Telenursing as an intensive care strategy for a patient with traumatic acute subdural hematoma: an experience report

Abstract

Introduction

Nursing care in intensive care units involves high-acuity clinical situations that require technical and scientific preparation, rapid clinical decision-making, and interprofessional practice. In the intensive care of patients with traumatic acute subdural hematoma, nurses play a central role in continuous monitoring and in implementing evidence-based interventions.

Objective

To report nursing students’ experience during clinical practicum activities in an intensive care unit that used telenursing as a clinical support strategy for a patient with traumatic acute subdural hematoma.

Methods

This is an experience report conducted in March 2025 at a public, trauma-referral hospital in an inland city in Paraíba State, Northeast Brazil. The experience involved interstate coordination between two hospitals in different regions of Brazil to strengthen the care delivery process. A telenursing service was implemented to facilitate remote clinical discussions based on case presentation, enabling shared assessment of the patient’s health status and joint planning of nursing interventions to improve the quality of care provided.

Results

Students actively participated in the telenursing session by presenting the clinical case and discussing key aspects of care with the nurse during a videoconference. This telenursing-facilitated practicum experience highlighted the tool’s potential both to support clinical decision-making in complex clinical contexts and to serve as a teaching resource in nursing education.

Conclusion

When used as a clinical decision-support tool and as an educational strategy, telenursing demonstrated potential to help integrate theory and practice more dynamically. Such an experience enabled students to recognize this technology’s relevance for care delivery and for expanding the reach of care, especially in high-acuity contexts.