/about/telehealth/Search in Google Scholar
US Department of Health and Human Services. (2008, July). Addressing rural healthcare needs [testimony]. Morris, T: Author. Retrieved from http://www.hhs.gov/asl/testify/2008/07/4312.htmlSearch in Google Scholar
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