Assessing the Impact of Telemedicine on Nursing Care in Intensive Care Units

Ruth Kleinpell, RN, PhD, APRN-BC, CCRN; Connie Barden, RN, MSN, CCRN-E, CCNS; Teresa Rincon, RN, BSN, CCRN-E; Mary McCarthy, RN, BSN; Rebecca J. Zapatochny Rufo, RN, DNSc, CCRN


Am J Crit Care. 2016;25(1):E14-E20. 

In This Article

Tele-ICU Nursing

In 2010, the American Association of Critical-Care Nurses (AACN) convened a tele-ICU work group to address issues related to tele-ICU nursing practice. The AACN Tele-ICU Nursing Practice Guidelines[7] state that tele-ICU leaders and nurses must establish and sustain an environment that promotes effective communication, collaboration, and collegiality to ensure optimal quality outcomes; that tele-ICU nurses must demonstrate proficiency in specific knowledge, skills, and competencies to contribute maximally to patient outcomes and nursing practice; and that nurses must be actively engaged in measuring and analyzing outcomes to ensure ongoing improvement in patient care and the contributions of tele-ICU nurses to care.

A consensus statement[8] on the research agenda in ICU telemedicine, developed by a working group of the Critical Care Societies Collaborative, which includes AACN, the American College of Chest Physicians, the American Thoracic Society, and the Society of Critical Care Medicine, identified the need for research on the impact of telemedicine. To date, little research has been conducted on this subject. The gap is especially notable for ICU nursing care. Without knowledge of the impact of ICU telemedicine on nursing care, advancement of tele-ICU nursing and the development of related nursing competencies will be limited.

Information about the impact of telemedicine on nursing care is limited.