Iyanuoluwa Oreofe Ojo

Telemedicine has emerged as a transformative force in contemporary healthcare, reshaping nursing practice across various specialties. This narrative review explored the role, challenges, and ethical considerations associated with telemedicine in nursing practice. Also, it emphasizes telemedicine’s impact on patient care, the evolution of nursing workflows, and future directions for implementation. A comprehensive narrative review was conducted, drawing upon primary research articles, systematic reviews, and policy documents published between 2010 and 2023. The search was carried out using electronic databases, including PubMed, ScienceDirect, CINAHL, and Google Scholar, employing keywords such as "telemedicine," "nursing practice," "patient care," and "ethical considerations." Eligible studies were critically appraised for relevance and rigor. Data synthesis included the identification of key themes, trends, and exemplary instances of telemedicine utilization in nursing practice. The review revealed a multifaceted role of telemedicine in nursing practice. Teletriage and remote patient monitoring were instrumental in reducing emergency department overcrowding and improving patient triage accuracy. Teleconsultations and virtual visits facilitated patient-provider interactions, while telepsychiatry addressed the growing demand for mental health support. Tele-education emerged as a vital tool for ongoing professional development among nurses. Moreover, telemedicine effectively reached rural and underserved populations, addressing healthcare disparities. Ethical considerations, such as patient privacy, informed consent, and data security, emerged as significant challenges in telemedicine. As telemedicine continues to evolve, nurses should remain adaptable, actively engaging with emerging technologies and interdisciplinary teams. Furthermore, healthcare organizations, policymakers, and nursing associations/regulatory bodies should collaborate to establish clear ethical and legal guidelines. These efforts will ensure the continued growth of telemedicine in nursing practice, ultimately enhancing patient outcomes and expanding access to quality healthcare services. • Telemedicine correlates with improved patient outcomes and higher satisfaction rates. • Nurses are pivotal in teletriage and remote patient monitoring initiatives. • Teleconsultations streamline care delivery, enhancing efficiency and accessibility. • Telepsychiatry bridges gaps in mental health services, catering to remote patients. • Teleeducation empowers nurses through accessible and flexible professional development.

Genetic nursing education provides knowledge of traits and inherited diseases. This has not been well integrated into nursing practice in Nigeria. This study evaluated university nursing students’ knowledge of genomic concepts and readiness to practice genomic nursing in Nigeria. A cross-sectional study was conducted. Three universities were purposively selected in Nigeria. A total of 136 participants were recruited using convenient sampling technique. A modified Genetic Nursing Concept Inventory questionnaire was distributed to participants in their classrooms. Data were analyzed with SPSS (23); descriptive data were presented in tables and figures with their mean and standard deviations. Chi-square test and multivariate analysis were used to ascertain association between variables at p < 0.05 level of significance. Findings indicated that participants have poor knowledge (89%) and lack readiness (66%) to practice genomic nursing in Nigeria. Their knowledge influenced their readiness (χ2 = 21.033, df = 1, p = 0.001). Institution type was the most consistent predictor of knowledge (χ2 = 48.586, df = 2, p = 0.001) and readiness (OR = 14.817, p = 0.326, C.I. = 3.190, 319.57) as those in federal institution were more knowledgeable and prepared to practice genetic nursing. Participants perceived that poor funding, lack of trained personnel, and social/environmental factors could affect their readiness to practice genetic nursing. The study has brought to the fore that nursing students have low knowledge and were not ready to practice genetic nursing, efforts should be made to look into the adequacy of nursing training on genetic nursing and strategies needed for its integration in education and practice.