title: The communication process in Telenursing: integrative review.
abstract: OBJECTIVE
  to identify scientific evidence about the communication process in Telenursing and analyze them.
  
  
  METHODS
  integrative review performed in March 2014. The search strategy, structured with the descriptors "telenursing" and "communication", was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.
  
  
  RESULTS
  ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.
  
  
  CONCLUSIONS
  distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.
authors: Hospital Alemão Oswaldo Cruz, Telemedicina. São Paulo-SP, Brasil.|Universidade de São Paulo, Escola de Enfermagem. Programa de Pós-graduação em Enfermagem na Saúde do Adulto. São Paulo-SP, Brasil.
authors: Ingrid de Almeida
authors: Ide A
authors: Barbosa
authors: Hospital Alemão Oswaldo Cruz, Telemedicina. São Paulo-SP, Brasil.
authors: Karen Cristina da Conceição Dias da
authors: KC
authors: Silva
authors: Faculdade de Apucarana, Curso de Enfermagem. Apucarana-PR, Brasil.
authors: Vladimir Araújo da
authors: VA
authors: Silva
authors: Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica. São Paulo-SP, Brasil.
authors: Maria Júlia Paes da
authors: MJ
authors: Silva
mesh_terms: D003142:Communication; D006801:Humans; D009723:Nurse-Patient Relations; D055817:Telenursing