Recommendations From a Health Care Provider's Perspective for Better Implementation of Telemedicine and Telenursing: Descriptive Qualitative Approach.
Rr Tutik Sri Hariyati, Min-Huei Hsu, Hanny Handiyani and 7 others
PMID 42715409WHAT IT FOUND
Nurses and other providers described telemedicine and telenursing as useful for access, education, wound care, follow-up and monitoring, but said not all care can be remote.
They wanted clearer rules, training, secure records and reliable internet.
Key findings
01Providers described telemedicine and telenursing as familiar and used in hospitals, intensive care units and health centres.
02Participants reported benefits including access, education, consultations, wound care, follow-up care and spiritual care.
03They identified barriers and needs, including incomplete national regulations and payment rules, staff competence, connection and infrastructure readiness, and the need for some in-person nursing care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study reports stakeholder perceptions and implementation themes, not patient outcomes or evidence that telemedicine or telenursing improves care. The literature search was a convenience search, not a systematic review, so it may have missed relevant studies. The 2022 and 2024 focus groups had different participants, so the study cannot follow how the same stakeholders' views changed. Only 12 participants took part in 2022 and 11 in 2024. Focus group answers may have been influenced by other participants, despite steps to reduce this. The study focuses on Indonesian telemedicine and telenursing implementation, so transfer to other settings may be limited.
The easy way to misread this
Do not read the reported benefits as proof that telemedicine or telenursing improves patient outcomes. The study describes stakeholder experiences and implementation needs, not measured clinical results.