A successful telenursing experience: Development of an education-interaction orthopedic nursing web application

Telenursing is a component of telemedicine. The role and impact of telenursing in orthopedic nursing are unclear. This study aimed to design, implement, and evaluate an education-interaction orthopedic nursing web application.

This study was a multi-method study. In the first and second phases of the design and implementation of the web application, the waterfall model was used with the collaboration of 127 patients with orthopedic conditions and four nurses. The third phase evaluated the web application through qualitative and quantitative approaches conducted with semi-structured interviews with 18 patients after four months of using the web application and reporting with the consolidated criteria for reporting qualitative research (COREQ) checklist. A quantitative evaluation was done with the Mobile App Rating Scale (MARS) with the collaboration of 127 patients after four months.

MARS results showed that the average score for all questions except for two questions about orientation in the performance dimension and validity in the information dimension was greater than four for all questions except for two questions about orientation in the dimension of performance and credibility in the dimension of information. Friedman's test indicated that the beauty dimension received the first rank and the information dimension received the fifth rank. Qualitative results suggested that the results of the interview were categorized into 64 codes, seven subclasses, and finally, two main classes including advantages and positive points and disadvantages and points requiring improvement.

The results of this study indicated that the design, implementation, and evaluation of an education-interaction orthopedic nursing web application was a successful experience in telenursing.