Published: 2021-12-27

Telenursing-an emerging concept in reducing COVID-19 hospital occupancy

Hrushikesh Das, Sasmita Panigrahi, Dharitri Swain


Tele-information and communication have led a global revolution in solving the scarcity of health care workers. In the vision of health for all, different global leaders have initiated many public health reforms to address the health care needs of citizens, like e-Sanjeevani in India. COVID-19 created an acute shortage of nurses, as well as the rising cost of care and hospital occupancy which are major hurdles to address basic health needs. Telenursing is a novel field that utilizes innovative technologies to offer safe, effective, and ethical care promptly by providing. Telenursing may provide a means to overcome some of the challenges faced by patients by providing easier access to cost-effective care and equitable distribution of health care providers. Globally, telenursing is an emerging and rapidly expanding area for professionals and offers unlimited opportunities for its members.


Telenursing, COVID-19, Hospital, Bed occupancy, Orem’s theory

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Garg S, Gangadharan N, Bhatnagar N, Singh M, Raina S, Galwankar S. Telemedicine: Embracing virtual care during COVID-19 pandemic. J Family Med Primary Care. 2020;9:9.

Theodore DD, Byrappa PL. Telenursing in Contemporary Practice. Indian J Continuing Nursing Education. 2015;16(1):11-6.

Ryu S. Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth 2009. Healthcare Informatics Res. 2012;18(2):153.

Lister M, Vaughn J, Brennan-Cook J, Molloy M, Kuszajewski M, Shaw RJ. Telehealth and telenursing using simulation for pre-licensure USA students. Nurse Education Practice. 2018;29.

Visagie N. Mitigating the psychological and mental health impact on frontline workers during COVID-19. Belitung Nursing J. 2020;6:4.

Kazawa K, Osaki K, Rahman MM, Moriyama M. Evaluating the effectiveness and feasibility of nurse-led distant and face-to-face interviews programs for promoting behavioral change and disease management in patients with diabetic nephropathy: a triangulation approach. BMC Nursing. 2020;19:16.

Burke B, Bynum A, Hall-Barrow J, Ott R, Albright M. Rural School-Based Telehealth: How to Make It Happen. Clinical Pediatrics. 2008;47:9.

Telehealth Resource Center Program Request for Information, Official web site of the U.S. Health Resources and Services Administration. Available at: Accessed on 2021 Jun 28.

Zhang Y. Strengthening the power of nurses in combating COVID‐19. J Nursing Management. 2021;29:3.

Bradbury‐Jones C, Isham L. The pandemic paradox: The consequences of COVID‐19 on domestic violence. J Clin Nursing. 2020;29(1):13-4.

Lorentz MM. TELENURSING and Home Healthcare. Home Healthcare Nurse. J Home Care Hospice Professional. 2008;26(4):237-43.

Stephen S, Vijay V. Metamorphosis of nursing profession: an Indian perspective. J Global Health. 2019;9(2):020314.

Chellaiyan V, Nirupama A, Taneja N. Telemedicine in India: Where do we stand? J Family Med primary Care. 2019;8(6):1872-6.

Karan A, Negandhi H, Hussain S, Zapata T, Mairembam D, De Graeve H et al. Size, composition and distribution of health workforce in India: why, and where to invest? Human Resources Health. 2021;19(39):1.

Sen-Crowe B, Sutherland M, McKenney M, Elkbuli A. A Closer Look into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic. J Surg Res. 2021;260.

Kapoor G, Hauck S, Sriram A, Joshi J, Schueller E, Frost I et al. State-wise estimates of current hospital beds, intensive care unit (ICU) beds and ventilators in India: Are we prepared for a surge in COVID-19 hospitalizations? Medrxiv. 2020.

Siriwardhana Y, Gür G, Ylianttila M, Liyanage M. The role of 5G for digital healthcare against COVID-19 pandemic: Opportunities and challenges. ICT Express. 2021;7(2):244-52.

Hughes RG. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. 2008.

Galiero R, Pafundi PC, Nevola R, Rinaldi L, Acierno C, Caturano A et al. The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy. J Diabetes Res. 2020;14;8.

Chen Y, Ismail R, Cheema MR, Ting DSJ, Masri I. Implementation of a new telephone triage system in ophthalmology emergency department during COVID-19 pandemic: clinical effectiveness, safety and patient satisfaction. Eye. 2021;1-3.

Healthcare Workers: Information on COVID-19, CDC. Available at: virus/2019-ncov/hcp/index.html. Accessed on 2021 Jun 28.

Harrison JD, Auerbach AD, Quinn K, Kynoch E, Mourad M. Assessing the Impact of Nurse Post-Discharge Telephone Calls on 30-Day Hospital Readmission Rates. J General Int Med. 2014;29(11):1519-25.

Souza-Junior VD, Mendes IAC, Mazzo A, Godoy S. Application of telenursing in nursing practice: an integrative literature review. Appli Nursing Res. 2016;29:254-60.

Hannan J. APN telephone follow up to low-income first-time mothers. J Clin Nursing. 2013;22:1-2.

Atashi A, Nejatian A. Challenges of home health care during COVID-19 outbreak in Iran. Int J Community Based Nursing Midwifery. Shriaz University of Med Sci. 2020;8:360-1.

Amin R, Pizzuti R, Buchanan F, Rose L. A virtual care innovation for home mechanical ventilation. Can Med Asso J. 2021;193(17):E607-11.

Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health. 2020;20(1):11-93.

Raudonis BM, Acton GJ. Theory-based nursing practice. J Adv Nursing. 1997;26(1):138-45.

WHO. COVID-19 Clinical management. Available at: Accessed on 25 January 2021.