Journal of Education and Health Promotion

Telenursing: A step for care management in disaster and emergencies

Document Type : Original Article

Authors

. Mahdiye Nejadshafiee 1
. Kambiz Bahaadinbeigy 2
. Majid Kazemi 3
. Mahmood Nekoei-Moghadam 1

1 Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

3 Department of Medical Surgical, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Abstract
INTRODUCTION: Unusual impacts of disasters on normal living conditions pose challenges to the
health system. Nurses who take care of disaster victims may face situations that make decision‑making
difficult; hereon, the use of new technologies can be a useful solution. The study aimed to identify
the telenursing care during incidents and disasters.
METHODS: The study was conducted at a medical science university in Iran from 2018 to 2019. This
was a semi‑structured interview‑based qualitative study using content analysis. Eighteen nurses,
nursing teachers, and emergency medical technicians were included in the study. Data analysis
was performed using inductive content analysis and coding with MAXQDA (2010) software. The
Lincoln and Guba (1985) trustworthiness criteria were used for the reliability and validity of the data.
RESULTS: Telenursing in critical and supportive care was the main theme identified from data
analysis. This theme included six main categories: (1) management of trauma, (2) technical skills, (3)
care and decision‑making in stressful situations, (4) management of patients with special needs, (5)
life‑saving intervention, and (6) psychological and emotional supports.
CONCLUSIONS: Telenursing in disasters is the turning point of the care management of victims.
In order to achieve this goal, nurses should acquire the relevant knowledge, skills, and abilities.

Keywords

Disasters
incidents
qualitative study
telenursing
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Journal of Education and Health Promotion
Volume 10, Issue 8
August 2020
Pages 1-8

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