Telenursing and Nurse-Patient Communication Within Fertility, Inc

J Holist Nurs. 2018 Mar;36(1):38-53. doi: 10.1177/0898010116685468. Epub 2017 Jan 10.

Abstract

The purpose of this study is to examine patient perceptions of practitioner-patient communication in reproductive endocrinology and infertility (REI) practices. During this study, we uncovered the importance of telenursing for nurse-patient communication during REI treatment. Telenursing, which is defined as the use of wireless technology for out-of-office communication, is the basis for out-of-office communication. We examined participants' conceptualization of supportive and unsupportive communication, through the lens of biomedicalization theory. After conducting 23 interviews, we conclude that telenursing is integral to providing holistic nursing care during treatment at REI practices. We discuss efficient and effective uses of telenursing and patients' positive perceptions telenursing and assess telenursing as both an embrace of and form of resistance to biomedicalization within Fertility, Inc. Theoretical and practical implications are offered, including suggestions for increasing patient access to telenursing while protecting REI nurses from burnout.

Keywords: Fertility Inc.; biomedicalization; infertility; nursing; supportive communication; telenursing; wireless technology.

MeSH terms

  • Adult
  • Communication
  • Female
  • Humans
  • Infertility / psychology*
  • Infertility / therapy
  • Internet
  • Middle Aged
  • Nurse-Patient Relations*
  • Patients / psychology*
  • Perception*
  • Telenursing / methods
  • Telenursing / standards*