Use of Telenursing in the conservative treatment of patients with chronic renal insufficiency: scoping review.
Aline de Oliveira Biancamano, Alessandra Conceição Leite Funchal Camacho, Elaine Antunes Cortez and 3 others
PMID 39476138WHAT IT FOUND
Remote nursing tools for chronic kidney disease were mapped in nine articles and one dissertation.
Included studies reported improved adherence, self-care, monitoring and education, but this scoping review cannot show how much benefit patients get.
Key findings
01Nine articles and one dissertation on telenursing for chronic renal insufficiency were selected; all were quantitative, and the majority were cohort or randomized controlled trials.
02Studies that evaluated adherence and self-care reported improvement in indices such as knowledge about chronic kidney disease, medication adherence, diet, blood pressure monitoring, exercise and smoking.
03Nurses were central to the mapped interventions: three studies had nurses as the focus, four had technologies developed by nurses, and others included nurses in multidisciplinary teams.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
It is a scoping review, so it maps evidence rather than testing whether telenursing causes improvement. The included evidence is limited: nine articles and one dissertation from seven countries, published between 2011 and 2023. Most included studies did not have a longitudinal time frame, so long-term effects on chronic kidney disease progression or stabilization are unknown. Some interventions were delivered alongside usual clinical care or within multidisciplinary teams, so the contribution of telenursing alone cannot be separated. No secondary studies that answered the research question were found.
The easy way to misread this
Do not read this review as proof that telenursing improves kidney outcomes. It mapped nine articles and one dissertation, and some interventions were delivered alongside usual clinical care or within multidisciplinary teams, so the contribution of telenursing alone cannot be separated.