Conceptual analysis of telenursing: an integrative review




Telenursing; Remote Consultation; Nursing; Concept Formation; Telemonitoring; Information Technology.


Objective: to analyze the concept of telenursing. Methods: this is an integrative review based on the Concept Analysis model, conducted in the LILACS, CINAHL, SCOPUS, Web of Science and MEDLINE/PubMed databases, using the descriptors Telenursing, Remote Consultation and Nursing. Results: 37 studies were analyzed, identifying among the antecedents the scientization of nursing care, advances in health informatics and the dissemination of telehealth and telemedicine. Regarding attributes, the use of Information and Communication Technologies in nursing care, telemonitoring, low cost, reliability and availability stand out. The most common consequences point to better establishment of the link between patient and nurse, expansion of care coverage, health promotion, and better adherence to treatment. Conclusion: scientific evidence contributed to the formulation of the concept of telenursing, which consists of the incorporation of Information and Communication Technologies in nursing care through technological products and processes, in order to meet health needs. Contributions to practice: it contributes to the innovation of nursing care, since it elucidates the scientific subsidies necessary for understanding and discussing telenursing as an emerging phenomenon, as well as presenting the basic components of the concept. 


Celes RS, Rossi TRA, Barros SG, Santos CML, Cardoso C. Telehealth as state response strategy: systematic review. Rev Panam Salud Publica. 2018;42:e84. doi:

Fathizadeh P, Heidari H, Masoudi R, Sedehi M, Khajeali F. Telenursing strategies in Iran: a narrative literature review. Int J Epidemiol Health Sci. 2020;1(3):e03. doi:

Barbosa IA, Silva MJP. Nursing care by telehealth: what is the influence of distance on communication? Rev Bras Enferm. 2017;70(5):928-34. doi:

Pourbalouch O, Navidian A, Askari H. Assessing the impact of telenursing on self-care in hemodialysis patients: a clinical trial study. Med Surg Nurs J. 2019;8(4):e101292. doi:

Palmeira CS, Mussi FC, Ramos GA, Jesus NV, Macedo TTS, Dal STM. Nursing protocol for remote monitoring of women with excessive weight. Texto Contexto Enferm. 2019;28:e20170400. doi:

Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG. 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. doi:

Nascimento PA, Silva SAV, Lima GSCR, Caldas BDL, Viviane NV, Bispo BFR. Nursing process for patients with neuropsychiatric sequels of covid-19: an experience report. Rev Enferm Atual In Derme. 2022;96(39):e021296. doi:

Rutledge CM, Gustin T. Preparing nurses for roles in telehealth: now is the time. Online J Issues Nurs. 2021;26(1):824-932. doi:

Yliluoma P, Palonen M. Telenurses’ experiences of interaction with patients and family members: nurse–caller interaction via telephone. Scand J Caring Sci. 2020;34(3):675-83. doi:

Walker LO, Avant KC. Strategies for theory construction in nursing. Norwalk, CT: Appleton & Lange; 2005.

Mendes KDS, Silveira RCCP, Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm. 2019;28:e20170204. doi:

Melnyk B, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Wolters Kluwer; 2019.

Galvão TF, Pansani TSA, Harrad D. Main items to report systematic reviews and meta-analyzes: the PRISMA recommendation. Epidemiol Serv Saúde. 2015;24(2):335-42. doi:

Keshavaraz N, Naderifar M, Firouzkohi M, Abdollahimohammad A, Akbarizadeh MR. Effect of telenursing on the self-efficacy of patients with myocardial infarction: a quasi-experimental study. Signa Vitae. 2020;16(2):92-6. doi:

França AC, Rodrigues AB, Aguiar MIF, Silva RA, Freitas FMC, Melo GAA. Telenursing for the control of chemotherapy-induced nausea and vomiting: a randomized clinical trial. Texto Contexto Enferm. 2019;28:e20180404. doi:

Alcázar B, Ambrosio L. Tele-enfermería en pacientes crónicos: revisión sistemática. An Sis San Navarra. 2019;42(2):187-97. doi:

Ghodsbin F, Javanmardifard S, Javad Kaviani M, Jahanbin I. Effect of tele-nursing in the improving of the ultrasound findings in patients with nonalcoholic fatty liver diseases: a randomized clinical trial study. Invest Educ Enferm. 2018;36(3). doi:

Najafi SS, Shaabani M, Momennassab M, Aghasadeghi K. The nurse-led telephone follow-up on medication and dietary adherence among patients after myocardial infarction: a randomized controlled clinical trial. Int J Community Based Nurs Midwifery [Internet]. 2016 [cited Sep 12, 2022];4(3):199-208. Available from:

Li L, Lake R, Raban MZ. Medication-related calls received by a national telenursing triage and advice service in Australia: a retrospective cohort study. BMC Health Serv Res. 2017;17(197):197. doi:

Reierson IT, Solli H, Bjork IT. Nursing students’ perspectives on telenursing in patient care after simulation. Clin Simul Nurs. 2015;11(4):244-50. doi:

Glinkowski W, Pawłowska K, Kozłowska L. Telehealth and telenursing perception and knowledge among university students of nursing in Poland. Telemed J E Health. 2013;19(7):523-9. doi:

Fallahpour S, Nasiri M, Fotokian Z, Alipoor ZJ , Hajiahmadi M. The effects of telephone-based telenursing on perceived stressors among older adults receiving hemodialysis. Nurs Midwifery Stud. 2020;9(4):201-7. doi:

Jafarzadeh Z, Maghsoudi J, Barekatain B, Marofi M. Effect of Telenursing on Attachment and Stress in Mothers of Preterm Infants. Iran J Pediatr. 2019;10(1):65-71. doi:

Shahsavani A, Kiani F. Investigating the effect of telenursing on health promoting behaviours of haemodialysis patients in education hospitals in Zahedan in 2017-2018. J Evolution Med. 2019;8(44):3326-31. doi:

Bennett EA, Kolko RP, Chia L, Elliott JP, Kalarchian MA. Treatment of obesity among youth with intellectual and developmental disabilities: an emerging role for telenursing. West J Nurs Res. 2017;39(8):1008-27. doi:

Barbosa IA, Silva KCCD, Silva VA, Silva MJP. The communication process in telenursing: integrative review. Rev Bras Enferm. 2016;69(4):718-25. doi:

Timpka T, Spreco A, Eriksson O, Dahlström O, Gursky EA, Strömgren M, et al. Predictive performance of telenursing complaints in influenza surveillance: a prospective cohort study in Sweden. Euro Surveill. 2014;19(46):20966. doi:

Moretto IG, Contim CLV, Espírito Santo FH. Telephone follow up as a nursing intervention for patients receiving outpatient chemotherapy: integrative review. Rev Gaúcha Enferm. 2019;40:e20190039. doi:

Palmeira CS, Ramos GA, Mussi FC. Assessment of the experience of nursing telemonitoring by overweight women. Esc Anna Nery. 2021;25(1):e20200090. doi:

Van Houwelingen T, Ettema RGA, Bleijenberg N, Os-Medendorp K, Kort HSM, Cate OT. Educational intervention to increase nurses’ knowledge, self-efficacy and usage of telehealth: a multi-setting pretest-posttest study. Nurse Educ Pract. 2021;51(1):102924. doi:

Ghodsbin F, Javanmardifard S, Kaviani MJ, Jaanbin I. Effect of tele-nursing in the improving of the ultrasound findings in patients with nonalcoholic fatty liver diseases: a randomized clinical trial study. Invest Educ Enferm. 2018;36(3):e09. doi:

Mussi FC, Palmeira CS, Santos CAST, Guimarães AC, Lima ML, Nascimento TS. Effect of nursing telemonitoring on the knowledge of obese women: clinical trial. Rev Bras Enferm. 2019;72(Suppl 3):212-9. doi:

Chiu CW, Wong FKY. Effects of 8 weeks sustained follow-up after a nurse consultation on hypertension: a randomised trial. Int J Nurs Stud. 2010;47(11):1374-82. doi:

Toffoletto MC, Ahumada-Tello JD. Telenursing in care, education and management in Latin America and the Caribbean: an integrative review. Rev Bras Enferm. 2020;73(Suppl 5):e20190317. doi:

Georgeton E, Aubert L, Pierrard N, Gaborieau G, Berrut G, Decker L. General practitioners adherence to recommendations from geriatric assessments made during teleconsultations for the elderly living in nursing homes. Maturitas. 2015;82(2):184-9. doi:

Souza-Junior VD, Mendes IAC, Mazzo A, Santos CA, Andrade EMLR, Godoy S. Telenursing manual for providing care to patients using clean intermittent urinary catheterization. Esc Anna Nery. 2017;21(4):e20170188. doi:

Driessen J, Bonhomme A, Chang W, Nace DA, Kavalieratos D, Pereira S, et al. Nursing home provider perceptions of telemedicine for reducing potentially avoidable hospitalizations. J Am Med Dir Assoc. 2016;17(6):519-24. doi:

Delphino TM, Souza PA, Santana RF. Telemonitoring as intervention in the postoperative facectomy: systematic review of the literature. Rev Min Enferm. 2016;20:e937. doi:

Moyer-Knox D, Mueller TM, Vuckovic K, Mischke L, Wolliams RE. Remote titration of carvedilol for heart failure patients by advanced practice nurses. J Card Fail. 2004;10(3):219-24. doi:

Dougherty CM, Lewis FM, Thompson EA, Baer JD, Kim W. Short-term efficacy of a telephone intervention by expert nurses after an implantable cardioverter defibrillator. Pacing Clin Electrophysiol. 2004;27(12):1594-602. doi:

Warren M, Mackie D, LEary A. The complexity of non face-to-face work with patients affected by metastatic breast cancer and their carers. The ‘hidden consultations’ of the clinical nurse specialist. Eur J Oncol Nurs. 2012;16(5):460-64. doi:

Boroumand S, Moeini M. The effect of a text message and telephone follow-up program on cardiac self-efficacy of patients with coronary artery disease: a randomized controlled trial. Iran J Nurs Midwifery Res. 2016;21(2):171-6. doi:

Cavalari E, Mello BLD, Oliveira AS, Machi-Alves LM. The use of telenursing for people with chronic diseases: integrative review. J Health Inform J [Internet]. 2012 [cited July 12, 2022];4(n.esp):220-5. Available from:

Abbott PA, Coenem A. Globalization and advances in information and communication technologies: the impact on nursing and health. Nurs Outlook. 2020;56(5):238-46. doi:

Ranjbar H, Bakhshi M, Mahdizadeh F, Glinkowski W. Iranian clinical nurses’ and midwives’ attitudes and awareness towards telenursing and telehealth: a cross-sectional study. Sultan Qaboos Univ Med J. 2021;21(1):e50-e57. doi:

Chakeri A, Jalali E, Ghadi MR, Mohamadi M. Evaluating the effect of nurse-led telephone follow-ups (tele-nursing) on the anxiety levels in people with coronavirus. J Family Med Prim Care. 2020;30(10):5351-4. doi:

Kord Z, Fereidouni Z, Mirzaee MS, Alizadeh Z, Behnammoghadam M, Rezaei M, Abdi N, Delfani F, Zaj P. Telenursing home care and COVID-19: a qualitative study. BMJ Support Palliat Care. 2021; 29(2):1-9. doi:

Javanmardifard S, Ghodsbin F, Kaviani MJ, Jahanbin I. The effect of telenursing on self-efficacy in patients with non-alcoholic fatty liver disease: a randomized controlled clinical trial. Gastroenterol Hepatol Bed Bench [Internet]. 2017 [cited July 12, 2022];10(4):263-71. Available from:

Kargar JM, Javadpour S, Taheri L, Poorgholami F. Effect of nurse-led telephone follow ups (tele-nursing) on depression, anxiety and stress in hemodialysis patients. Glob J Health Sci. 2015;8(3):168-73. doi:

Ramelet AS, Fonjallaz B, Rio L, Zoni S, Ballabeni P, Rapin J, et al. Impact of a nurse led telephone intervention on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized clinical trial. BMC Pediatrics. 2017;17(1):168-78. doi:



How to Cite

Sousa, V. L. P., Dourado Júnior, F. W., Anjos, S. de J. S. B. dos, Carvalho, R. E. F. L. de, Oliveira, S. K. P., & Silva, D. C. de A. (2022). Conceptual analysis of telenursing: an integrative review. Rev Rene, 23, e81384.



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