The DeFIT it! Program utilizes the use of a diet diary and heath teaching through the use of SMS texting. It was designed for the respondents to acquire knowledge on proper diet and physical activity. The program aims prevention of weightrelated diseases such as Hypertension, Type II Diabetes mellitus, and cardiovascular diseases among overweight college students. The sample consisted of 24 students with a body mass index(BMI) between 25.00-25.99 kg/m2. Respondents in the experimental group were subjected to telenursing by receiving 4 daily short messaging services (SMS) for 21 days regarding health education on proper diet and physical activity, and reminders to follow the DeFIT it! Program. Both the experimental and control group were administered with a pretest and a posttest knowledge evaluation questionnaire before and after the implementation of the study, underwent a weekly body mass index assessment, and were given a DeFIT it! Booklet and DeFIT it! Diary during the initial contact with the respondents. Interestingly, statistical analysis of the data showed that there is a significant increase in the knowledge of telenursing users. However, there is no significant difference on the physical activity and diet adherence scores of telenursing users when compared to nontelenursing users. Also, it was observed that there is a significant decrease in the BMI of the nontelenursing users group which may be attributed to their low diet adherence scores. Thus, telenursing with the use of SMS is effective in increasing the subjects’ knowledge regarding proper diet and physical activity.
Telemedicine ; Telenursing ; Text Messaging ; Knowledge ; Diet

The COVID-19 pandemic has put the delivery of vital health and nursing services uniquely challenged. Restrictions in social mobility, fear of contraction, and risks of transmission posed by this pandemic prompted healthcare institutions to deliver health care services remotely using information and telecommunications technologies, also known as telehealth. Telenursing is one of the components of telehealth. Although there are several strides in the use of nursing-related technologies in the country, telenursing is not a mainstream nursing service. Exploring telenursing and articulating the roles of nurses in this care delivery model is imperative given the current paradigm shift to telehealth and telemedicine in the healthcare system. This article provides a context for telenursing use in the local setting by providing factors affecting its implementation. A literature search was conducted to identify the benefits, challenges, requirements, competencies, activities, and outcomes of telenursing. Despite the limitations posed by this pandemic, telenursing offers a viable, cost-effective, and patient-centered approach in health services delivery. The implications in nursing practice, education, and research are explained.
Telenursing ; Telemedicine ; COVID-19 ; Nursing Care

PURPOSE: This methodological study was done to develop a telephone consultation algorithms and practice guidelines for patient discharged with ophthalmic diseases. METHODS: The ophthalmic problems of the patients were identified and expert knowledge on managing the problems was acquired. Algorithms and practice guidelines were developed based on the expert knowledge. The content validity of algorithms and practice guidelines was evaluated by the experts. RESULTS: The preliminary algorithms and practice guidelines were developed from 60 detailed signs and symptoms and 45 nursing interventions. The experts agreed that 57 detailed signs and symptoms linked with nursing interventions were valid, with the content validity index over 80%. Meeting with nurse experts and ophthalmologists was convened to review the rest of the 3 detailed signs and symptoms linked with nursing interventions. Finally, 60 detailed signs and symptoms and 46 nursing interventions were confirmed. CONCLUSION: This study suggests that the algorithms and practice guidelines are effective decision-making tools and utilization of these algorithms and practice guidelines is expected to improve the quality of clinical nursing and patient satisfaction.
Humans ; Methods* ; Practice Guidelines as Topic ; Patient Satisfaction ; Telenursing ; Telephone

Given the complex nature of heart failure (HF), nurses in clinical practice and nurse educators should employ a methodical approach in providing effective health education to the patient and their families even remotely. However, the limited training programs available and unprecedented nature of COVID-19 has rendered nurses less prepared to deliver heart failure self-care education. The purpose of this article is to describe the development, implementation, and evaluation of a training program which aim to equip nurses with specific skills in delivering heart failure self-care education using information and communication technologies (telenursing) in the context of the physical restrictions brought by the COVID-19 pandemic. Four phases of program development and implementation were done: (1) Phase I: Planning Phase; (2) Phase II: Needs Assessment; (3) Phase III: Designing the Health Program; and (4) Phase IV- Implementation and Evaluation. Twenty-three nurses from a tertiary private hospital participated via video conferencing in the pilot implementation of the program led by doctorate students. Using Kaufman’s approach in qualitative evaluation, participants reported the training content, materials, and the method of delivery which were valuable, meaningful, and acceptable to them. They perceived the program further enhanced their competencies, and improved patient and organizational outcomes. Taking on a proactive role, nurses should explore measures of enhancing nurses’ knowledge and skills in self-care education through information and communication technologies (ICT). This training program based on participative planning and collaboration between academia and practice proves to be feasible and requires further empirical studies to test its effectiveness in real-word settings.
Heart failure ; program development ; COVID-19 ; motivational interviewing ; telenursing

OBJECTIVES: This study is to cross-map telephone nursing consultation documentations with International Classification for Nursing Practice (ICNP; ver. 1.0 concepts). METHODS: The narrative telephone nursing consultation documentations of 170 ophthalmology nursing unit patients were analyzed. The nursing statements were examined and cross-mapped with the Korean version of the ICNP ver. 1.0. If all the concepts of a statement were mapped to ICNP concepts, it was classified as 'completely mapped'. If any concept of a statement wasnot mapped, it was classified as 'partially mapped'. If none of the concepts were mapped, it was classified as 'not mapped'. RESULTS: A total of 738 statements wereused for documenting telephone nursing consultations. These statements were divided into 3 groups according to their content: 1) 294 nursing phenomena-related statements (72 unique statements), 2) 440 nursing actions-related statements (76 unique statements), and 3) 4 other statements (2 unique statements). In total, 189 unique nursing concepts extracted from 150 unique statements and 108 concepts (62.44%) were mapped onto ICNP concepts. CONCLUSIONS: This study demonstrated the feasibility of computerizing narrative nursing documentations for electronic telephone triagein the ophthalmology nursing unit.
Documentation ; Electronics ; Electrons ; Humans ; Nursing Records ; Ophthalmology ; Referral and Consultation ; Telenursing ; Telephone ; Triage