“…Reports on distance learning are found in literature in the medicine field (Gardella, Guarin, & Vive, 2003;Llambí et al, 2007;Pinto et al, 2008;VanLue et al, 2007) and, mainly, in the nursing field (Campbell, Gibson, Hall, Richards, & Callery, 2008;Edwards, 2005;Holtslander, Racine, Furniss, Burles, & Turner, 2012;Teles Filho & Cassiani, 2008;Xelegati & Evora, 2011). The quality of the service of tele-education and tele-assistance has been proved by different authors (Eskenazi, Martins, & Ferreira, 2013;Hersh, Junium, Mailhot, & Tidmarsh, 2001;Rafiq & Merrell, 2005;Roine, Ohinmaa, & Hailey, 2001;Shaikh, Lehmann, Kaleida, & Cohen, 2008;Vucković et al, 2003); however, the cost-effectiveness relation still deserves investigation (Soirefmann, Blom, Leopoldo, & Cestari, 2008).…”