Tele-ICU and Critical Care Patient Nursing Care through Remote Monitoring

Authors

  • Abdullah Fehaid Alruqi Kingdom of Saudi Arabia, Madinah,King Fahad hospital
  • Hanan Mazyed Qaisi Kingdom of Saudi Arabia, Eradah complex for mental health in Riyadh
  • Naif Faihan Alosaimi Kingdom of Saudi Arabia,Dawadmi general hospital
  • Joza Dawi Alotibi Kingdom of Saudi Arabia,Marat General Hospital
  • fatimah ahmed yahya shabi Kingdom of Saudi Arabia, Jazan Health Complex,Jazan Specialized Hospital
  • Sultan Abdullah Ahmed Majrashi Kingdom of Saudi Arabia,Abha Mental Health Hospital
  • Maher Ayed Fahd Al-Mutairi Kingdom of Saudi Arabia, Ministry Of Health, Yanbu General Hospital
  • Fatimah Hamoud Al-Arawi Kingdom of Saudi Arabia, Ministry Of Health, Yanbu General Hospital
  • Hanan Hamoud Al-Arawi Kingdom of Saudi Arabia, Ministry Of Health, Imam Abdulrahman Al Faisal Hospita
  • Nawal Abdullah Ebrahim Mubarki Kingdom of Saudi Arabia, Ministry Of Health, Al-Aziziyah Health Center
  • Samirah Abdullah Ibrahim Mobarki Kingdom of Saudi Arabia, Ministry Of Health, Southern Neighborhoods Health Center

DOI:

https://doi.org/10.64483/jmph-50

Keywords:

Tele-ICU, remote monitoring, critical care nursing, patient outcomes, telemedicine

Abstract

Tele-Intensive Care Unit (Tele-ICU) systems use state-of-the-art telemedicine technologies to monitor and advise on critically ill patients in real time, filling intensivist gaps and enhancing nursing care in ICUs. The review study compiles current literature to assess the effects of Tele-ICU and nurse-led remote monitoring of nursing care of critically ill patients based on clinical outcomes, nurse workload, and implementation challenges. This study highlights how Tele-ICU programs allow for continuous monitoring, improve adherence to best practices, and decrease mortality and length of stay (LOS). The impact results in fewer patient safety events, decreased nurse burnout, and equity of service distribution, particularly in rural and underserved populations. Barriers to implementation include high costs, technical challenges, and staff acceptance. The review identifies the innovative role of the Tele-ICU nurse as a “second set of eyes” providing real-time support to bedside staff through interprofessional collaboration and responsiveness to real-time data. Future health care research must consider standardizing outcome measurement, address issues of cost-effectiveness, and strengthening staff education to maximize the value of Tele-ICU. The research presents a summary statement advocating for critical investment in technologies and education to leverage the full potential of critical care provision.

References

Al-Mutair, A., Al-Omari, A., & Al Mutairi, M. (2020). Exploring the impact and challenges of tele-ICU: A qualitative study on nursing perspectives. ScienceDirect.

American Telemedicine Association. (2014). Tele-ICU definition and guidelines. ATA Guidelines.

Avdalovic, M. V., & Marcin, J. P. (2019). When will telemedicine appear in the ICU? Journal of Intensive Care Medicine, 34(4), 271–276.

Bauman, K. A., & Hyzy, R. C. (2014). ICU 2020: Five interventions to revolutionize quality of care in the ICU. Journal of Intensive Care Medicine, 29(1), 13–21.

Buchman, T. G., et al. (2018). Telemedicine in the intensive care unit: Where are we and where are we going? PMC.

Chen, J., et al. (2023). Intelligent intensive care unit: Current and future trends. Intensive Care Research.

Cummings, J., Krsek, C., Vermoch, K., & Matuszewski, K. (2007). Intensive care unit telemedicine: Review and consensus recommendations. American Journal of Medical Quality, 22(4), 239–250.

Dasari, P., Reddy, M., Parmar, D. S., & Britto, C. (2024). Tele-ICU enabled management of an organ donor in an under-resourced setting. BMJ Case Reports, 17(4), e255348.

Davoudi, A., et al. (2019). Intelligent ICU for autonomous patient monitoring using pervasive sensing and deep learning. Scientific Reports.

Geetha, S., Verma, N., & Chakole, V. (2024). A comprehensive review of extracorporeal membrane oxygenation: The lifeline in critical moments. Cureus, 16(1), e53275.

Groves, R. H., Jr., Holcomb, B. W., Jr., & Smith, M. L. (2008). Intensive care telemedicine: Evaluating a model for proactive remote monitoring and intervention. Studies in Health Technology and Informatics, 131, 131–146.

Guinemer, C., Boeker, M., Weiss, B., Fuerstenau, D., Balzer, F., & Poncette, A. S. (2020). Telemedicine in intensive care units: Protocol for a scoping review. JMIR Research Protocols, 9(12), e19695.

Kleinpell, R., et al. (2016). Assessing the impact of telemedicine on nursing care in intensive care units. American Journal of Critical Care.

Kumar, S., Merchant, S., & Reynolds, R. (2013). Tele-ICU: Efficacy and cost-effectiveness of remotely managing critical care. Perspectives in Health Information Management.

Lilly, C. M., et al. (2011). A multicenter study of ICU telemedicine reengineering of adult critical care. JAMA, 305(21), 2175–2183.

Lilly, C. M., et al. (2014). A multicenter study of ICU telemedicine reengineering of adult critical care. Chest, 145(3), 500–507.

Morimoto, M., et al. (2023). Elucidation of the needs for telecritical care services in Japan: A qualitative study. BMJ Open, 13(11), e072065.

Morrison, J. L., et al. (2010). Clinical and economic outcomes of the electronic intensive care unit: Results from two community hospitals. Critical Care Medicine, 38(1), 2–8.

Mullen-Fortino, M., et al. (2021). Communication and role clarity inform TeleICU use: A qualitative analysis. BMC Health Services Research.

Ofoma, U. R., Maddox, T. M., & Perera, C. (2021). Characteristics of U.S. acute care hospitals that have implemented telemedicine critical care. Critical Care Explorations, 3(0).

Poncette, A. S., et al. (2020). Improvements in patient monitoring in the intensive care unit: Survey study. Journal of Medical Internet Research, 22(6), e19091.

RemoteICU. (2021). Teleicu / eICU / Tele-ICU: Solving physician shortages with telemedicine solutions. RemoteICU.

Rosenfeld, B. A., et al. (2000). Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care. Critical Care Medicine, 28(12), 3925–3931.

Shahpori, R., Hebert, M., Kushniruk, A., & Zuege, D. (2011). Telemedicine in the intensive care unit environment—A survey of the attitudes and perspectives of critical care clinicians. Journal of Critical Care, 26(3), 328.e9–15.

Thomas, E. J., Lucke, J., Wueste, L., Weavind, L., & Patel, B. (2009). Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay. JAMA, 302(24), 2671–2678.

Yoon, J. H., et al. (2022). Artificial intelligence in critical care medicine. Critical Care, 26(75).

Zang, K., et al. (2020). Nursing in critical care. BACCN Journal.

Downloads

Published

2024-12-25

How to Cite

Alruqi, A. F., Qaisi, H. M., Alosaimi, N. F., Alotibi, J. D., shabi, fatimah ahmed yahya, Majrashi, S. A. A., … Mobarki, S. A. I. (2024). Tele-ICU and Critical Care Patient Nursing Care through Remote Monitoring. Saudi Journal of Medicine and Public Health, 1(1), 85–93. https://doi.org/10.64483/jmph-50

Issue

Section

Articles

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)