INTRODUCTION:

Telenursing is a subject of telemedicine, involves the provision of nursing care and support remotely through telecommunication technologies, enabling nurses to assess, monitor and advising patients without direct physical contact. This approach has proven particularly valuable in managing chronic conditions and delivering healthcare in rural or underserved areas, improving patient outcomes while reducing the risk of infection¹.

One strategy being examined to address the demands of patient care is telenursing. The nursing process must be followed by the telenurse when planning, assessing, providing, and evaluating care. The care is delivered remotely instead of in person, which is the only distinction. When caring for patients with chronic illnesses, telenursing services proved to be successful. The assistance offered by telenursing allows patients to get care in their homes without having to plan a trip to a medical center, which is particularly useful when caring for the elderly or those with various chronic illnesses.²

Telenursing utilizes information and communication technology to deliver healthcare services remotely. It enable nurses to address client’s health needs through web-based system, communication tools and technology to deliver, manage and coordinate care effectively. Through the nursing process, nurses in telenursing assess, plan, implement, evaluate and document care while also providing information, referrals, education and support to clients.³

Information technology that continues to develop today must be observed by the world of health, especially the world of nursing to help answer existing health problems. The development of information technology is an opportunity to improve the quality of nursing care and increase the reach of nursing services for people. One of the nursing technologies that continues to develop is telehealth nursing or telenursing.⁴

Telenursing, a subtype of telemedicine, provides remote patient care by leveraging telecommunications technology, bridging healthcare gaps, especially in resource-limited environments. The incorporation of telehealth services has proven beneficial during emergencies, such as the COVID-19 pandemic, by guaranteeing continuity of care while lowering exposure risks. Nurses play a significant role in the successful deployment of telehealth, making their preparedness a key determinant in its effectiveness.⁵

Telenursing poses unique issues, including liability concerns associated to technological failures, resource availability in the patient's home, confidentiality of health information, consistency in care delivery techniques, and expertise in using telecommunication tools.⁶

Shapshery Walaa Gamal et al, (2024) conducted a study to assess awareness and perception of nurses regarding telenursing at primary health care centers. Descriptive design was used. Sample size was 300. Findings of study showed that 90.3% of studied nurse were females. The total number of studied nurses had mobile and 98% of them using internet. Moreover, 77.7% of studied nurses didn’t have training courses on telenursing. In addition, 74% of the studied nurses had poor awareness regarding telenursing while 74% had very good perception regarding telenursing⁷.

Alshammari Alkadi et al. (2024) conducted a cross-sectional study on nursing students with convenience sampling technique to assess awareness, knowledge and attitudes regarding telehealth and telenursing use. The results showed that nursing students exhibited moderately high levels of awareness, knowledge and attitudes regarding technology. Awareness was associated with knowledge (r=0.350, p<0.001), attitude (r=0.660, p<0.001) and years of technology use (r=-0.157, p=0.025). Attitude was significantly associated with knowledge (r=0.295, p<0.001) and years of technology use (r=-0.150, p=0.032)⁸

M Marwa Abdel- AleemMegahed2019 conducted a descriptive study to assess telenursing perception among nursing students. Sample size was 169 students. Data was collected through questionnaire sheet to assess student’s knowledge and attitude towards telenursing. Result showed that student’s have moderate knowledge regarding telenursing. 53.9% of them look forward to incorporate telenursing service into the national health care system, and 75.8% appreciated the addition of telenursing classes to the curriculum. Additionally, 53.9% are aware of the need for national telenursing implementation and like to use in their future work (79.6%) that reflect a positive attitude towards telenursing.⁹

Gandamayu Ida BagusMaha et al. conducted a study with the aims to determine nurse’s understanding of the implementation of telenursing.100% of nurses had good understanding of what telenursing is, the benefits, barriersand technicians for implementing telenursing while for knowledgeabout forms of telenursing there will still some respondents who did not know about other forms of telenursing as many as 43 people (30.07). the results of this study had showed that nurses had already had good knowledge about telenursing.¹⁰

As telenursing offers significant benefits, it is important to assess knowledge and attitude of nursing students regarding telenursing. The findings of study will assist in planning of training programs or seminar to create awareness regarding telenursing among nursing students as they are future healthcare workers.

MATERIALS AND METHODS:

Research Approach:

A Quantitative approach

Research design:

An Explorative study design was used

Research setting:

The study was conducted in nursing college, Ludhiana

Sample size:

55 nursing students were selected for study

Sampling technique:

Convenient sampling technique was used

Inclusion criteria:

Nursing students who were

· Willing to participate

· Present at the time of data collection

Description of Tool:

Part 1: Demographic variables

Part 2: Semi structured Questionnaire to assess the knowledge regarding Telenursing

Part 3: 5 Point Likert scale to explore attitude regarding use of telenursing

Ethical Considerations:

Permission was taken from higher authority before conducting the study

· Informed verbal consent taken from subjects

· Confidentiality of subjects maintained throughout the study.

Data Collection Procedure:

Data was collected by using semi structured questionnaire and 5-point Likert scale from B.sc nursing and post basic B.sc nursing student of nursing college, Ludhiana. It was carried in the month of May, 2025. Convenient sampling technique was used to collect the data.

Plan for Data Analysis:

The data was analysed by using descriptive and inferential statistics, i.e. calculating mean, percentage, mean percentage, standard deviation, Karl Pearson’scoefficient of correlation, t test, and ANOVA. Calculation had been manually and SPSS. The findings were depicted with the help of tables, and bar diagrams.

Analysis of Data:

Section –I Sample characteristics

Table 1: Frequency and percentage distribution level of knowledge

N=55

S.No.	Socio-demographic characteristics		n	%
1.	Age (in years)	18-19	03	5.45
		20-21	39	70.9
		22-23	05	09
		> 23	08	14.5
2.	Gender	Male	04	7.27
2.	Gender	Female	51	92.7
3.	Course of Studies	B. Sc. Nursing	46	83.63
3.	Course of Studies	Post Basic Nursing	09	16.36
4.	Exposure of Computer	Yes	44	80
4.	Exposure of Computer	No	11	20
5.	Duration of using Internet	<1 hour	04	7.27
		1-2 hours	13	23.6
		3-4 hours	27	49.09
		>4 hours	11	20
6.	Observation of telenursing in clinical area	Yes	34	61.8
6.	Observation of telenursing in clinical area	No	21	38.18
7.	Social media	Telegram	02	3.63
		Twitter	02	3.63
		Email	02	3.63
		Instagram	45	81.81
		All of above	04	7.27

Section-II

Objective 1: To Assess knowledge regarding Telenursing among Nursing students

This table depicts that most of the faculty members belongs to age group belongs to 24 to 34 years, 78% participants were female, 73% participants were belonging to urban area, 78% participants had M. Sc. nursing qualification, 35% participants were having Assistant professor designation, 85% participants had previous knowledge regarding SBL, 53% participants had 1 to 5 years of experience.

Table 2: Percentage Distribution, Mean of Nursing Student According to the Level of Knowledge Regarding Telenursing.N=55

Level of knowledge	Score	n	%	Mean
Excellent	>12	02	3.6	12
Good	9-12	15	27.2	9.6
Average	5-8	33	60	6.24
Below average	1-4	05	09	03

Maximum score=14; Minimum score=0

N=55

Fig 1: Percentage distribution of nursing student according to the level of knowledge regarding telenursing.

Section III:

Objective 2: To Identify the Deficit Area Regarding in Knowledge Regarding Telenursing:

Table 3: Mean and Mean percentage of knowledge of nursing students regarding telenursing N=55

Area of knowledge	Maximum score	Mean	Mean %	Rank
Concept of tele nursing	1-2	1.36	68	I
Uses of telenursing	3-8	3.01	50.1	II
Disadvantage of telenursing	09	0.36	36.3	IV
Advantage of tele nursing	10-14	2.47	49.4	III

Section IV:

Objective 3: To explore the attitude regarding telenursing among nursing students

Table 3: Attitude towards telenursing according to the 5 points Likert Scale N=55

Statement	Mean score
I feel confident to using live video to collect information	4.0
I can utilize tele nursing care in future practice	4.2
I think virtual health care save cost and time	4.9
I am willing to integrate tele nursing system to provide care	4.0
Tele nursing is good idea for nurses	4.1
Tele nursing can develop skills and knowledge for clinical practice	4.2
Tele nursing health care accessible to patient in remote area	4.2
Tele nursing can free up nurses time for other tasks	4.0
I would recommend tele nursing to my colleagues	4.0
I am able to maintain strong rapport with patient through telenursing	3.8

5: strongly agree, 4: Agree, 3: Uncertain, 2: Disagree, 1: Strongly disagree

Maximum students had positive attitude with mean score more than 3 from Likert scale.

Section V:

Objective 4: To find out relationship between knowledge regarding telenursing with selected demographic variable like age, gender, course of study, exposure to computer, exposure to internet and duration of using internet

Table 4 (a): Mean Knowledge score of nursing students regarding telenursing according to age N=55

Age (in years)	n	Mean	SD	Df BG/WG	F
18-19	03	8.3	2.35	3/51`	0.77^NS
20-21	39	7.15	2.48
22-23	05	7.6	2.24
>23	38	6.1	2.26

NS-non-significant

Table 4 (b): Mean Knowledge score of nursing students regarding telenursing according to gender N=55

Gender	n	Mean	SD	df	t
Male	04	5.75	1.92	53^NS
Female	51	7.23	2.47	53^NS

NS-non-significant

Table 4 (c): Mean Knowledge score of nursing students regarding telenursing according to course of study N=55

Course of study	n	Mean	SD	df	t
B.Sc. Nursing	46	7.36	2.43	53	1.4367^ns
Post Basic Nursing	09	6.11	2.13	53	1.4367^ns

NS-non-significant

Table 4 (d): Mean Knowledge score of nursing students regarding telenursing according to exposure of computer N=55

Exposure of computer	n	Mean	SD	df	t
Yes	44	7.13	2.49	53	0.04^*
No	11	7.09	2.35	53	0.04^*

*Significant at p<0.05

Table 4 (e): Mean Knowledge score of nursing students regarding telenursing according to duration of internet usage N=55

Duration for use of internet	n	Mean	SD	Df BG/WG	F
<1 hour	04	5.5	0.5	3/51`	1.42 P=0.24
1-2 hour	13	7.9	3.07
3-4 hour	27	6.8	2.14
>4 hour	11	7.45	1.82

NS-non-significant

Table 4 (f): Mean Knowledge score of nursing students regarding telenursing according to use of social media use N=55

Social media	n	Mean	SD	Df BG/WG	f
Telegram	02	5.55	0.5	BG=4 WG=50`	0.310 P=0.870
Twitter	02	07	02
Email	02	6.5	1.5
Instagram	45	7.15	2.58
All type	04	7.75	1.78

NS-non-significant

RECOMMENDATIONS:

· A similar study can be conducted on large sample and by selecting experiment and control groups.

· A comparative study can be conducted between government and private hospital staff nurses.

CONFLICT OF INTEREST STATEMENT:

The authors of this paper declare that there has been no conflict of interest.

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Received on 18.12.2025 Revised on 15.01.2026

Accepted on 06.02.2026 Published on 25.02.2026

Available online from February 28, 2026

A and V Pub Int. J. of Nursing and Med. Res. 2026; 5(1):46-50.

DOI: 10.52711/ijnmr.2026.11

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