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iTelehealth Endorsement

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iTelehealth, Inc., a global company, which utilizes information technology, telecommunications and the internet to provide health services and resources, is supporting the Nightingale Initiative for Global Health (NIGH) and the Nightingale Declaration as "the key step for uniting nurses via the Internet to revolutionize healthcare delivery."

Observing that nurses everywhere are charged with working efficiently and effectively to build a healthy world,  Dr. Schlachta-Fairchild said: "This seemingly daunting task, building a healthier world, can be achieved through collaboration and cooperation between nurses across the globe. It is imperative that nurses unite on a local, national, and even global scale, and the Nightingale Declaration aims to achieve this unity."

Loretta Schlachta-Fairchild
Dr. Loretta Schlachta-Fairchild, President and Chief Executive Office (CEO) of iTelehealth, Inc.
“The Nightingale Declaration is a powerful catalyst for advancing the practice of nursing on a global scale in order to create a healthier world."

A proponent for  for telenursing and  NIGH, the iTelehealth, Inc., CEO is a nurse, healthcare administrator and expert in telehealth, telemedicine and telenursing. She is co-founder of iTelehealth Inc, which provides telehealth expertise in home settings and disease management. She is actively involved in current advances in telehealth and the internationally community and believes that nurses must continue to embrace telehealth technology as it will act as a worldwide "resource multiplier for the profession"

Dr. Schlachta-Fairchild uses telecommunications technologies in the practice of telehealth, which removes time and distance barriers for the delivery of health care services or related health care activities.

More specifically, telenursing is the use of telehealth technology to deliver nursing care and conduct nursing practice. When applied to nursing, telehealth offers a wide range of options for nursing practice. The technology allows nurses to cross geographical boundaries to interact with patients, collaborate with other nurses, and consult with other disciplines. 

Telenursing is not a new role for nurses. There is evidence of existence of the role of telenurses for more than 25 years. In fact, any nurse who has provided guidance, education, or lab results over the telephone has taken part in telenursing. However, telenursing can also include more sophisticated systems than a telephone, such as two-way audio and video systems, Internet, satellite, and other communication systems.

To accurately assess the current state of telenursing technologies and skills worldwide, Dr. Schlachta-Fairchild collaborated with the Office of Naval Research and The Henry M Jackson Foundation for Research in Military Medicine in the U.S. and the International Council of Nurses in Geneva, Switzerland on the 2004-2005 International Telenursing Survey.

The survey identified 719 nurses from 36 countries who were actively working in telenursing roles. This was a web-based, online survey that was undertaken to describe the scope of participation, characteristics, competencies and other factors related to nurses practicing with telemedicine technologies. Results of the online survey gave researchers insight into the education levels, salaries, skills, and the overall current practice of telenursing around the world.

Based on the results of the survey, The International Council of Nurses (ICN) developed and published the International Competencies for Telenursing, which will help to ensure that quality nursing care will continue to be delivered to patients through telenursing technology. See http://www.icn.ch/bookshop.htm to order the Telenursing Competencies.

In addition, there are a number of other signficant international advances in the Telenursing arena. Increased collaborative measures between nurses in the international community has led to the Nightingale Declaration, a resolution to achieve a healthier world by the year 2020. To date, this declaration has been signed over 19,000 times electronically by nurses connected to each other via the Internet.

Other initiatives that aim to make a difference in the nursing world include the formation of an International Telenursing Working Group through the International Society for Telemedicine and e-Health (ISfTeH), which will provide a forum for dissemination of knowledge and experiences of nurses who are working with or supporting nurses using telemedicine, advanced technologies, telehealth technologies and eHealth applications.

Furthermore, a Telenursing Network has been implemented through the ICN. The goals of the network include: increasing the involvement of nurses in the development and use of telehealth technologies, while serving as a platform for collaboration, education, and support related to telenursing. Advancing Telenursing as a solution for access to healthcare, nursing shortage and improving quality of life of the global citizenship is the goal of our collaborative efforts.  Dissemination of knowledge regarding competencies and success factors for Telenursing is paramount for nurse colleagues internationally. See http://www.icn.ch/telenursing_network.htm for details.

Through these international initiatives, Dr. Schlachta-Fairchild continues to collaborate with nursing, information technology, telecom, medical, business, and other healthcare colleagues around the world to advance the use of Telenursing. 

"These initiatives aim to extend the reach of nursing care and health care to our patients, in collaboration with our medical colleagues. Using telehealth technologies, we can reach out to nurses and our patients in the most remote locations in the world," Dr. Schlachta Fairchild said.


Loretta Schlachta Fairchild RN PhD FACHE
President & CEO, iTelehealth Inc.
6935 North Clifton Rd.
Frederick MD 21702
(v) 301-371-8495 U.S.
(f) 301-371-8538 U.S.
[email protected]


American Nurses Association.  (1997).  Telehealth: A tool for nursing practice.  Washington DC: American Nurses Publishing.

Schlachta, L., & Sparks, S.  (1998).  Telenursing, telepractice and telepresence.  In J. Fitzpatrick, (Ed.),  Encyclopedia of Nursing Research.  New York: Springer Publishing Company.

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In 2008 & 2009, Asoka Roy’s family created a Platinum Sponsorship of the Nightingale Declaration Campaign to honor the memory of their sister — a pioneering nurse & midwife in both India & the United States. Projects developed from this contribution included an India-wide outreach of the Nightingale Declaration dedicated to Asoka’s memory.
See: An Indian Nightingale
Generous Support of Drs. Rustum & Della Roy