Nursing role and practice integration in telemedicine models for systemic lupus erythematosus a scoping review

This review systematically analyzed the existing evidence regarding the integration of telemedicine into nursing roles and practices for managing patients with systemic lupus erythematosus (SLE). The conduct and reporting of this scoping review followed the PRISMA-ScR checklist. A total of six studies were identified through searches conducted across five major databases, including PubMed and Web of Science, and were subsequently included in the analysis. The findings indicate that telemedicine significantly enhances access to care, reduces the incidence of missed appointments, and improves patient satisfaction and adherence to treatment protocols. Additionally, digital tools, such as mobile applications and remote coaching, have been shown to effectively improve patients' quality of life and self-management capabilities. Within telemedicine frameworks, nurses undertake diverse roles, including those of educators, coordinators, and supporters. Nevertheless, some studies have reported increased hospitalization rates among patients in the telemedicine group, highlighting potential limitations in detecting subtle clinical changes. Overall, telemedicine represents a viable adjunct to traditional SLE care models, particularly for patients with limited resources or mobility constraints. However, the standardized implementation and long-term efficacy of telemedicine require further investigation through high-quality research.