Nipin Kalal - Academia.edu (original) (raw)
Papers by Nipin Kalal
Urologic nursing, Dec 31, 2022
DOAJ (DOAJ: Directory of Open Access Journals), Jul 31, 2020
Osong public health and research perspectives, May 24, 2024
This systematic review describes the effectiveness of virtual reality (VR)-supported exercise the... more This systematic review describes the effectiveness of virtual reality (VR)-supported exercise therapy on upper limb motor function and activities of daily living after stroke. Studies published through January 24, 2022, were identified using CINAHL, Cochrane Library, Embase, Medline, and Web of Science. Randomized control trials comparing VR treatment with conventional therapy (CT) for upper extremity rehabilitation after stroke were included. Methodological quality was assessed using the Cochrane risk-of-bias tool. Of 9 included studies, 5 concluded that the VR group outperformed control participants, 1 indicated the superiority of VR-supported exercises alone over CT, and 3 found VR comparable to CT in promoting upper limb motor function. Five studies analyzed independence in daily living, with 4 reporting no significant difference between VR and CT groups. No strong evidence indicated long-term benefits of VR-assisted exercise. All included studies demonstrated low risk of bias concerning random sequence generation, allocation concealment, outcome assessment blinding, incomplete outcome data, and selective reporting bias. However, a high risk of bias was observed regarding participant blinding due to the nature of the intervention. Most studies suggested that VR, used alongside CT, can improve motor function following stroke. However, the evidence was insufficient to conclude that VR outperforms conventional approaches.
This systematic review describes the effectiveness of virtual reality (VR)-supported exercise the... more This systematic review describes the effectiveness of virtual reality (VR)-supported exercise therapy on upper limb motor function and activities of daily living after stroke. Studies published through January 24, 2022, were identified using CINAHL, Cochrane Library, Embase, Medline, and Web of Science. Randomized control trials comparing VR treatment with conventional therapy (CT) for upper extremity rehabilitation after stroke were included. Methodological quality was assessed using the Cochrane risk-of-bias tool. Of 9 included studies, 5 concluded that the VR group outperformed control participants, 1 indicated the superiority of VR-supported exercises alone over CT, and 3 found VR comparable to CT in promoting upper limb motor function. Five studies analyzed independence in daily living, with 4 reporting no significant difference between VR and CT groups. No strong evidence indicated long-term benefits of VR-assisted exercise. All included studies demonstrated low risk of bias concerning random sequence generation, allocation concealment, outcome assessment blinding, incomplete outcome data, and selective reporting bias. However, a high risk of bias was observed regarding participant blinding due to the nature of the intervention. Most studies suggested that VR, used alongside CT, can improve motor function following stroke. However, the evidence was insufficient to conclude that VR outperforms conventional approaches.
International Journal of Urological Nursing
Does nursing directed education have any impact on severity of symptoms and quality of life among... more Does nursing directed education have any impact on severity of symptoms and quality of life among BPH patients? This study aims to develop a nurse‐directed education program, to assess and compare the effectiveness of the program on symptoms‐severity and quality of life among BPH patients. BPH, one of the most common causes of Lower Urinary Tract Symptoms (LUTS) in elderly men, is caused by a combination of prostate proliferation and lower urinary tract obstruction. A cross‐sectional study conducted by Divmehar Kaur et al. 2020 at Rajindra Hospital, Patiala, Punjab concluded that BPH patients' quality of life is negatively affected by LUTS associated with BPH (p ≤ 0.001). Also, a field study conducted by Özcan et al. in Turkey concluded that subjects' BPH‐QLS ratings varied statistically significantly (p 0.05) depending on the age, educational attainment, the occurrence of micturition issues, and whether they had ever applied to a medical facility. Then another descriptive s...
Journal of Research in Nursing
Background: Cardiovascular disease is the most often occurring disease in India accounting for 24... more Background: Cardiovascular disease is the most often occurring disease in India accounting for 24.8% of deaths. Myocardial infarction contributes to this. A higher risk of cardiovascular disease exists due to comorbidities or the unawareness of existing illness among the Indian population. There is a shortage of published research on cardiovascular disease and a lack of standard cardiac rehabilitation programmes in India. Aim: Our study aims to develop a Nurse-led lifestyle modification follow-up programme, to assess and compare the effectiveness of the programme on health outcomes and quality of life among post-myocardial infarction patients. Methods: A two arm, single-blinded, randomised feasibility trial was conducted by developing a Nurse-led lifestyle modification follow-up programme. The interventional programme was based on the information-motivation-behavioural skill model and included health education, an educational booklet, and telephone follow-up. For feasibility testing...
Investigación y Educación en Enfermería
Objective. To explore the smartphone addiction and its impact on quality of sleep and academic pe... more Objective. To explore the smartphone addiction and its impact on quality of sleep and academic performance among the nursing students. Methods. A descriptive cross-sectional study was conducted among the nursing students (n=160) in tertiary care teaching hospital in western Rajasthan (India) by using standardized Smartphone Addiction Scale Short Version (SAS-SV), the quality of sleep was assessed by standardized Pittsburg’s Sleep Quality Index scale (PSQI) and academic performance was assessed by self –made Academic Performance Scale. Results. In this study 38.1 % students were having moderate smartphone addiction. The smartphone addiction is directly associated with hours daily spend on smartphone (p < 0.001), time check smartphone after wake up in the morning (p < 0.001), and frequency of smartphone pickups in a day (p=0.003) of students. The quality of sleep is inversely associated with duration of smartphone use (p=0.004), hours daily spend on smartphone (p=0.002), time ch...
Investigación y Educación en Enfermería, Mar 14, 2023
Objective. To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eatin... more Objective. To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eating, physical activity, and sleep behavior among nursing staff in India. Methods. A crosssectional descriptive E-survey was conducted among 942 nursing staff. The validated electronic survey questionnaire was used to assess the changes in lifestyle-related etiquette before and during COVID-19 Pandemic. Results. A total of 942 responses (mean age 29.01±5.7years) were collected, 53% of the respondents were men. A slight decline in healthy meal consumption pattern (p<0.0001) and a restriction of unhealthy food items were observed (p<0.0001), and also reduction in physical activity coupled with decreased participation in leisure-related activities was seen (p<0.0001). The stress
Journal of Research in Nursing
European Journal of Cardiovascular Nursing
Funding Acknowledgements Type of funding sources: None. Background India has among the world'... more Funding Acknowledgements Type of funding sources: None. Background India has among the world's highest burden of cardiovascular disease, potentially contributed by myocardial infarction. Despite growing trouble, there are no known post-discharge programs & randomized trials reporting health status outcomes & quality of life among post-myocardial infarction patients. Cardiac rehabilitation programs reduce mortality, therefore, it is crucial to understand the local burden of the disease, common challenges, public perceptions, develop timely & effective interventional programs. Purpose This study aimed to evaluate the effect of a nurse-led lifestyle modification follow-up program on health outcomes & quality of life among post-myocardial infarction patients. Methods A two-arm randomized controlled trial was adopted & 104 post-myocardial infarction patients were recruited from August to December 2021. An equal number of participants were randomly assigned to intervention & control g...
Journal of Medical Evidence
Indian Journal of Transplantation
Nursing Journal of India
Every human being wants to live and enjoy the fruits of life till he dies. But sometimes a human ... more Every human being wants to live and enjoy the fruits of life till he dies. But sometimes a human being wishes to earnestly end his life by use of unnatural means. This will be abnormal to end one’s life in such way. Nursing staff spend most of time with patient at end of life so they can understand how much painful it is. The present study was conducted to assess the attitude towards euthanasia among nursing ofÀcers working in ICUs. In this study, cross sectional descriptive research survey design was adopted. Participants were selected through a non-probability convenient sampling technique, in which 90 Nursing ofÀcers working in ICUs were enrolled. Euthanasia Attitude Scale which has 4 domains and each domain is having some items (total 20 items) with the 5-point Likert scale (strongly disagree, disagree, neutral, agree, strongly Agree) to assess the attitude of Nursing ofÀcers. The study revealed that out of 90 nursing ofÀ cers 47 (52.22%) had Neutral attitude and 43 (47.77%) had...
Journal of Neonatology
The intricate and immature physiological structures of cardiovascular system in neonates often le... more The intricate and immature physiological structures of cardiovascular system in neonates often leads to hemodynamic instability among normal or sick neonates; therefore, their organs are inadequately supplied with oxygen. The hemodynamic monitoring enlightens the dynamic changes that occurs in the systemic and regional perfusions of neonates. It aids in comprehensive neonatal assessment and creates countless opportunities for clinical as well as research applications. The hemodynamic alterations are helpful in formulating diagnosis in early compensatory phase during cardiovascular compromise and therefore help in preventing the escalation of the disease to the decompensatory phase of low cardiac output syndrome. The assessment of blood pressure measurements, systemic flow, systemic vascular resistance, oxygen delivery, oxygen consumption, myocardial perfusion, contractility, and cardiac output are considered as vital parameters to be obtained in order to manage the hemodynamically s...
Journal of Research in Nursing
Background Sleep disturbances are amongst one of the most common problems reported for critically... more Background Sleep disturbances are amongst one of the most common problems reported for critically ill patients admitted to ICU. Sleep disturbances have a negative impact on physiological parameters of the patients, which may delay their recovery, raise health care cost, and increases the length of hospital stay. Methods A mixed method (quantitative and qualitative) study was conducted with the use of a convergent parallel research design. The study was conducted in critical care units and 72 patients were included by the nested sampling technique. Two tools were used for data collection; a Modified Sleep disturbing scale and Semi-structured questionnaire with an in-depth interview on patient’s experiences regarding the quality of sleep. Result It showed that the most considerable factors which affect sleep were the pain (1.27 ± 0.61), the routine care before sleep (1.31 ± 1.03), alarms (1.29 ± 0.70) followed by lighting (1.15 ± 0.59). The environmental factors were found significant...
The Nursing journal of India, 2021
Indian Journal of Medical Specialities, 2022
The coronavirus outbreak has introduced many challenges for the health-care delivery system, its ... more The coronavirus outbreak has introduced many challenges for the health-care delivery system, its workers, and health-care recipients. To overcome the challenges coming up during the coronavirus disease-2019 (COVID-19) pandemic, health-care sector was majorly helped by telehealth, e-health, and technologies involved in consultation, diagnosis, and treatment of patients from a distance. However, it has own benefits and barriers, which are discussed in this review. This review has been conducted through searching five databases including PubMed, ResearchGate, Google Scholar, Cochrane, and ScienceDirect. Inclusion criteria included studies clearly defining any use of telehealth services during COVID-19 pandemic and its effects and barriers, written in English language, published from 2019 to till date, and including studies from different countries. Narrative synthesis was undertaken to summarize and report the findings. Ten studies met the inclusion criteria out of the 97 search results. The articles included in our studies showed a significant increase in the uptake of telehealth services during this COVID-19 pandemic. Countries like the U.S.A showed an 80% decline in-person visits among the Canadian population 41% of them wanted virtual visits compared to in-person visits. The patients have reported high satisfaction with telehealth services according to the related studies although have reported hindrances and potential barriers to it like limited access to Internet availability, devices, lack of awareness about technology, high cost for implementation, and legal framework related to policies that includes privacy and confidentiality. Based on the findings of this review study, telehealth has been found as an effective way of health delivery system in these difficult times, but there are certain factors and issues related to its use which need to be looked upon. This narrative review indicates that the use of telemedicine and telehealth services during this COVID-19 pandemic has a plan of much help, as when compared to the barriers, it may produce to reach a large population at their home without putting the lives of health-care workers and the patients themselves at risk.
Introduction: In India there is a huge disparity among percentage of healthcare professionals in ... more Introduction: In India there is a huge disparity among percentage of healthcare professionals in rural and urban areas. Majority of population in India lives in rural areas while more than 80% doctors serve in urban areas which imply that majority of healthcare serve only 20% or even less of population. To overcome the health care scarcity to rural population telemedicine and telenursing have shown potential to improve access to healthcare in a cost-effective manner, and to allow increased health literacy and personal well-being among patients Objective: Present scoping review aim to evaluate and summarize the findings of all relevant studies which uses telenursing as a delivery of health care services across the globe. Methods: The literature search was undertaken using PubMed, Embase, Medline, Clinical Key and Ovid discovery databases. The reference list of studies published from 2000 to till April 2021 were hand searched. Result: The result showed that telenursing services were begun in early 90s in abroad however, in India its was pioneered in 1997 by Apollo hospital but the still the horizon of telenursing in India is confined especially in terms of clinical practices. India being a disaster-prone country with an extreme geographical variation with a prevailing inadequacy of healthcare especially in remote areas, telenursing is still a vision for Indian healthcare system. Few barriers application to telenursing in India were documented as policy and social barrier, Lack of infrastructure, accreditation and regulatory bodies, skilled professionals and legal and ethical issues. Conclusion: In India, health care facilities are inaccessible in certain part of the country due to geographical variations, telenursing can play a pivotal role in facilitation of health care services to these areas just by overcoming the barriers.
Urologic nursing, Dec 31, 2022
DOAJ (DOAJ: Directory of Open Access Journals), Jul 31, 2020
Osong public health and research perspectives, May 24, 2024
This systematic review describes the effectiveness of virtual reality (VR)-supported exercise the... more This systematic review describes the effectiveness of virtual reality (VR)-supported exercise therapy on upper limb motor function and activities of daily living after stroke. Studies published through January 24, 2022, were identified using CINAHL, Cochrane Library, Embase, Medline, and Web of Science. Randomized control trials comparing VR treatment with conventional therapy (CT) for upper extremity rehabilitation after stroke were included. Methodological quality was assessed using the Cochrane risk-of-bias tool. Of 9 included studies, 5 concluded that the VR group outperformed control participants, 1 indicated the superiority of VR-supported exercises alone over CT, and 3 found VR comparable to CT in promoting upper limb motor function. Five studies analyzed independence in daily living, with 4 reporting no significant difference between VR and CT groups. No strong evidence indicated long-term benefits of VR-assisted exercise. All included studies demonstrated low risk of bias concerning random sequence generation, allocation concealment, outcome assessment blinding, incomplete outcome data, and selective reporting bias. However, a high risk of bias was observed regarding participant blinding due to the nature of the intervention. Most studies suggested that VR, used alongside CT, can improve motor function following stroke. However, the evidence was insufficient to conclude that VR outperforms conventional approaches.
This systematic review describes the effectiveness of virtual reality (VR)-supported exercise the... more This systematic review describes the effectiveness of virtual reality (VR)-supported exercise therapy on upper limb motor function and activities of daily living after stroke. Studies published through January 24, 2022, were identified using CINAHL, Cochrane Library, Embase, Medline, and Web of Science. Randomized control trials comparing VR treatment with conventional therapy (CT) for upper extremity rehabilitation after stroke were included. Methodological quality was assessed using the Cochrane risk-of-bias tool. Of 9 included studies, 5 concluded that the VR group outperformed control participants, 1 indicated the superiority of VR-supported exercises alone over CT, and 3 found VR comparable to CT in promoting upper limb motor function. Five studies analyzed independence in daily living, with 4 reporting no significant difference between VR and CT groups. No strong evidence indicated long-term benefits of VR-assisted exercise. All included studies demonstrated low risk of bias concerning random sequence generation, allocation concealment, outcome assessment blinding, incomplete outcome data, and selective reporting bias. However, a high risk of bias was observed regarding participant blinding due to the nature of the intervention. Most studies suggested that VR, used alongside CT, can improve motor function following stroke. However, the evidence was insufficient to conclude that VR outperforms conventional approaches.
International Journal of Urological Nursing
Does nursing directed education have any impact on severity of symptoms and quality of life among... more Does nursing directed education have any impact on severity of symptoms and quality of life among BPH patients? This study aims to develop a nurse‐directed education program, to assess and compare the effectiveness of the program on symptoms‐severity and quality of life among BPH patients. BPH, one of the most common causes of Lower Urinary Tract Symptoms (LUTS) in elderly men, is caused by a combination of prostate proliferation and lower urinary tract obstruction. A cross‐sectional study conducted by Divmehar Kaur et al. 2020 at Rajindra Hospital, Patiala, Punjab concluded that BPH patients' quality of life is negatively affected by LUTS associated with BPH (p ≤ 0.001). Also, a field study conducted by Özcan et al. in Turkey concluded that subjects' BPH‐QLS ratings varied statistically significantly (p 0.05) depending on the age, educational attainment, the occurrence of micturition issues, and whether they had ever applied to a medical facility. Then another descriptive s...
Journal of Research in Nursing
Background: Cardiovascular disease is the most often occurring disease in India accounting for 24... more Background: Cardiovascular disease is the most often occurring disease in India accounting for 24.8% of deaths. Myocardial infarction contributes to this. A higher risk of cardiovascular disease exists due to comorbidities or the unawareness of existing illness among the Indian population. There is a shortage of published research on cardiovascular disease and a lack of standard cardiac rehabilitation programmes in India. Aim: Our study aims to develop a Nurse-led lifestyle modification follow-up programme, to assess and compare the effectiveness of the programme on health outcomes and quality of life among post-myocardial infarction patients. Methods: A two arm, single-blinded, randomised feasibility trial was conducted by developing a Nurse-led lifestyle modification follow-up programme. The interventional programme was based on the information-motivation-behavioural skill model and included health education, an educational booklet, and telephone follow-up. For feasibility testing...
Investigación y Educación en Enfermería
Objective. To explore the smartphone addiction and its impact on quality of sleep and academic pe... more Objective. To explore the smartphone addiction and its impact on quality of sleep and academic performance among the nursing students. Methods. A descriptive cross-sectional study was conducted among the nursing students (n=160) in tertiary care teaching hospital in western Rajasthan (India) by using standardized Smartphone Addiction Scale Short Version (SAS-SV), the quality of sleep was assessed by standardized Pittsburg’s Sleep Quality Index scale (PSQI) and academic performance was assessed by self –made Academic Performance Scale. Results. In this study 38.1 % students were having moderate smartphone addiction. The smartphone addiction is directly associated with hours daily spend on smartphone (p < 0.001), time check smartphone after wake up in the morning (p < 0.001), and frequency of smartphone pickups in a day (p=0.003) of students. The quality of sleep is inversely associated with duration of smartphone use (p=0.004), hours daily spend on smartphone (p=0.002), time ch...
Investigación y Educación en Enfermería, Mar 14, 2023
Objective. To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eatin... more Objective. To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eating, physical activity, and sleep behavior among nursing staff in India. Methods. A crosssectional descriptive E-survey was conducted among 942 nursing staff. The validated electronic survey questionnaire was used to assess the changes in lifestyle-related etiquette before and during COVID-19 Pandemic. Results. A total of 942 responses (mean age 29.01±5.7years) were collected, 53% of the respondents were men. A slight decline in healthy meal consumption pattern (p<0.0001) and a restriction of unhealthy food items were observed (p<0.0001), and also reduction in physical activity coupled with decreased participation in leisure-related activities was seen (p<0.0001). The stress
Journal of Research in Nursing
European Journal of Cardiovascular Nursing
Funding Acknowledgements Type of funding sources: None. Background India has among the world'... more Funding Acknowledgements Type of funding sources: None. Background India has among the world's highest burden of cardiovascular disease, potentially contributed by myocardial infarction. Despite growing trouble, there are no known post-discharge programs & randomized trials reporting health status outcomes & quality of life among post-myocardial infarction patients. Cardiac rehabilitation programs reduce mortality, therefore, it is crucial to understand the local burden of the disease, common challenges, public perceptions, develop timely & effective interventional programs. Purpose This study aimed to evaluate the effect of a nurse-led lifestyle modification follow-up program on health outcomes & quality of life among post-myocardial infarction patients. Methods A two-arm randomized controlled trial was adopted & 104 post-myocardial infarction patients were recruited from August to December 2021. An equal number of participants were randomly assigned to intervention & control g...
Journal of Medical Evidence
Indian Journal of Transplantation
Nursing Journal of India
Every human being wants to live and enjoy the fruits of life till he dies. But sometimes a human ... more Every human being wants to live and enjoy the fruits of life till he dies. But sometimes a human being wishes to earnestly end his life by use of unnatural means. This will be abnormal to end one’s life in such way. Nursing staff spend most of time with patient at end of life so they can understand how much painful it is. The present study was conducted to assess the attitude towards euthanasia among nursing ofÀcers working in ICUs. In this study, cross sectional descriptive research survey design was adopted. Participants were selected through a non-probability convenient sampling technique, in which 90 Nursing ofÀcers working in ICUs were enrolled. Euthanasia Attitude Scale which has 4 domains and each domain is having some items (total 20 items) with the 5-point Likert scale (strongly disagree, disagree, neutral, agree, strongly Agree) to assess the attitude of Nursing ofÀcers. The study revealed that out of 90 nursing ofÀ cers 47 (52.22%) had Neutral attitude and 43 (47.77%) had...
Journal of Neonatology
The intricate and immature physiological structures of cardiovascular system in neonates often le... more The intricate and immature physiological structures of cardiovascular system in neonates often leads to hemodynamic instability among normal or sick neonates; therefore, their organs are inadequately supplied with oxygen. The hemodynamic monitoring enlightens the dynamic changes that occurs in the systemic and regional perfusions of neonates. It aids in comprehensive neonatal assessment and creates countless opportunities for clinical as well as research applications. The hemodynamic alterations are helpful in formulating diagnosis in early compensatory phase during cardiovascular compromise and therefore help in preventing the escalation of the disease to the decompensatory phase of low cardiac output syndrome. The assessment of blood pressure measurements, systemic flow, systemic vascular resistance, oxygen delivery, oxygen consumption, myocardial perfusion, contractility, and cardiac output are considered as vital parameters to be obtained in order to manage the hemodynamically s...
Journal of Research in Nursing
Background Sleep disturbances are amongst one of the most common problems reported for critically... more Background Sleep disturbances are amongst one of the most common problems reported for critically ill patients admitted to ICU. Sleep disturbances have a negative impact on physiological parameters of the patients, which may delay their recovery, raise health care cost, and increases the length of hospital stay. Methods A mixed method (quantitative and qualitative) study was conducted with the use of a convergent parallel research design. The study was conducted in critical care units and 72 patients were included by the nested sampling technique. Two tools were used for data collection; a Modified Sleep disturbing scale and Semi-structured questionnaire with an in-depth interview on patient’s experiences regarding the quality of sleep. Result It showed that the most considerable factors which affect sleep were the pain (1.27 ± 0.61), the routine care before sleep (1.31 ± 1.03), alarms (1.29 ± 0.70) followed by lighting (1.15 ± 0.59). The environmental factors were found significant...
The Nursing journal of India, 2021
Indian Journal of Medical Specialities, 2022
The coronavirus outbreak has introduced many challenges for the health-care delivery system, its ... more The coronavirus outbreak has introduced many challenges for the health-care delivery system, its workers, and health-care recipients. To overcome the challenges coming up during the coronavirus disease-2019 (COVID-19) pandemic, health-care sector was majorly helped by telehealth, e-health, and technologies involved in consultation, diagnosis, and treatment of patients from a distance. However, it has own benefits and barriers, which are discussed in this review. This review has been conducted through searching five databases including PubMed, ResearchGate, Google Scholar, Cochrane, and ScienceDirect. Inclusion criteria included studies clearly defining any use of telehealth services during COVID-19 pandemic and its effects and barriers, written in English language, published from 2019 to till date, and including studies from different countries. Narrative synthesis was undertaken to summarize and report the findings. Ten studies met the inclusion criteria out of the 97 search results. The articles included in our studies showed a significant increase in the uptake of telehealth services during this COVID-19 pandemic. Countries like the U.S.A showed an 80% decline in-person visits among the Canadian population 41% of them wanted virtual visits compared to in-person visits. The patients have reported high satisfaction with telehealth services according to the related studies although have reported hindrances and potential barriers to it like limited access to Internet availability, devices, lack of awareness about technology, high cost for implementation, and legal framework related to policies that includes privacy and confidentiality. Based on the findings of this review study, telehealth has been found as an effective way of health delivery system in these difficult times, but there are certain factors and issues related to its use which need to be looked upon. This narrative review indicates that the use of telemedicine and telehealth services during this COVID-19 pandemic has a plan of much help, as when compared to the barriers, it may produce to reach a large population at their home without putting the lives of health-care workers and the patients themselves at risk.
Introduction: In India there is a huge disparity among percentage of healthcare professionals in ... more Introduction: In India there is a huge disparity among percentage of healthcare professionals in rural and urban areas. Majority of population in India lives in rural areas while more than 80% doctors serve in urban areas which imply that majority of healthcare serve only 20% or even less of population. To overcome the health care scarcity to rural population telemedicine and telenursing have shown potential to improve access to healthcare in a cost-effective manner, and to allow increased health literacy and personal well-being among patients Objective: Present scoping review aim to evaluate and summarize the findings of all relevant studies which uses telenursing as a delivery of health care services across the globe. Methods: The literature search was undertaken using PubMed, Embase, Medline, Clinical Key and Ovid discovery databases. The reference list of studies published from 2000 to till April 2021 were hand searched. Result: The result showed that telenursing services were begun in early 90s in abroad however, in India its was pioneered in 1997 by Apollo hospital but the still the horizon of telenursing in India is confined especially in terms of clinical practices. India being a disaster-prone country with an extreme geographical variation with a prevailing inadequacy of healthcare especially in remote areas, telenursing is still a vision for Indian healthcare system. Few barriers application to telenursing in India were documented as policy and social barrier, Lack of infrastructure, accreditation and regulatory bodies, skilled professionals and legal and ethical issues. Conclusion: In India, health care facilities are inaccessible in certain part of the country due to geographical variations, telenursing can play a pivotal role in facilitation of health care services to these areas just by overcoming the barriers.