Tele-nursing: a care model for difficult-to-access situations: an integrative review
DOI:
https://doi.org/10.62827/eb.v24i3.4070Keywords:
Telenursing; Teleworking; Health Services Accessibility.Abstract
Introduction: Telenursing, as a practice mediated by information and communication technologies, has proven to be a viable alternative to overcoming these barriers, contributing to continuity of care, clinical monitoring, and strengthening the bond between patient and healthcare team. Objective: To describe the impacts of telenursing as a care model for difficult-to-access situations. Methods: An integrative literature review was conducted in April and May 2025. It searched for publications in the Nursing Database, Medical Literature Analysis and Retrieval System Online, and Latin American and Caribbean Literature in Health Sciences using the Health Sciences Descriptors "telenursing," "information technology," and "telework." National studies published in Portuguese from 2020 to 2025 were included. Results: A number of positive outcomes were identified with the use of telenursing, as well as the technologies used for this purpose. However, some weaknesses in the process were also highlighted. Conclusion: This study identified positive impacts of telenursing, which can be an effective, safe, and sustainable solution for strengthening health care in hard-to-reach settings.
References
Oliveira GF, Vargas JVO, Pinheiro LJ, Percisi AR, Parker AG, Teixeira ALS, et al. Contribuições da telenfermagem na Atenção Primária à Saúde no contexto pandêmico da COVID-19: revisão integrativa. Rev Bras Enferm [Internet]. 2024 [cited 2025 Jun 12] 77(5): e20240093. Available from: https://www.scielo.br/j/reben/a/8NnbPdLxdLstwGWPTYyV9nM/?lang=pt. doi: 10.1590/0034-7167-2024-0093pt
Navarro-Martínez O, Martinez-Millana A, Traver V. Use of tele-nursing in primary care: A qualitative study on its negative and positive aspects. Aten Primaria [Internet]. 2024 [cited 2025 Jun 12]; 56(5): 102843. Available from: https://www.sciencedirect.com/science/article/pii/S0212656723002767. doi: 10.1016/j.aprim.2023.102843.
Sousa VLP, Silva MP, Almeida NC, Rodrigues L. Teleconsulta de enfermagem na atenção primária à saúde: revisão de escopo. Rev Latino-Am Enfermagem [Internet]. 2024 [cited 2025 Mar 8]; 32: e4329. Available from: https://www.scielo.br/j/rlae/a/pnbGV6BgXVfb68cWgKr4F4j/?lang=pt. doi: 10.1590/1518-8345.7212.4330
Machado TMD, Santana RF, Hercules ABS. Central de telecuidado: perspectiva de intervenção de enfermagem. Cogitare Enferm [Internet]. 2020 [cited 2025 Mar 5]; 25: e74836. Available from: https://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S1414-85362020000100600. doi: 10.5380/ce.v25i0.66666
Mendes KDS, Silveira RCCP, Galvão CM. Uso de gerenciamento de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto Contexto Enferm [Internet]. 2019 [cited 2024 Feb 23];28: e20170204. Available from: http://dx.doi.org/10.1590/1980-265X-TCE-2017-0204. doi: 10.1590/1980-265X-TCE-2017-0204
Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series [Internet]. 2008 [cited 2024 Feb 23]. Available from: https://onlinelibrary.wiley.com/doi/book/10.1002/9780470712184. doi: 10.1002/9780470712184
Souza JC, Silva A, Barbosa R, Moreira M. O processo de comunicação na Teleenfermagem: revisão integrativa. Rev Bras Enferm [Internet]. 2016 Jul-Aug [cited 2025 Feb 24];69(4):765–72. Available from: https://www.scielo.br/j/reben/a/zXQjJc5MnmNcdq3nfmkwx9N/. doi: 10.1590/0034-7167.2016690421i
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 [cited 2025 Feb 24]; 372: n71. Available from: https://www.bmj.com/content/372/bmj.n71. doi:10.1136/bmj. n71
Kuhn CG, Costa MFBA, Girondi J, Rodrigues MM. Teleconsulta de enfermagem à pessoa idosa na Atenção Primária à Saúde durante a pandemia por covid-19. Rev Bras Geriatr Gerontol [Internet]. 2024 [cited 2025 Mar 18];27:e230261. Available from: https://www.scielo.br/j/rbgg/a/S3GH7hTH4YS7z3GgrrHMJLt/?lang=pt. doi: 10.1590/1981-22562024027. 230261.pt
Biancamano AO, Santos VS, Lima MCB, Almeida JVR. Uso da Telenfermagem no tratamento conservador de pacientes com insuficiência renal crônica: revisão de escopo. Rev Latino-Am Enfermagem [Internet]. 2024 [cited 2025 Mar 12];32:e4359. Available from: https://www.scielo.br/j/rlae/a/JKtGxLTw98hP7YVz3GZr8wb/?lang=pt. doi: 10.1590/1518-8345.7013.4360
Rodrigues MM, Andrade TM, Souza VN, Silva LO. Telenfermagem com pessoas idosas no serviço de atenção domiciliar na pandemia de COVID-19: estudo quase-experimental. Rev Latino-Am Enfermagem [Internet]. 2024 [cited 2025 Mar 12]; 32: e4321. Available from: https://www.scielo.br/j/rlae/a/Y8ZYCGgw7Fjkv7sJNpjQLWf/?lang=pt. doi: 10.1590/1518-8345.6932.4321
Santos LF, Rossetto KR, Haag BF, Alves DD, Harzheim E. Reasons for provider-to-provider synchronous teleconsultations between nurses in primary care: a cross-sectional study of Telessaúde RS-UFRGS service. Telemedicine and e-Health [Internet]. 2024 [cited 2025 Mar 12]; 30(1):66–72. Available from: https://www.liebertpub.com/doi/10.1089/tmj.2023.0003. doi: 10.1089/tmj.2023.0003.
Vargas D, Ramírez EGL, Pereira CF, Oliveira SR. Teleenfermería en salud mental: efecto sobre los síntomas de ansiedad y el consumo de alcohol durante la pandemia de COVID-19. Rev Latino-Am Enfermagem[Internet]. 2023 [cited 2025 Mar 12]; 31: e3932. Available from: https://www.scielo.br/j/rlae/a/CcgjY9bXFKVdZzHdRvfxVKk/?lang=es. doi: 10.1590/1518-8345.6172.3932
Sestrem BA, Lima PF, Almeida CA, Oliveira MC. Utilização da telenfermagem por enfermeiras durante a pandemia da Covid-19. Enferm Foco [Internet]. 2023 [cited 2025 Mar 28]; 14:1–7. Available from: https://revista.cofen.gov.br/index.php/enfermagem/article/view/5167
Toffoletto MC, Tello JDA. Teleenfermagem no cuidado, educação e gestão na América Latina e o Caribe: revisão integrativa. Rev Bras Enferm [Internet]. 2020 [cited 2025 Mar 20]; 73(supl 5): e20190317. Available from: https://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0034-71672020001200300. doi: 10.1590/0034-7167-2019-0317
Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Hirani S, et al. Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ [Internet]. 2012 [cited 2025 Mar 20]; 344: e3874. Available from: https://www.bmj.com/content/344/bmj.e3874.abstract. doi:10.1136/bmj.e3874.
Mubarak Al Baalharith I, Aboshaiqah AE. Virtual Healthcare Revolution: Understanding Nurse Competencies and Roles. SAGE Open Nurs [Internet]. 2024 [cited 2025 Mar 20];10:23. Available from: https://pubmed.ncbi.nlm.nih.gov/39161935/ doi: 10.1177/23779608241271703.
Zluhlan LS, Amadigi FR, Machado RR, Lino MM, Pires DEP, Costa SR, et al. Perception of nurses about nursing teleconsultation in primary care. Texto contexto - enferm [Internet]. 2023 [cited 2025 Mar 20]; 32: e20220217. Available from: https://www.scielo.br/j/tce/a/tpsytxmmjK7WgKWJTKCNByb/?lang=pt. doi: 10.1590/1980-265X-TCE-2022-0217en.
The Guardian. From sleep apps to chatbots: how a new generation of health tech is widening access to treatment [Internet]. 2025 Jan 3 [cited 2025 Jul 9]. Available from: https://www.theguardian.com/thedawn-of-digital-therapeutics/2025/jan/03/from-sleep-apps-to-chatbots-how-a-new-generation-of-health-tech-is-widening-access-to-treatment
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Maria Vitória Farias Lopes de Oliveira, Laura de Barros França, Rosa Caroline Mata Verçosa de Freitas (Autor)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
Autores têm autorização para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
