Telehealth and Telenursing: Opportunities, Challenges, and Future Directions

Nanak Chand Suman; Archana Bele; Reetesh Kumar Ahirwar; Tushar Chaturvedi

doi:10.69968/7zpamq71

Authors

Nanak Chand Suman Prof. Nanak Chand Suman, Associate Professor, Govt. College of Nursing, BRD Medical College, Gorakhpur, Uttar Pradesh, India
Archana Bele Vice principal, Rani Durgawati Nursing College, Banda, Uttar Pradesh, India
Reetesh Kumar Ahirwar Associate Professor, Sri Sai Institute of Nursing Sciences, Sehore, Madhya Pradesh, India
Tushar Chaturvedi Professor, Mansarovar Nursing College, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.69968/7zpamq71

Keywords:

Telehealth, Telenursing, Digital Healthcare, Remote Patient Monitoring, Healthcare Technology

Abstract

Telehealth and telenursing have become the new paradigms of the modern healthcare system where healthcare can be provided using digital communication technologies. The growing need of affordable, convenient, and patient-centered healthcare, along with the growth of information and communication technologies, have contributed to the increased use of telehealth services across the globe. The review explores the definition and history of telehealth and telenursing, the technology infrastructure on which they are implemented, and the opportunities they provide in enhancing the accessibility of healthcare, the continuity of care, and patient outcomes. Among the critical challenges, the review emphasizes the technological constraints, privacy and security issues, regulatory issues, digital divide, and access inequity in healthcare technologies. Moreover, the latest technologies artificial intelligence, the Internet of Things, wearables, blockchain, and 5G networks are discussed as the ones that can improve the efficiency of telehealth and increase the range of telenursing practice. The results show that telehealth and telenursing can be instrumental in solving the problems of healthcare delivery and will soon become the part of the future healthcare system, helping to provide efficient, accessible, and sustainable patient care.

References

[1] A. Bashir and D. R. Bastola, “Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study,” JMIR Med. INFORMATICS, vol. 6, 2018, doi: 10.2196/medinform.9080.

[2] A. C. David-olawade, D. B. Olawade, I. O. Ojo, M. E. Famujimi, T. T. Olawumi, and D. T. Esan, “Nursing in the Digital Age: Harnessing telemedicine for enhanced patient care,” Informatics Heal., vol. 1, no. 2, pp. 100–110, 2024, doi: 10.1016/j.infoh.2024.07.003.

[3] A. Broderick et al., “Telehealth innovation: Current directions and future opportunities,” Aalborg Univ., 2017.

[4] L. Rettinger et al., “Telehealth Education in Allied Health Care and Nursing: Web-Based Cross-Sectional Survey of Students’ Perceived Knowledge, Skills, Attitudes, and Experience,” JMIR Med. Educ., vol. 10, 2024, doi: 10.2196/51112.

[5] W. Glinkowski, K. Paw, and L. Koz, “Telehealth and Telenursing Perception and Knowledge Among University Students of Nursing in Poland,” Telemed. e-HEALTH, vol. 19, no. 7, pp. 523–529, 2013, doi: 10.1089/tmj.2012.0217.

[6] A. Toyin, D. Bandele, and A. Akanji, “Telenursing’s applicability as a new aspect of nursing practice,” African J. Nurs. Midwifery, vol. 11, no. 1, pp. 1–8, 2023.

[7] Y. Yuan et al., “Mapping trends and hotspots regarding the use of telenursing for elderly individuals with chronic diseases,” Medicine (Baltimore)., vol. 9, no. December 2023, 2024.

[8] R. Pradhan, “The Impact of Digital Technologies on Nursing Practice: Opportunities and Challenges,” Int. J. Sci. Res., vol. 12, no. 6, pp. 1316–1324, 2023, doi: 10.21275/SR23611215856.

[9] P. Dixit and P. B. Singh, “The Impact of Artificial Intelligence on Various Sectors: Benefits, Challenges, and Future Prospects,” Interantional J. Sci. Res. Eng. Manag., vol. 3, no. 2, pp. 140–144, 2024, doi: 10.69968/ijisem.2024v3si2140-144.

[10] A. Afik, M. Glorino, R. Pandin, M. Phil, and M. Psi, “Telenursing as a new nursing paradigm in the 21 century: A literature review,” Preprints, no. March, 2021, doi: 10.20944/preprints202103.0704.v1.

[11] R. A. Margañon, M. Llistosella, S. A. Margañon, M. R. Navarro, B. Gr, and A. S. Sillero, “Nursing Practice and Telehealth in School Health Services: A Scoping Review,” Healthcare, pp. 1–26, 2023.

[12] C. Patrick, “Telehealth Nursing: Advancements, Challenges and Future Prospects,” J. Adv. Pract. Nurs., vol. 8, pp. 4–5, 2023, doi: 10.37421/2573-0347.2023.8.347.

[13] G. Tort-nasarre, A. Espart, P. Galbany-estragu, B. Álvarez, M. Subias-miquel, and M. Romeu-labayen, “Experiences of Telenursing in Overcoming Challenges and Applaying Strategies by COVID-19 Patients in Home Isolation: Qualitative Study in Primary Care,” Healthcare, pp. 1–13, 2023.

[14] R. Kalia and M. Saggi, “Telenursing and Challenges in India,” Asian J. Nurs. Educ. Res., vol. 09, no. 04, pp. 573–576, 2019, doi: 10.5958/2349-2996.2019.00125.3.

[15] R. Ftouni, B. Aljardali, M. Hamdanieh, L. Ftouni, and N. Salem, “Challenges of Telemedicine during the COVID-19 pandemic: a systematic review,” BMC Med. Inform. Decis. Mak., pp. 1–21, 2022, doi: 10.1186/s12911-022-01952-0.

[16] J. Alipour and M. H. Hayavi-Haghighi, “Opportunities and Challenges of Telehealth in Disease Management during COVID-19 Pandemic: A Scoping Review,” Appl. Clin. Inform., vol. 12, pp. 864–876, 2021.

[17] M. Firouzkouhi, A. Abdollahimohammad, J. Arulappan, T. Nouraei, and J. Farzi, “Challenges and opportunities of using tele-nursing during COVID-19 pandemic: An integrative review,” Front. Heal. Informatics, 2021.

[18] K. Bouabida, B. Lebouch, and M.-P. Pomey, “Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic,” Healthcare, pp. 1–10, 2022.

[19] B. Duka, K. Nuhu, F. Mane, J. Çini, A. Zylfo, and K. Vakeflliu, “Mapping Nursing Telemedicine Practices: A Scoping Review of Models, Outcomes, and Professional Roles Blerina,” Nurs. reports, pp. 1–23, 2026.

[20] S. Hu et al., “Digital health: current applications, challenges, and future directions for enhancing healthcare quality and safety,” Front. Public Heal., 2025, doi: 10.3389/fpubh.2025.1646802.

[21] Y. Trisyani, A. Nuraeni, A. Anna, A. P. Priambodo, Y. Trisyani, and A. Nuraeni, “Telehealth Approach in Breast Cancer Care: A Systematic Review of Models and Outcomes,” Int. J. Womens. Health, vol. 1411, 2025, doi: 10.2147/IJWH.S549643.

[22] M. N. T. T. Alnefaie et al., “Telemedicine in Nursing Practice : Challenges , Benefits , and Future Directions,” J. Int. Cris. RISK Commun. Res., vol. 7, no. 53, pp. 471–476, 2024.

[23] J. Charalambous, B. Olivia, and J. Currie, “Nurse practitioner led telehealth services: A scoping review,” J. Clin. Nurs. Publ., pp. 839–858, 2024, doi: 10.1111/jocn.16898.

[24] Z. A. Abdallah, E. A. R. Khamis, F. M. Ibrahim, and A. A. W. Farag, “Telenursing Future in Solving the Nursing Global Workforce Gap,” IntechOpen, 2024.

[25] J. Sahu, P. Dongre, S. Mishra, Y. Yadu, and B. Kumar, “Telemedicine: A Comprehensive Review of Current Trends and Future Directions in India,” Int. J. Pharm. Res. Appl., vol. 8, no. 3, pp. 1373–1380, 2023, doi: 10.35629/7781-080313731380.

[26] K. L. Radha, M. Dhandapani, and P. Kaholhote, “Telehealth, Telemedicine, Telenursing – 21 st Century Progression towards Health for All,” J. Heal. Educ. Res. Dev., vol. 10, 2022, doi: 10.37421/2380-5439.2022.10.100011