**6. Role of telenursing services in decreasing global nursing shortage**

The shortage of healthcare team members all over the world can be decreased, especially among nurses through widely promoting the use of telenursing in providing so many services as the following:


The main benefit of telephone triage services is decreasing the amount of nonemergent visits to ER or emergency departments. According to the high patient volumes, the waiting areas of emergency department may become overcrowded, resulting in many patients leaving ER without being seen. Telephone triage staff use the electronic health records which generated by a health system encounters. This ability to access patients' health records can help triage staff in evaluating the patient efficiently because of the provided information as allergies and comorbidities. Accessibility to patients' health records helps in providing demographic information which can allow the triage staff to send necessary emergency services for the patient. So that, telephone triage service can help in decreasing lower-acuity patient visits to ER an emergency department [14].

• **Case management:** A common application of telenursing and can be used by call centers and operated by managed care organizations, which are staffed by well-trained registered nurses who act the role of case managers or perform patient triage and counseling as an important mean of regulating patient's access [15].


Using of technology in mental health has a significant impact on crisis management and suicide prevention. In addition to direct health care, telenursing and tele-psychiatry, some organizations as Crisis Text Line have established text chatting system into crisis therapy and adopted a new line of resources to be available for people in mental health crises. This is mainly for therapy than in-person or over phone and can be utilized by teens and adolescent for their mental health [19].
