<b>Teleconsulta de enfermagem na atenção primária à saúde: <i>scoping review</i></b>

Sousa, Vitória Lídia Pereira; Dourado Júnior, Francisco Wellington; Anjos, Saiwori de Jesus Silva Bezerra dos; Moreira, Andréa Carvalho Araújo

doi:10.1590/1518-8345.7212.4330

Vitória Lídia Pereira Sousa

Concepção e desenho da pesquisa

Obtenção de dados

Análise e interpretação dos dados

Análise estatística

Redação do manuscrito

Revisão crítica do manuscrito quanto ao conteúdo intelectual importante

Aprovaram a versão final do texto

Universidade Estadual do Ceará, Centro de Ciências da Saúde, Fortaleza, CE, Brasil.

https://orcid.org/0000-0001-5004-3592

Francisco Wellington Dourado Júnior

Concepção e desenho da pesquisa

Obtenção de dados

Análise e interpretação dos dados

Redação do manuscrito

Aprovaram a versão final do texto

Universidade Estadual do Ceará, Centro de Ciências da Saúde, Fortaleza, CE, Brasil.

https://orcid.org/0000-0002-3326-338X

Saiwori de Jesus Silva Bezerra dos Anjos

Concepção e desenho da pesquisa

Análise e interpretação dos dados

Redação do manuscrito

Revisão crítica do manuscrito quanto ao conteúdo intelectual importante

Aprovaram a versão final do texto

Universidade Estadual do Ceará, Centro de Ciências da Saúde, Fortaleza, CE, Brasil.

https://orcid.org/0000-0001-7559-8471

Andréa Carvalho Araújo Moreira

Obtenção de dados

Análise e interpretação dos dados

Redação do manuscrito

Revisão crítica do manuscrito quanto ao conteúdo intelectual importante

Aprovaram a versão final do texto

Universidade Estadual Vale do Acaraú, Centro de Ciências da Saúde, Sobral, CE, Brasil.

https://orcid.org/0000-0001-9855-1449

Autor correspondente: Vitória Lídia Pereira Sousa E-mail: vitorialidia05@gmail.com https://orcid.org/0000-0001-5004-3592

Conflito de interesse:

os autores declararam que não há conflito de interesse.

Editora Associada:

Maria Lúcia Zanetti

Objetivo/Problema	Quais são as habilidades dos enfermeiros para a teleconsulta de enfermagem na Atenção Primária à Saúde?
	P*	C^†	C^‡
Extração	Enfermeiro	Teleconsulta de enfermagem	Atenção Primária à Saúde
Conversão	Nursing	Remote consultation	Primary Health Care
Combinação	Nursing; nurses; nurse; nursing care; Nursing, Primary; Primary Nursing Care; Care, Primary Nursing; Nursing Care, Primary	Remote consultation; Consultation, Remote; Teleconsultation; Teleconsultations; Asynchronous teleconsultation	Primary Health Care; Care Primary Health; Health Care Primary; Primary Healthcare; Primary Care;
Construção	(“Nursing” OR “nurses” AND “nurse” OR “nursing care” OR “Nursing, Primary” OR “Primary Nursing Care” OR “Care, Primary Nursing” OR “Nursing Care, Primary”)	(“Remote consultation” OR “Consultation, Remote” OR “Teleconsultation” OR “Teleconsultations” OR “Asynchronous teleconsultation”)	(“Primary Health Care” OR “Care Primary Health” OR “Health Care Primary” OR “Primary Healthcare” OR “Primary Care”)
Uso	(“Nursing” OR “nurses” AND “nurse” OR “nursing care” OR “Nursing, Primary” OR “Primary Nursing Care” OR “Care, Primary Nursing” OR “Nursing Care, Primary”) AND (“Remote consultation” OR “Consultation, Remote” OR “Teleconsultation” OR “Teleconsultations” OR “Asynchronous teleconsultation”) AND (“Primary Health Care” OR “Care Primary Health” OR “Health Care Primary” OR “Primary Healthcare” OR “Primary Care”)

Número	Título	Tipo de estudo	Ano	País	Amostra
A1¹⁴14. Chang K, Davis R, Birt J. Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control. Dis Manag Health Outcomes. 2007;15(6):377-85. https://doi.org/10.2165/00115677-200715060-00005 https://doi.org/10.2165/00115677-2007150...	Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control.	Estudo de coorte retrospectivo	2007	Estados Unidos	259
A2¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941...	Telephone consulting in primary care: a triangulated qualitative study of patients and providers.	Estudo descritivo com abordagem qualitativa	2009	Escócia	91
A3¹⁶16. Huibers L, Giesen P, Smits M, Mokkink H, Grol R, Wensing M. Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation. Eur J Emerg Med. 2012;19(5):309-15. https://doi.org/10.1097/MEJ.0b013e32834d3e67 https://doi.org/10.1097/MEJ.0b013e32834d...	Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation.	Estudo de coorte	2012	Holanda	304
A4¹⁷17. Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL. Question design in nurse-led and GP-led telephone triage for same day appointment requests: a comparative investigation. BMJ Open. 2014;4(3):e004515. https://doi.org/10.1136/bmjopen-2013-004515 https://doi.org/10.1136/bmjopen-2013-004...	Question design in nurse-led and GP-led telephone triage for same-day appointment requests: a comparative investigation.	Estudo randomizado controlado	2014	Reino Unido	51
A5¹⁸18. Van Houwelingen CTM, Moerman AH, Ettema RG, Kort HS. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today. 2016;39:50-62. https://doi.org/10.1016/j.nedt.2015.12.025 https://doi.org/10.1016/j.nedt.2015.12.0...	Competencies required for nursing telehealth activities: A Delphi-study.	Método Delphi	2016	Holanda	51
A6¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694...	Physical Examinations via Video for Patients With Heart Failure: Qualitative Study Using Conversation Analysis.	Estudo descritivo com abordagem qualitativa	2020	Reino Unido	07
A7²⁰20. Kaminsky E, Aurin IE, Hedin K, Andersson L, André M. Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study. BMC Nurs. 2020;19(1):1-10. https://doi.org/10.1186/s12912-020-00459-1 https://doi.org/10.1186/s12912-020-00459...	Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study.	Estudo descritivo com abordagem qualitativa	2020	Suécia	12
A8²¹21. Jiménez-Rodríguez D, Ruiz-Salvador D, Rodríguez MDM, Pérez-Heredia M, Muñoz RFJ, Arrogante O. Consensus on criteria for good practices in video consultation: A Delphi study. Int J Environ Res Public Health. 2020;17(15):5396. https://doi.org/10.3390/ijerph17155396 https://doi.org/10.3390/ijerph17155396...	Consensus on Criteria for Good Practices in Video Consultation: A Delphi Study.	Estudo transversal	2020	Espanha	16
A9²²22. Royal College of Nursing. Remote consultations guidance under COVID-19 restrictions [Internet]. London: Royal College of Nursing; 2020 [cited 2023 May 05]. Available from: Available from: https://www.rcn.org.uk/Professional-Development/publications/rcn-remote-consultations-guidance-under-covid-19-restrictions-pub-009256 https://www.rcn.org.uk/Professional-Deve...	Remote Consultations Guidance Under COVID-19* Restrictions.	Diretrizes	2020	Reino Unido	-
A10²³23. Vijayalakshmi P, Kathyayani BV, Hatti NM, Reddemma K, Narayana M, Kumar CN, et al. TeleNursing Practice Guidelines. Bengaluru: NIMHANS; 2020 [cited 2023 May 03]. Available from: Available from: https://nimhans.ac.in/wp-content/uploads/2020/12/TeleNursing-Practice-Guideline-2020.pdf https://nimhans.ac.in/wp-content/uploads...	Telenursing Practice Guidelines.	Diretrizes	2020	Índia	-
A11²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv...	Guia de orientação para teleconsulta de enfermagem.	Diretrizes	2020	Brasil	-
A12²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948...	Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study.*	Estudo de coorte	2021	Reino Unido	41
A13²⁶26. Marrero JN, Brito PRBB, Gutiérrez A, Rodríguez MJS, Alberto CEM, Luz IG, et al. Video-consultation in primary health care: an implementation experience. Ene [Internet]. 2021 [cited 2023 Dec 12];15(2):1-21. Available from: Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1988-348X2021000200002 https://scielo.isciii.es/scielo.php?scri...	Video-consultation in primary health care: an implementation experience.	Estudo descritivo com abordagem quantitativa	2021	Espanha	76
A14²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2...	Implementation of COVID-19* telemonitoring: repercussions in Nursing academic training.	Estudo descritivo com abordagem qualitativa	2021	Brasil	17
A15²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657...	Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19* Pandemic.	Estudo transversal	2021	Canadá	603
A16²⁹29. Abbate M, Fresneda S, Yañez A, Ricci-Cabello I, Galmes-Panades AM, Aguilo A, et al. Prediphone trial group. Nurse-led telephone intervention for lifestyle changes on glycaemic control in people with prediabetes: Study protocol for a randomized controlled trial. J Adv Nurs. 2021;77(7):3204-17. https://doi.org/10.1111/jan.14842 https://doi.org/10.1111/jan.14842...	Nurse-led telephone intervention for lifestyle changes on glycaemic control in people with prediabetes: Study protocol for a randomized controlled trial.	Estudo randomizado controlado	2021	Espanha	428
A17³⁰30. Graça TUS, Santos AL, Yamamoto G, Souza RW, Srougé MPP, Pacheco RL, et al. Telemonitoring programme on COVID-19 for a low-income community in Brazil: case study. BMJ Innov. 2021;7(2):342-6. https://doi.org/10.1136/bmjinnov-2020-000619 https://doi.org/10.1136/bmjinnov-2020-00...	Telemonitoring programme on COVID-19* for a low-income community in Brazil: case study.	Estudo descritivo com abordagem qualitativa	2021	Brasil	1076
A18³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964...	Remote Consulting in Primary Health Care in Low- and Middle-Income Countries: Feasibility Study of an Online Training Program to Support Care Delivery During the COVID-19* Pandemic.	Estudo descritivo com abordagem qualitativa	2022	Reino Unido	75
A19³²32. Chang YY, Ang SY, Ong CE, Peng SS, Zulkifli H, Hashim N, et al. Right siting of complex acute wound management-preliminary study of teleconsultation wound services between acute and primary care in Singapore. J Tissue Viability. 2022;31(2):353-7. https://doi.org/10.1016/j.jtv.2021.09.006 https://doi.org/10.1016/j.jtv.2021.09.00...	Right siting of complex acute wound management---preliminary study of teleconsultation wound services between acute and primary care in Singapore.	Estudo descritivo com abordagem quantitativa	2022	Singapura	18
A20³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030...	Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults.	Estudo de caso múltiplo	2022	Canadá	06
A21³⁴34. Sachett JAG, Gonçalves ICM, Santos WOM. Experience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic. Rev Bras Enferm . 2022;75(Suppl 2):e20210820. https://doi.org/10.1590/0034-7167-2021-0820pt https://doi.org/10.1590/0034-7167-2021-0...	Relato de experiência das contribuições da telessaúde em comunidades ribeirinhas do Amazonas na pandemia.	Relato de experiência	2022	Brasil	-
A22³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055...	Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care.	Estudo descritivo com abordagem qualitativa	2022	Suécia	15
A23³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP...	Teleconsultation as an advanced practice nursing during the COVID-19* pandemic based on Roy and Chick-Meleis.	Estudo teórico-reflexivo	2022	Brasil	-

Número	Objetivo	Principais resultados/Conclusão
A1¹⁴14. Chang K, Davis R, Birt J. Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control. Dis Manag Health Outcomes. 2007;15(6):377-85. https://doi.org/10.2165/00115677-200715060-00005 https://doi.org/10.2165/00115677-2007150...	Comparar o impacto de programas de gerenciamento de cuidados de diabetes mellitus liderados por enfermeiras usando telessaúde ou intervenção por telefone.	As teleconsultas foram utilizadas para iniciar e ajustar medicamentos, solicitar exames laboratoriais, revisar e discutir resultados laboratoriais e incentivar mudanças no estilo de vida. A teleconsulta pode proporcionar melhor adesão aos planos de tratamento.
A2¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941...	Compreender as perspectivas do paciente e da equipe de saúde sobre como a consulta por telefone difere da consulta presencial em termos de conteúdo, qualidade e segurança.	Embora a consulta por telefone geralmente forneça melhor acesso, a qualidade da consulta pode ser potencialmente comprometida, principalmente devido à falta de exames formais e informais. A consulta por telefone foi considerada mais adequada para acompanhamento de doenças crônicas.
A3¹⁶16. Huibers L, Giesen P, Smits M, Mokkink H, Grol R, Wensing M. Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation. Eur J Emerg Med. 2012;19(5):309-15. https://doi.org/10.1097/MEJ.0b013e32834d3e67 https://doi.org/10.1097/MEJ.0b013e32834d...	Examinar a relação entre a abrangência da anamnese e a adequação da estimativa de urgência.	Dois tipos de perguntas podem ser distinguidos: questões discriminativas e gerais. O reconhecimento de padrões é mais importante para a identificação de problemas de saúde urgentes pelos enfermeiros do que fazer todas as perguntas cruciais durante a coleta da história.
A4¹⁷17. Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL. Question design in nurse-led and GP-led telephone triage for same day appointment requests: a comparative investigation. BMJ Open. 2014;4(3):e004515. https://doi.org/10.1136/bmjopen-2013-004515 https://doi.org/10.1136/bmjopen-2013-004...	Comparar a comunicação de médicos e enfermeiros com pacientes em consultas de triagem telefônica na atenção primária.	Apesar dos enfermeiros fazerem três vezes mais perguntas do que os médicos, a semelhança na duração das chamadas de triagem é explicada pelo conteúdo e a forma das perguntas usadas. Deve-se evitar perguntas projetadas para sim ou não, para que não pareça uma lista de verificação e não impossibilite a interação entre paciente e enfermeiro.
A5¹⁸18. Van Houwelingen CTM, Moerman AH, Ettema RG, Kort HS. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today. 2016;39:50-62. https://doi.org/10.1016/j.nedt.2015.12.025 https://doi.org/10.1016/j.nedt.2015.12.0...	Identificar quais competências são necessárias para o fornecimento de telessaúde.	Habilidades de comunicação, habilidades de coaching, capacidade de combinar experiência clínica com telessaúde, conhecimento clínico, consciência ética e atitude de apoio foram vistas como as competências mais importantes para enfermeiros que prestam telessaúde.
A6¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694...	Explorar as oportunidades e desafios do exame físico remoto de pacientes com insuficiência cardíaca usando tecnologia de comunicação mediada por vídeo.	O exame físico remoto em pacientes com insuficiência cardíaca é restrito a avaliar algumas condições, como retenção de líquidos, pressão arterial com frequência e ritmo de pulso, e saturação de oxigênio. Desse modo, os exames de vídeo são possíveis no contexto dos serviços de insuficiência cardíaca.
A7²⁰20. Kaminsky E, Aurin IE, Hedin K, Andersson L, André M. Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study. BMC Nurs. 2020;19(1):1-10. https://doi.org/10.1186/s12912-020-00459-1 https://doi.org/10.1186/s12912-020-00459...	Descrever a visão de enfermeiras registradas sobre o trabalho de enfermagem por telefone com pessoas que ligam para centros de saúde primários em relação a infecções do trato respiratório.	Durante a teleconsulta, os enfermeiros devem estabelecer boa comunicação com o paciente; diferenciar problemas inofensivos de graves; lidar com as expectativas do usuário; e utilizar ferramentas de trabalho.
A8²¹21. Jiménez-Rodríguez D, Ruiz-Salvador D, Rodríguez MDM, Pérez-Heredia M, Muñoz RFJ, Arrogante O. Consensus on criteria for good practices in video consultation: A Delphi study. Int J Environ Res Public Health. 2020;17(15):5396. https://doi.org/10.3390/ijerph17155396 https://doi.org/10.3390/ijerph17155396...	Elaborar critérios consensuais para a gestão da videoconsulta que contribuam para cuidados de saúde eficazes e de qualidade prestados pelos profissionais de saúde.	Durante a teleconsulta, devem ser levados em consideração elementos básicos, como os recursos técnicos, a relação estabelecida entre profissionais de saúde e pacientes, e o ambiente durante sua interação.
A9²²22. Royal College of Nursing. Remote consultations guidance under COVID-19 restrictions [Internet]. London: Royal College of Nursing; 2020 [cited 2023 May 05]. Available from: Available from: https://www.rcn.org.uk/Professional-Development/publications/rcn-remote-consultations-guidance-under-covid-19-restrictions-pub-009256 https://www.rcn.org.uk/Professional-Deve...	Apoiar a equipe de enfermagem a ver e/ou tratar pacientes por telefone ou vídeo ou por meio de outros processos de consulta remota.	A decisão de oferecer uma consulta remota em vez de uma consulta presencial deve ser baseada no processo de triagem inicial. É preciso avaliar a gravidade dos sintomas físicos e psicológicos.
A10²³23. Vijayalakshmi P, Kathyayani BV, Hatti NM, Reddemma K, Narayana M, Kumar CN, et al. TeleNursing Practice Guidelines. Bengaluru: NIMHANS; 2020 [cited 2023 May 03]. Available from: Available from: https://nimhans.ac.in/wp-content/uploads/2020/12/TeleNursing-Practice-Guideline-2020.pdf https://nimhans.ac.in/wp-content/uploads...	Fornecer orientações gerais para enfermeiras registradas sobre o uso da tecnologia de telessaúde.	O uso de câmeras permite uma experiência de teleconsulta simples e barata. A comunicação durante a teleconsulta deve ser efetiva. É indispensável o registro da teleconsulta, descrevendo as etapas do processo de enfermagem.
A11²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv...	Apoiar os profissionais enfermeiros na prática clínica da Teleconsulta em Enfermagem, considerando a Resolução do COFEN* número 0634/2020.	O Termo de Consentimento tem por objetivo resguardar enfermeiro e paciente, por isso sempre deve ser solicitado. É necessário dispor de sala privada e iluminada para o profissional; aparelho celular ou computador com câmera; e conexão com internet.
A12²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948...	Investigar a implementação da consulta remota e explorar o impacto nos primeiros meses da pandemia de COVID-19^†.	As enfermeiras descobriram que a consulta por telefone funcionou bem para revisões de condições crônicas, priorizando pacientes mal controlados e atendendo os pacientes presencialmente apenas para aspectos físicos.
A13²⁶26. Marrero JN, Brito PRBB, Gutiérrez A, Rodríguez MJS, Alberto CEM, Luz IG, et al. Video-consultation in primary health care: an implementation experience. Ene [Internet]. 2021 [cited 2023 Dec 12];15(2):1-21. Available from: Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1988-348X2021000200002 https://scielo.isciii.es/scielo.php?scri...	Relatar a implementação da videoconsulta na APS^‡.	Para realizar videoconsulta é necessário contar com tecnologia específica: programa para gerar reuniões virtuais, computador, tablet e/ou celular com câmera e microfone integrados.
A14²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2...	Relatar as repercussões da implementação do monitoramento dos casos suspeitos e confirmados de COVID-19^† na formação acadêmica em enfermagem.	Os enfermeiros precisam ser sensíveis ao que é dito nas entrelinhas, pois a avaliação é a base para saber se o paciente precisa de cuidado direto ou é encaminhado mais adiante no sistema assistencial. É necessário realizar uma boa avaliação do estado de saúde do usuário, por meio da coleta de dados e da observação.
A15²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657...	Documentar a adoção da telessaúde por vários tipos de provedores de cuidados primários de saúde durante a pandemia de COVID-19^† e identificar as vantagens e desvantagens da telessaúde.	Muitos enfermeiros da APS^‡ estavam preocupados com falta de contato visual na consulta por telefone. Como alternativa para suprir o contato visual, sugeriu-se o envio de fotos. O exame físico continua a ser um elemento essencial para avaliar problemas mais complexos.
A16²⁹29. Abbate M, Fresneda S, Yañez A, Ricci-Cabello I, Galmes-Panades AM, Aguilo A, et al. Prediphone trial group. Nurse-led telephone intervention for lifestyle changes on glycaemic control in people with prediabetes: Study protocol for a randomized controlled trial. J Adv Nurs. 2021;77(7):3204-17. https://doi.org/10.1111/jan.14842 https://doi.org/10.1111/jan.14842...	Avaliar a eficácia de uma intervenção telefônica liderada por enfermeiras para mudança do estilo de vida.	As evidências apontam que a teleconsulta de enfermagem na APS^‡ tem sido satisfatória, principalmente para a avaliação de pacientes com doenças crônicas não transmissíveis, devendo ser priorizados pacientes com maior dificuldade de controle da doença.
A17³⁰30. Graça TUS, Santos AL, Yamamoto G, Souza RW, Srougé MPP, Pacheco RL, et al. Telemonitoring programme on COVID-19 for a low-income community in Brazil: case study. BMJ Innov. 2021;7(2):342-6. https://doi.org/10.1136/bmjinnov-2020-000619 https://doi.org/10.1136/bmjinnov-2020-00...	Relatar o processo de criação e implementação de um programa de acompanhamento de pacientes com diagnóstico confirmado ou suspeita de COVID-19^† por telemonitoramento.	O programa de teleconsulta foi implantado por meio de três fases: planejamento, implementação e monitoramento. Identificou-se que o profissional precisa dispor de habilidade clínica para reconhecer sinais e sintomas de gravidade.
A18³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964...	Determinar se o treinamento “consulta remota em cuidados primários de saúde” é aceitável e viável para os profissionais de saúde na zona rural da Tanzânia para apoiar a prestação de cuidados de saúde durante a pandemia.	Os profissionais expressaram que aprenderam habilidades necessárias para consultar remotamente dentro do sistema de saúde. E houve maior compreensão de tópicos, como ética em consultoria remota.
A19³²32. Chang YY, Ang SY, Ong CE, Peng SS, Zulkifli H, Hashim N, et al. Right siting of complex acute wound management-preliminary study of teleconsultation wound services between acute and primary care in Singapore. J Tissue Viability. 2022;31(2):353-7. https://doi.org/10.1016/j.jtv.2021.09.006 https://doi.org/10.1016/j.jtv.2021.09.00...	Fornecer evidências preliminares sobre a viabilidade do uso inaugural de teleconsulta entre hospitais e serviços de cuidados primários para tratamento de feridas agudas em Singapura.	O manejo de feridas agudas complexas é desafiador, demorado e caro. O serviço de teleconsulta de feridas é viável e aceitável, e mostrou-se eficaz para a cicatrização de feridas, além de ser potencialmente econômico.
A20³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030...	Explorar como o uso do serviço eConsult pelos enfermeiros pode melhorar o acesso a cuidados especializados para adultos mais velhos em uma variedade de configurações.	No contexto de uma população envelhecida, o eConsult pode capacitar o enfermeiro para servir como um recurso humano de saúde eficaz que pode abordar os problemas de acesso únicos enfrentados por idosos em cuidados primários.
A21³⁴34. Sachett JAG, Gonçalves ICM, Santos WOM. Experience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic. Rev Bras Enferm . 2022;75(Suppl 2):e20210820. https://doi.org/10.1590/0034-7167-2021-0820pt https://doi.org/10.1590/0034-7167-2021-0...	Relatar a criação e implementação das atividades de telessaúde desenvolvidas pelo Programa Saúde na Floresta em comunidades de áreas de conservação, no estado do Amazonas, durante a pandemia de COVID-19^†.	Para a enfermagem, a especialidade mais solicitada foi na área de obstetrícia, seguida pela pediatria. Tais ações diminuíram a circulação dessas populações nos grandes centros urbanos, o que promoveu imunidade extra devido ao isolamento social facilitado pela utilização da telessaúde.
A22³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055...	Explorar as experiências dos enfermeiros na avaliação do risco de suicídio no aconselhamento por telefone na atenção primária à saúde.	As teleconsultas não permitem exames físicos, aumentando o risco de erros, portanto, o enfermeiro deve utilizar a experiência, o conhecimento e o pensamento crítico para identificar sinais de alerta.
A23³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP...	Realizar uma análise reflexiva baseada nas contribuições teóricas dos modelos de Adaptação, de Roy, e de Transição, de Chick-Meleis, e também sobre a contribuição da teleconsulta como PAE^§ no atendimento a pacientes idosos e com doenças crônicas.	A teleconsulta é uma prática avançada de enfermagem que requer do enfermeiro o desenvolvimento pleno de seu raciocínio clínico para a implementação de um processo de enfermagem bem delineado, o qual deverá estar ancorado em um arcabouço teórico consistente.

Categorias temáticas
Habilidades para teleconsulta de enfermagem na APS
Habilidades de comunicação¹⁴14. Chang K, Davis R, Birt J. Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control. Dis Manag Health Outcomes. 2007;15(6):377-85. https://doi.org/10.2165/00115677-200715060-00005 https://doi.org/10.2165/00115677-2007150... ^),(¹⁶16. Huibers L, Giesen P, Smits M, Mokkink H, Grol R, Wensing M. Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation. Eur J Emerg Med. 2012;19(5):309-15. https://doi.org/10.1097/MEJ.0b013e32834d3e67 https://doi.org/10.1097/MEJ.0b013e32834d... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^)-(³⁰30. Graça TUS, Santos AL, Yamamoto G, Souza RW, Srougé MPP, Pacheco RL, et al. Telemonitoring programme on COVID-19 for a low-income community in Brazil: case study. BMJ Innov. 2021;7(2):342-6. https://doi.org/10.1136/bmjinnov-2020-000619 https://doi.org/10.1136/bmjinnov-2020-00... ^),(³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055... , clínica¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^)-(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^),(³⁰30. Graça TUS, Santos AL, Yamamoto G, Souza RW, Srougé MPP, Pacheco RL, et al. Telemonitoring programme on COVID-19 for a low-income community in Brazil: case study. BMJ Innov. 2021;7(2):342-6. https://doi.org/10.1136/bmjinnov-2020-000619 https://doi.org/10.1136/bmjinnov-2020-00... ^),(³²32. Chang YY, Ang SY, Ong CE, Peng SS, Zulkifli H, Hashim N, et al. Right siting of complex acute wound management-preliminary study of teleconsultation wound services between acute and primary care in Singapore. J Tissue Viability. 2022;31(2):353-7. https://doi.org/10.1016/j.jtv.2021.09.006 https://doi.org/10.1016/j.jtv.2021.09.00... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... , tecnológica¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941... ^),(¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694... ^),(²¹21. Jiménez-Rodríguez D, Ruiz-Salvador D, Rodríguez MDM, Pérez-Heredia M, Muñoz RFJ, Arrogante O. Consensus on criteria for good practices in video consultation: A Delphi study. Int J Environ Res Public Health. 2020;17(15):5396. https://doi.org/10.3390/ijerph17155396 https://doi.org/10.3390/ijerph17155396... ^)-(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(²⁶26. Marrero JN, Brito PRBB, Gutiérrez A, Rodríguez MJS, Alberto CEM, Luz IG, et al. Video-consultation in primary health care: an implementation experience. Ene [Internet]. 2021 [cited 2023 Dec 12];15(2):1-21. Available from: Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1988-348X2021000200002 https://scielo.isciii.es/scielo.php?scri... ^)-(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^),(³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964... ^),(³⁴34. Sachett JAG, Gonçalves ICM, Santos WOM. Experience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic. Rev Bras Enferm . 2022;75(Suppl 2):e20210820. https://doi.org/10.1590/0034-7167-2021-0820pt https://doi.org/10.1590/0034-7167-2021-0... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... , ética¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941... ^),(¹⁸18. Van Houwelingen CTM, Moerman AH, Ettema RG, Kort HS. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today. 2016;39:50-62. https://doi.org/10.1016/j.nedt.2015.12.025 https://doi.org/10.1016/j.nedt.2015.12.0... ^),(²¹21. Jiménez-Rodríguez D, Ruiz-Salvador D, Rodríguez MDM, Pérez-Heredia M, Muñoz RFJ, Arrogante O. Consensus on criteria for good practices in video consultation: A Delphi study. Int J Environ Res Public Health. 2020;17(15):5396. https://doi.org/10.3390/ijerph17155396 https://doi.org/10.3390/ijerph17155396... ^)-(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^)-(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^),(³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964... ^),(³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055... ⁾ e aquelas relacionadas à infraestrutura¹⁸18. Van Houwelingen CTM, Moerman AH, Ettema RG, Kort HS. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today. 2016;39:50-62. https://doi.org/10.1016/j.nedt.2015.12.025 https://doi.org/10.1016/j.nedt.2015.12.0... ^)-(¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694... ^),(²¹21. Jiménez-Rodríguez D, Ruiz-Salvador D, Rodríguez MDM, Pérez-Heredia M, Muñoz RFJ, Arrogante O. Consensus on criteria for good practices in video consultation: A Delphi study. Int J Environ Res Public Health. 2020;17(15):5396. https://doi.org/10.3390/ijerph17155396 https://doi.org/10.3390/ijerph17155396... ^)-(²⁶26. Marrero JN, Brito PRBB, Gutiérrez A, Rodríguez MJS, Alberto CEM, Luz IG, et al. Video-consultation in primary health care: an implementation experience. Ene [Internet]. 2021 [cited 2023 Dec 12];15(2):1-21. Available from: Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1988-348X2021000200002 https://scielo.isciii.es/scielo.php?scri... ^),(³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964... ^),(³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030... .
Potencialidades e barreiras da teleconsulta de enfermagem na APS
Potencialidades - Facilidade de acesso¹⁴14. Chang K, Davis R, Birt J. Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control. Dis Manag Health Outcomes. 2007;15(6):377-85. https://doi.org/10.2165/00115677-200715060-00005 https://doi.org/10.2165/00115677-2007150... ^),(¹⁶16. Huibers L, Giesen P, Smits M, Mokkink H, Grol R, Wensing M. Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation. Eur J Emerg Med. 2012;19(5):309-15. https://doi.org/10.1097/MEJ.0b013e32834d3e67 https://doi.org/10.1097/MEJ.0b013e32834d... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^)-(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... , acompanhamento de pacientes com COVID-19²²22. Royal College of Nursing. Remote consultations guidance under COVID-19 restrictions [Internet]. London: Royal College of Nursing; 2020 [cited 2023 May 05]. Available from: Available from: https://www.rcn.org.uk/Professional-Development/publications/rcn-remote-consultations-guidance-under-covid-19-restrictions-pub-009256 https://www.rcn.org.uk/Professional-Deve... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^)-(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^),(³⁰30. Graça TUS, Santos AL, Yamamoto G, Souza RW, Srougé MPP, Pacheco RL, et al. Telemonitoring programme on COVID-19 for a low-income community in Brazil: case study. BMJ Innov. 2021;7(2):342-6. https://doi.org/10.1136/bmjinnov-2020-000619 https://doi.org/10.1136/bmjinnov-2020-00... , diabetes mellitus¹⁴14. Chang K, Davis R, Birt J. Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control. Dis Manag Health Outcomes. 2007;15(6):377-85. https://doi.org/10.2165/00115677-200715060-00005 https://doi.org/10.2165/00115677-2007150... ^),(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^)-(²⁹29. Abbate M, Fresneda S, Yañez A, Ricci-Cabello I, Galmes-Panades AM, Aguilo A, et al. Prediphone trial group. Nurse-led telephone intervention for lifestyle changes on glycaemic control in people with prediabetes: Study protocol for a randomized controlled trial. J Adv Nurs. 2021;77(7):3204-17. https://doi.org/10.1111/jan.14842 https://doi.org/10.1111/jan.14842... , hipertensão arterial²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... , infecção do trato respiratório²⁰20. Kaminsky E, Aurin IE, Hedin K, Andersson L, André M. Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study. BMC Nurs. 2020;19(1):1-10. https://doi.org/10.1186/s12912-020-00459-1 https://doi.org/10.1186/s12912-020-00459... , infecções sexualmente transmissíveis³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964... , insuficiência cardíaca¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694... , avaliação de feridas²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(³²32. Chang YY, Ang SY, Ong CE, Peng SS, Zulkifli H, Hashim N, et al. Right siting of complex acute wound management-preliminary study of teleconsultation wound services between acute and primary care in Singapore. J Tissue Viability. 2022;31(2):353-7. https://doi.org/10.1016/j.jtv.2021.09.006 https://doi.org/10.1016/j.jtv.2021.09.00... , saúde mental³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055... , saúde da pessoa idosa³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030... , saúde da criança³⁴34. Sachett JAG, Gonçalves ICM, Santos WOM. Experience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic. Rev Bras Enferm . 2022;75(Suppl 2):e20210820. https://doi.org/10.1590/0034-7167-2021-0820pt https://doi.org/10.1590/0034-7167-2021-0... .
Barreiras - Falta de acesso à TIC* e/ou à internet¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941... ^),(²¹21. Jiménez-Rodríguez D, Ruiz-Salvador D, Rodríguez MDM, Pérez-Heredia M, Muñoz RFJ, Arrogante O. Consensus on criteria for good practices in video consultation: A Delphi study. Int J Environ Res Public Health. 2020;17(15):5396. https://doi.org/10.3390/ijerph17155396 https://doi.org/10.3390/ijerph17155396... ^)-(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(²⁶26. Marrero JN, Brito PRBB, Gutiérrez A, Rodríguez MJS, Alberto CEM, Luz IG, et al. Video-consultation in primary health care: an implementation experience. Ene [Internet]. 2021 [cited 2023 Dec 12];15(2):1-21. Available from: Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1988-348X2021000200002 https://scielo.isciii.es/scielo.php?scri... ^),(³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... , gravidade do quadro clínico¹⁵15. Mckinstry B, Watson P, Pinnock H, Heaney D. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18. https://doi.org/10.3399/bjgp09X420941 https://doi.org/10.3399/bjgp09X420941... ^)-(¹⁷17. Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL. Question design in nurse-led and GP-led telephone triage for same day appointment requests: a comparative investigation. BMJ Open. 2014;4(3):e004515. https://doi.org/10.1136/bmjopen-2013-004515 https://doi.org/10.1136/bmjopen-2013-004... ^),(²⁰20. Kaminsky E, Aurin IE, Hedin K, Andersson L, André M. Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study. BMC Nurs. 2020;19(1):1-10. https://doi.org/10.1186/s12912-020-00459-1 https://doi.org/10.1186/s12912-020-00459... ^)-(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^)-(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^),(³⁰30. Graça TUS, Santos AL, Yamamoto G, Souza RW, Srougé MPP, Pacheco RL, et al. Telemonitoring programme on COVID-19 for a low-income community in Brazil: case study. BMJ Innov. 2021;7(2):342-6. https://doi.org/10.1136/bmjinnov-2020-000619 https://doi.org/10.1136/bmjinnov-2020-00... ^),(³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030... ^),(³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055... , não adesão do paciente²²22. Royal College of Nursing. Remote consultations guidance under COVID-19 restrictions [Internet]. London: Royal College of Nursing; 2020 [cited 2023 May 05]. Available from: Available from: https://www.rcn.org.uk/Professional-Development/publications/rcn-remote-consultations-guidance-under-covid-19-restrictions-pub-009256 https://www.rcn.org.uk/Professional-Deve... ^)-(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(³³33. Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J. Electronic Consultation by Advanced Practice Nurses to Improve Access to Specialist Care for Older Adults. J Gerontol Nurs. 2022;48(4):33-40. https://doi.org/10.3928/00989134-20220307-02 https://doi.org/10.3928/00989134-2022030... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... .
Processo de enfermagem na teleconsulta
Avaliação¹⁶16. Huibers L, Giesen P, Smits M, Mokkink H, Grol R, Wensing M. Nurse telephone triage in Dutch out-of-hours primary care: the relation between history taking and urgency estimation. Eur J Emerg Med. 2012;19(5):309-15. https://doi.org/10.1097/MEJ.0b013e32834d3e67 https://doi.org/10.1097/MEJ.0b013e32834d... ^)-(¹⁷17. Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL. Question design in nurse-led and GP-led telephone triage for same day appointment requests: a comparative investigation. BMJ Open. 2014;4(3):e004515. https://doi.org/10.1136/bmjopen-2013-004515 https://doi.org/10.1136/bmjopen-2013-004... ^),(²⁰20. Kaminsky E, Aurin IE, Hedin K, Andersson L, André M. Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study. BMC Nurs. 2020;19(1):1-10. https://doi.org/10.1186/s12912-020-00459-1 https://doi.org/10.1186/s12912-020-00459... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(³⁵35. Wärdig R, Engström AS, Carlsson A, Wärdig F, Hultsjö S. Saving lives by asking questions: nurses’ experiences of suicide risk assessment in telephone counselling in primary health care. Prim Health Care Res Dev. 2022;23:e65. https://doi.org/10.1017/S146342362200055X https://doi.org/10.1017/S146342362200055... , exame físico¹⁴14. Chang K, Davis R, Birt J. Nurse practitioner-based diabetes care management: Impact of telehealth or telephone intervention on glycemic control. Dis Manag Health Outcomes. 2007;15(6):377-85. https://doi.org/10.2165/00115677-200715060-00005 https://doi.org/10.2165/00115677-2007150... ^),(¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694... ^),(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... , diagnósticos¹⁹19. Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: Qualitative study using conversation analysis. J Med Internet Res . 2020;22(2):e16694. https://doi.org/10.2196/16694 https://doi.org/10.2196/16694... ^)-(²⁰20. Kaminsky E, Aurin IE, Hedin K, Andersson L, André M. Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study. BMC Nurs. 2020;19(1):1-10. https://doi.org/10.1186/s12912-020-00459-1 https://doi.org/10.1186/s12912-020-00459... ^),(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... , planejamento²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... , prescrição²³23. Vijayalakshmi P, Kathyayani BV, Hatti NM, Reddemma K, Narayana M, Kumar CN, et al. TeleNursing Practice Guidelines. Bengaluru: NIMHANS; 2020 [cited 2023 May 03]. Available from: Available from: https://nimhans.ac.in/wp-content/uploads/2020/12/TeleNursing-Practice-Guideline-2020.pdf https://nimhans.ac.in/wp-content/uploads... ^)-(²⁵25. Murphy M, Scott LJ, Salisbury C, Turner A, Scott A, Denholm R. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: a mixed-methods longitudinal study. Br J Gen Pract . 2021;71(704):e166-e177. https://doi.org/10.3399/BJGP.2020.0948 https://doi.org/10.3399/BJGP.2020.0948... ^),(²⁸28. Breton M, Deville N, Gaboury I, Smithman MA, Kaczorowski J, Lussier MT. Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic. Healthc Policy. 2021;17(1):73-90. https://doi.org/10.12927/hcpol.2021.26576 https://doi.org/10.12927/hcpol.2021.2657... ^),(³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... , evolução²²22. Royal College of Nursing. Remote consultations guidance under COVID-19 restrictions [Internet]. London: Royal College of Nursing; 2020 [cited 2023 May 05]. Available from: Available from: https://www.rcn.org.uk/Professional-Development/publications/rcn-remote-consultations-guidance-under-covid-19-restrictions-pub-009256 https://www.rcn.org.uk/Professional-Deve... ^)-(²⁴24. Secretaria Municipal de Saúde de Florianópolis. Guia de Orientação para Teleconsulta de Enfermagem [Internet]. Florianópolis: Secretaria Municipal de Saúde; 2020 [cited 2023 May 04]. Available from: Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/PDF/Guia_para_orientacao_de_TELECONSULTA_Enfermagem.pdf http://www.pmf.sc.gov.br/arquivos/arquiv... ^),(²⁷27. Silva CB, Trindade LL, Kolhs M, Barimacker SV, Schacht L, Bordignon M. Implementation of COVID-19 telemonitoring: repercussions in Nursing academic training. Rev Gaúcha Enferm. 2021;42:e20200395. https://doi.org/10.1590/1983-1447.2021.20200395 https://doi.org/10.1590/1983-1447.2021.2... ^),(³¹31. Downie A, Mashanya T, Chipwaza B, Griffiths F, Harris B, Kalolo A. Remote Consulting in primary health care in low- and middle-income countries: Feasibility study of an online training program to support care delivery during the COVID-19 pandemic. JMIR Form Res. 2022;6(6):e32964. https://doi.org/10.2196/32964 https://doi.org/10.2196/32964... ^),(³⁶36. Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en https://doi.org/10.1590/1980-220X-REEUSP... .

[1] Autor correspondente: Vitória Lídia Pereira Sousa E-mail: vitorialidia05@gmail.com https://orcid.org/0000-0001-5004-3592

Brasil

Brasil

Resumo

Objetivo:

Método:

Resultados:

Conclusão:

Destaques: