DEFINITION OF E-LEARNING

 E-learning involves the use of a computer or

electronic device (eg- a mobile phone) in some
way to provide training, educational or learning
material

(Derek stockley 2003)

 E-LEARNING IN NURSING/E-NURSING

 Individualized self-paced e-learning online

 Individualized self –paced e-learning offline
 Group based e-learning synchronously
 Group based e-learning asynchronously
 E-HEALTH
 E-health is client-centered World Wide Web-
based network where clients, health care providers
collaborate through ICT mediums to research,
seek, manage, deliver, refer, arrange, and consult
with others about health related information and
concerns.
 FORMS OF E-HEALTH
egs:
 Electronic health records, Healthcare Information
Systems,Telemedicine,mHealth or m-Health
 WEBSITES FOR REFERENCE
 Technology-enhanced learning (TEL) MEDLINE
and CINAHL - premier databases for medical and
nursing literature.
E-medicine
 1. www.emedicine.medscape.com
 2. www.emedicinehealth.com
 3. www.mediabiznet.com
E-learning
 1. www.efquel.org
 2. www.elearning for kids.org
 3. www.microsoft elearning.com
 4. www.healthelearning .com
 5. www.elearningcentre .co. in
E-nursing
 www.dcu.ie/nursing/elearning.html
TYPES OR FORMS OF E-LEARNING

No e-learning ,no
use of computers

Class room aids Blended learning

power points

Website course

Laptop programs

Hybrid learning ,more

time devoted to on line
learning

Full online learning- Disturbed

distance education learning
DIFFERENT FORMS OF E-LEARNING
 Asynchronous learning –
fax, e- mail, knowledge
base forum,quick reference
guide
 Synchronous learning-
telephone, screen saving,
Chat , Skype conversation,
desk type conferencing,
online seminar
IMPORTANCE OF E-LEARNING
 decreased travel, reduced material and
hopefully improving performance
 Decreased material costs
 Increase productivity
 Standardization
 BENEFITS OF E-LEARNING
 enhances innovative teaching
 promotes self-directed
interactive learning
 Convenient for the leaner
 Saves time, place for learning
 enhance data search by hyperlinks
 Aids to learn as and when learning
 Promotes internet use
 Builds responsibility and self-confidence among
leaner’s
 It increases retention and application of
information
ADVANTAGES OF E-LEARNING

 flexibility of learning ,it is fast ,

no geographical barriers
 wide range of opportunities for development of
education
 Individual can have easy access
 E-learning has quality assured programs
 It is leaner centered
 Effective in terms of material costs, travelling
cost expenditure, travelling expenditure in
achieving goals
DISADVANTAGES OF E-LEARNING
 Some forms of e-learning perceived as
isolating from the personnel touch
 Nurses may not have the IT skills needed
to take advantages of e-learning
 ISSUES OF E-NURSING

 Caring
 Empowerment
 Self-reflection ,Expression
 Computer Literacy
 Confidentiality
 Bioethical Decisions
 Networking
 Patient Education, Community Development ,
Cyber phobia
DEFINITION:
 use of telecommunications & information
technology for providing nursing services
in health care whenever a large physical
distance exists between patient & nurse,
or between any numbers of nurses.
(Wikipedia)
 OBJECTIVE OF TELE NURSING

 To deliver care and expertise,

 For curative, preventive and rehabilitation
 For training and information
 TYPES
 synchronous (real time)
 Asynchronous (differed time) mode
 Direct (nurse-person encounter)
 Indirect (nurse-caregiver encounter)
 REAL-TIME
(SYNCHRONOUS) VIDEOCONFERENCING LINK

 information distant CPU, codec and

decompressed in-coming visual information
displayed on monitor auditory information sent
to the speakers.
Telenursing technologies include activities
such as

• Videoconferencing
• Medical imaging
• Data transfer.
VIDEOCONFERENCING-BENEFITS
 Faculty member keeps in touch with class while away
for a week at a conference.
 Guest lecturer brought into a class from another
institution.
 Researcher collaborates with colleagues at other
institutions on a regular basis without loss of time due to
travel.
 Schools with multiple campuses can collaborate and
share professors.
 Faculty member participates in a thesis defence at
another institution.
 Administrators on tight schedules collaborate on a
budget preparation from different parts of campus.
 Factors promoting the requirement for
Telenursing:

 Increasing shortages of nurses.

 Costs of health care.
 Need to provide Cost effective, timely and quality
healthcare (remote, rural people).
 Rise in Aging and chronically ill population.
REQUIREMENTS FOR TELE NURSING
 Hardware-Telephone ,Telehealth hardware, PC or
laptop computer
 For telehealth monitoring(powersupply, web access
 Software(LINUX)
 Software program( cerner beyond now)
TELENURSING – SCOPE OF PRACTICE

 Provider outlines assessment and follow-up care without

the client having to travel to the health care agency for
an appointment.
 Helps patients and families to be active participants in
care
 one nurse can visit12-16 patients in the same amount of
time.
 patients with chronic diseases are "visited" and assisted
regularly by a nurse via videoconferencing, internet,
videophone, etc.
 For educating the clients,
 Nursing Teleconsultation
 Examination of results of medical tests and exams
ADVANTAGES OF TELENURSING:

 Helps to keep patients out of hospital.

 Sharing valuable medical information with doctors and nurses
in other countries around the world and in all areas of the
profession.
 Greater job satisfaction among telenurses.
 Help solve increasing shortages of nurses.
 Telenursing is cost efficient, timesaving and increases
patient‘s ability to self-care.
 Minimizes the length of hospital stay.
 Reduce distances and save travel time.
 Improvement of resource and time allocation.
 Another valuable way telenursing can be of use is for military
personnel.
DISADVANTAGES OF TELENURSING

 Therapeutic touch
 Conferences , video can‘t replace valuable time
between nurse and patient .
 .Laws and a set code of rules and ethics will first need
to be applied before telenursing can be used regularly
in various capacities. This alone might take some time
 It is costly due to cost of the monitor and equipment
 Equipment malfunction
 Inability for patient to use equipment
 OBSTACLES

• Technical problems in 3-D

imaging
• Lack of standardization and
legislation
• Problems with security and
identification
• False diagnosis
• Technical skill is needed by
nurses.
• Network connection error /
failure / delay.
• Telemedicine Infrastructure
 APPLICATION OF  Increases productivity
TELENURSING  Acces to specialists
 Telephone  Enlarged educational
consultation opportunities
 E-mail inquires and
advice USES OF
 Distance learning
TELENURSING
 Home care agencies
 Video monitoring
 Hospices
 Digital photography
 Hospital based
BENEFITS OF telemedicine centre
TELENURSING  Managed care centres
 Enhances patient care  Rehabilitation centres
 Reduces travel time  All branches of military
DEFINITION
delivery of health-care services, where distance is
critical factor, by health-care professionals using
information and communication technologies for
the exchange of valid information for diagnosis,
treatment and prevention of disease and injuries,
and for the continuing education of health-care
providers as well as research and evaluation, all in
the interest of advancing the health of individuals
and their communities.
(WHO)
 THE OBJECTIVES OF TELEMEDICINE:

 Move the information, not the patient

 replace transporting the patient or the specialist
to a given location.
 exchange of information , expertise for medical
diagnosing and treatment is a basic concept of
telemedicine.
 TECHNOLOGIES INVOLVED IN TELEMEDICINE:

The two types of technologies

 STORE AND FORWARD:
 IATV (two-way Interactive TV)
PRACTICE OF TELEMEDICINE

 Tele-cardiology,
 Tele-Echocardiography
 Tele-Pathology
 Tele-Radiology
 Tele-Psychiatry
 Tele-Neurology
 Tele-Dermatology
 Tele-Medicine and Army
 Trans-Telephonic Electro-
Cardiographic Monitoring
(TTEM) .
BENEFITS OF TELEMEDICINE:
 Benefits to patients
 Benefits to clinicians
 Benefits to hospital
 DEFINITION
 An electronic medical record (EMR) is a digital version
of a paper chart that contains all of a patient’s medical
history from one practice. An EMR is mostly used by
providers for diagnosis and treatment.
(www.healthit.gov)
GOALS AND OBJECTIVES

 Improve care quality, safety, efficiency,

 Clinical decision support (automated
advice) for providers
 Patient registries (e.g., “a directory of
patients with diabetes”)
 Improve care coordination
 Engage patients , families in their care
 Improve population and public health
 Electronic laboratory reporting for
reportable conditions (hospitals)
 Ensure adequate privacy and security
protections
TYPES OF EMR

 DEPARTMENTAL EMR
 INTER-DEPARTMENTAL EMR
 HOSPITAL EMR
 INTER HOSPITAL EMR
 ELECTRONIC PATIENT RECORD-EPR
 COMPUTERIZED PATIENT RECORD-CPR
 ELECTRONIC HEALTH CARE RECORD-EHCR
 PERSONAL HEALTH RECORDS
 COMPUTERIZED MEDICAL RECORD
 DIGITAL MEDICAL RECORD
 POPULATION HEALTH RECORD
 BENEFITS OF
ELECTRONIC MEDICAL
RECORDS
 Track data over time
 Identify patients who are due for
preventive visits and screenings
 Monitor how patients measure
up to certain parameters, such as
vaccinations and blood pressure
readings
 Improve overall quality of care
in a practice