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January 21, 2026Digital Health0 citationsOpen Access

Telenursing use in mother and child community health centers: A qualitative study among public health nurses

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RARoi AvrahamDDDina Van DijkOKOrly Kerub

Key Points

  • This study aims to understand the implementation of telenursing services and nurses' perceptions in community health centers.
  • Conducted qualitative research using thematic analysis
  • Involved 19 public health nurses from management and staff roles
  • Utilized semi-structured interviews conducted in-person and via Zoom
  • Established that telenursing exists at the national level through call centers and online lectures
  • Nurses perceive remote services as enhancing care and family education
  • Identified challenges including trust issues, diagnostic concerns, and increased workload
  • Highlighted systemic barriers like weak infrastructure and a need for training

Abstract

Objective The use of telenursing has been increasing, but in mother and child community health centers in Israel, it is rarely in use. The study aimed to explore the existence and implementation of telenursing services and to analyze nurses’ perceptions, identifying factors that may promote or delay their use. Design A qualitative approach study using thematic analysis was conducted in the North, Tel-Aviv, and South regions of the Ministry of Health, and involved 19 nurses—7 in a management role, and 12 staff nurses. Methods Data collection employed semistructured interviews conducted in-person or over Zoom. The data were analyzed to identify themes, subthemes, and categories. Results Telenursing services exist mainly on a national level, including the nationwide Ministry of Health's call center and a service providing online parent enrichment lectures. Nurses viewed remote services as enriching family education, extending care beyond brief clinic visits through improved access, and creating opportunities for flexible work (including from home) and enhanced professional recognition. Yet, nurses addressed some challenges including fear that reduced face-to-face contact may erode trust with parents, decrease diagnostic accuracy, and marginalize nursing; they also reported added workload, digital-literacy gaps, and potential reductions in clinic utilization. System-level barriers included weak infrastructure, limited technical support, legal and procedural gaps, and needs for training, clear protocols, and ongoing monitoring. Finally, participants cautioned that telenursing may widen inequalities and foster distrust in vulnerable communities. Conclusions Telenursing can improve access, quality, and efficiency, but requires hybrid integration, strong infrastructure, training, and support.

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Cite This Study

Avraham et al. (2026) studied this question.

synapsesocial.com/papers/69706ce9b6488063ad5c1be2https://doi.org/10.1177/20552076251406317
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