Tele-ICU Nursing Interventions and Their Impact on Patient Outcomes: A Systematic Review and meta-analysis

Abstract

Tele-ICU systems provide the opportunity to continuously monitor and provide clinical assistance and nurses are the most important operators in the detection of deterioration and planning care. The present systematic review and meta-analysis explored the effectiveness of Tele-ICU nursing interventions on the patient outcome. A total of 2,438 records were found in five databases (20202025) and subjected to screening and full-text analysis, 27 studies were included. A standardized form was used to extract data, whereas the quality of the studies was appraised with the help of JBI and RoB-2 instruments. Random-effects model meta-analysis revealed that Tele-ICU interventions had a significant impact on ICU mortality (RR = 0.82, 95% CI: 0.74–0.91) and reduced ICU length of stay (MD = -1.14 days). Other results were that there were fewer complications, improved clinical response as well as increased adherence to evidence-based protocols. The qualitative evidence pointed at increased nursing confidence and workflow efficiency. Altogether, the Tele-ICU nursing interventions can increase patient outcomes and facilitate more reliable critical care provision in various settings.