Telehealth in Psychiatric Nursing Education: Lessons From the Field

Abstract

BACKGROUND: This article summarizes the experiences that a Midwest college of nursing had when telepsychiatry was introduced for psychiatric-mental health post-master’s nurse practitioner students to use in a clinical internship. AIMS: Implications for nurse practitioner educators will be identified, and recommendations for future research will be explored. METHOD: Described are the following: (1) policies and procedures the institution considered, (2) challenges that were encountered by faculty and students, and (3) strategies and limitations of these strategies defining best practice, what didactic content should be taught, and how clinical placements needed to be structured. RESULTS: Implications for nurse practitioner educators, practice, and research are identified. CONCLUSIONS: It is clear that telepsychiatry has an important role in the clinical education of psychiatric-mental health nurse practitioners. It is working well as a clinical internship option. The college of nursing is continuing to examine and address issues and is looking forward to enhancing the telepsychiatry experiences for students in the future.

Keywords

education nurse practitioner psychiatric-mental health telehealth telepsychiatry

Get full access to this article

View all access options for this article.

References

Abrams

Sossong

Schwamm

L. H.

Barsanti

Carter

Kling

. . . Wozniak

(2017). Practical issues in delivery of clinician-to-patient telemental health in an academic medical center. Harvard Review of Psychiatry, 25(3), 135-145. doi:10.1097/HRP.0000000000000142

Ali

Carlton

Ali

(2015). Telehealth education in nursing curricula. Nurse Educator, 40, 266-269. doi:10.1097/NNE.0000000000000149

American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. Washington, DC: Author.

Cain

Sharp

(2016). Telepharmacotherapy for child and adolescent psychiatric patients. Journal of Child and Adolescent Psychopharmacology, 26, 221-228. doi:10.1089/cap.2015.0039

Campbell

O’Gorman

Cernovsky

Z. Z.

(2015). Reactions of psychiatric patients to telepsychiatry. Mental Illness, 7(2), 54-55. doi:10.4081/mi.2015.6101

Chong

Moreno

(2012). Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. Telemedicine Journal and e-Health, 18, 297-304. doi:10.1089.tmj.2011.0126

Cunningham

D. L.

Connors

E. H.

Lever

Stephan

S. H.

(2013). Providers’ perspectives: Utilizing telepsychiatry in schools. Telemedicine and e-Health, 19, 794-799. doi:10.1089/tmj.2012.0314

Edirippulige

Armfield

(2017). Education and training to support the use of clinical telehealth: A review of the literature. Journal of Telemedicine and Telecare, 23, 273-282. doi:10.1177/1357633X16632968

Fatehi

Wootton

(2012). Telemedicine, telehealth or e-health? A bibliometric analysis of the trends in the use of these terms. Journal of Telemedicine and Telecare, 18, 460-464. doi:10.1258/jtt.2012.gth108

10.

Fronczek

A. E.

Rouhana

N. A.

Kitchin

J. M.

(2017). Enhancing telehealth education in nursing: Applying King’s conceptual framework and theory of goal attainment. Nursing Science Quarterly, 30, 209-213. doi:10.1177/0894318417708418

11.

Glinkowski

Pawlowska

Kozlowska

(2013). Telehealth and telenursing perception and knowledge among university students of nursing in Poland. Telemedicine and e-Health, 19, 523-529. doi:10.1089/tmj.2012.0217

12.

Grady

J. L.

(2011). The virtual clinical practicum: An innovative telehealth model for clinical nursing education. Nursing Education Perspectives, 32, 189-194. doi:10.5480/1536-5026-32.3.189

13.

Health Resources and Services Administration, Federal Office of Rural Health Policy. (2015). Telehealth in rural America. Retrieved from https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/rural/publications/2015-telehealth.pdf

14.

Hoffman

Kane

J. M.

(2015). Telepsychiatry education and curriculum development in residency training. Academic Psychiatry, 39, 108-109.

15.

Kramer

G. M.

Kinn

J. T.

Mishkind

M. C.

(2015). Legal, regulatory, and risk management issues in the use of technology to deliver mental health care. Cognitive and Behavioral Practice, 22, 258-268. doi:10.1016/j.cbpra.2014.04.008h

16.

Kwong

M. W.

(2017). FCC’s net neutrality change may have big implications for telehealth. Retrieved from http://www.chcf.org/articles/2017/12/net-neutrality-telehealth-implications

17.

Lamb

G. S.

Shea

(2006). Nursing education in telehealth. Journal of Telemedicine and Telecare, 12(2), 55-56.

18.

Meyers

Stoep

A. V.

Zhou

McCarty

C. A.

Cayton

(2015). Effectiveness of a telehealth service delivery model for treating attention-deficit/hyperactivity disorder: A community-based randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 54, 263-274.

19.

Morland

L. A.

Mackintosh

M. A.

Rosen

C. S.

Willis

Resick

Chard

Frueh

B. C.

(2015). Telemedicine versus in-person delivery of cognitive processing therapy for women with posttraumatic stress disorder: A randomized noninferiority trial. Depression and Anxiety, 32, 811-820. doi:10.1002/da.22397

20.

National Council of State Boards of Nursing. (n.d.). Enhanced nurse licensure compact (eNLC) implementation. Retrieved from https://www.ncsbn.org/enhanced-nlc-implementation.htm

21.

National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf

22.

O’Reilly

Bishop

Maddox

Hutchinson

Fisman

Takhar

(2007). Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. Psychiatric Services, 58, 36-43.

23.

Public Health Institute Center for Connected Health Policy. (2017). State telehealth laws and reimbursement policies: A comprehensive scan of the 50 states and District of Columbia. Retrieved from http://www.telehealthpolicy.us/sites/default/files/resources/Telehealth%20Laws%20and%20Policies%20Report%20FINAL%20Fall%202017%20PASSWORD.pdf

24.

Rutledge

C. M.

Kott

Schweickert

P. A.

Poston

Fowler

Haney

T. S.

(2017). Telehealth and eHealth in nurse practitioner training: Current perspectives. Advances in Medical Education and Practice, 8, 399-409. Retrieved from https://doaj.org/article/0df4af1f6ff7493bba2fe263c165d91b

25.

Stubbings

D. R.

Rees

C. S.

Roberts

L. D.

(2015). New avenues to facilitate engagement in psychotherapy: The use of videoconferencing and text-chat in a severe case of obsessive-compulsive disorder. Australian Psychologist, 50, 265-270. doi:10.1111/ap.12111

26.

Telehealth Resource Centers. (n.d.). Medical malpractice and liability. Retrieved from https://www.telehealthresourcecenter.org/toolbox-module/medical-malpractice-and-liability

27.

Yuen

E. K.

Gros

D. F.

Price

Zeigler

Tuerk

P. W.

Foa

E. B.

Acierno

(2015). Randomized controlled trial of home-based telehealth versus in-person prolonged exposure for combat-related PTSD in veterans: Preliminary results. Journal of Clinical Psychology, 71(6), 500-512. doi:10.1002/jclp.22168

28.

Zheng

Nickasch

Lander

Wen

Xiao

Marshalek

. . . Sullivan

(2017). Treatment outcome comparison between telepsychiatry and face-to-face buprenorphine medication-assisted treatment for opioid use disorder: A 2-year retrospective data analysis. Journal of Addiction Medicine, 11, 138-144.