Nursing teleconsultation in primary health care: scoping review^*

Abstract

Objective:

to map nurses’ skills for nursing teleconsultation in Primary Health Care.

Method:

this is a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer’s Manual, carried out in seven databases and repositories of theses and dissertations. The selection of studies was carried out in Rayyan by two independent, blind reviewers. Data analysis was carried out descriptively.

Results:

23 studies were selected, which showed that the skills necessary for nursing teleconsultation in primary care were: communication, clinical, technological and ethical. The lack of digital infrastructure was identified as one of the main barriers to the implementation of teleconsultation. The lack of access to information and communications technology and/or the internet, the severity of the clinical condition and the patient’s non-adherence to the remote consultation were also identified.

Conclusion:

nursing teleconsultation in primary care is an emerging way of providing health care. However, for its implementation it is necessary to train nurses in the following skills: communication, clinical, technological, ethical and those related to the infrastructure of the teleconsultation environment.

Descriptors:
Remote Consultation; Telenursing; Primary Health Care; Nursing Care; Nursing; Primary Care Nursing

Highlights:

(1) Nursing teleconsultation is an emerging way of providing healthcare.

(2) Teleconsultation saves time and resources, achieving high levels of resolution.

(3) For its implementation, training is necessary to qualify nurses.

(4) Professional skills are required to carry out teleconsultation.

(5) Teleconsultation is considered a complementary offer to in-person consultation.