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In addition to the literature searches in the electronic databases, reference lists of both the included studies and of previously published reviews on the subject were examined for eligible studies.Reference tracking was conducted by consulting a telehealth expert.Finding new solutions to meet the needs of home-dwelling older people has advanced the development and implementation of assistive technology as part of service delivery in the home.The term “home telehealth” includes application of telehealth innovations such as interactive audio/video transmissions, videophone technology, monitoring of the patient’s condition, and physiological parameters such as oxygen saturation, pulse, and respiratory rate in the home environment [7, 8].Department of Health Studies, Kjell Arholms Hus, Universitetet i Stavanger, 4036 Stavanger, Norway Received 4 July 2014; Revised 1 October 2014; Accepted 2 November 2014; Published 20 November 2014Academic Editor: Zaheer R. Data collection comprised a literature search in three databases: Cinahl, Medline, and Pub Med.Yousef Copyright © 2014 Anne Marie Lunde Husebø and Marianne Storm. In addition, a manual search of reference lists and expert consultation were performed. The articles were reviewed in terms of study characteristics, service content and utilization, and patient and health care provider experience. Our review shows that in most studies the service is delivered on a daily basis and in combination with in-person visits.There is a lack of focus on possible tensions in the relationship among the technology, the patient, and the nurse.  have noted a dichotomy between dignified (i.e., person-centered) and undignified care, claiming that implementation of technology in elderly care can promote both dignified and undignified care.
This means that a traditional in-person visit from the care provider is replaced with a virtual visit, used to assess a patient’s health status, monitor medication routines, demonstrate procedures, and provide social contact .The literature search was performed in the electronic databases Cinahl, Medline, and Pub Med for papers published between January 2003 and April 2013.The following search terms were used: video conferencing OR telecommunications OR telehealth OR ehealth OR telecare.The inclusion of studies using multiple methodological approaches can broaden the understanding of the impact of virtual visits in future home health care and aid in planning home telehealth practices.A literature search was carried out prior to the integrative review.Evidence for cost-saving benefits of virtual visits was not found. The findings can inform the planning of virtual visits in home health care as a complementary service to in-person visits, in order to meet the increasingly complex needs of older adults living at home.According to the United Nations , developed countries are facing a global, demographic challenge from their growing population of older people.During the search in all three databases the search terms were combined with [AND] elderly OR old OR aged OR senior OR frail elderly [AND] home care OR home care service OR home-based care OR community health service OR community dwelling.The terms videoconferencing, telehealth, ehealth, aged, and elderly are Me SH words in the Pub Med database, while home care, home care services, videoconferencing, telehealth, and telecommunications are Cinahl headings.This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This review identifies the content of virtual visits in community nursing services to older adults and explores the manner in which service users and the nurses use virtual visits. The findings suggest that older home-dwelling patients can benefit from virtual visits in terms of enhanced social inclusion and medication compliance.Service users and their nurses found virtual visits satisfactory and suitable for care delivery in home care to the elderly.