Kyeung Mi Oh, Bethany Cieslowski, Krista Beran, Nora H Elnahas, Stacey Leigh Steves, Rebecca E Sutter
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Abstract
Background: Increasing numbers of underserved people with chronic diseases and decreasing providers in rural areas have contributed to the care shortage in the United States. Nurse-led telehealth/mobile care models have potential benefits for this population. However, there is a substantial gap in the literature regarding this topic.
Purpose: To examine the available literature on nurse-led telehealth/mobile health care models with a particular focus on care model settings, nursing roles, care components, achieved outcomes, and the identification of both facilitative factors and encountered challenges. The ultimate goal is to offer recommendations based on these findings, thereby aiding the development or refinement of evidence-based care models that meet to the unique needs of low-income populations.
Methodology: Literature published from 2010 to 2023 was searched in six electronic databases (Cumulative Index to Nursing and Allied Health Literature, Communication and Mass Media Complete, Medline, APA PsycINFO, Social Sciences Index, and Web of Science databases).
Results: Commonalities identified among included studies with significant improvements were the provision of home monitors and education to participants, multiple engagements, and extensive community and/or family involvement.
Conclusions: Nurse-led telehealth/mobile health care models for chronic diseases are an emerging approach. Nurse educators must ensure that future nurses are adept in diverse telehealth modes, collaborating across disciplines. Leveraging advanced practice registered nurses and interdisciplinary teams provides holistic care.
Implications: Our review outlined recent research findings that suggest enhanced patient outcomes through technology, communication, and community support. In addition, we offered suggestions for future research and practice, emphasizing the importance of exploring the requirements of diverse and underserved communities.
背景：服务不足的慢性病患者越来越多，农村地区的医疗服务提供者越来越少，这些都造成了美国医疗服务的短缺。以护士为主导的远程医疗/移动医疗模式对这一人群具有潜在的益处。目的：研究以护士为主导的远程医疗/移动医疗护理模式的现有文献，尤其关注护理模式的设置、护士的角色、护理内容、取得的成果，以及确定促进因素和遇到的挑战。最终目标是根据这些研究结果提出建议，从而帮助开发或改进循证护理模式，满足低收入人群的独特需求：在六个电子数据库（Cumulative Index to Nursing and Allied Health Literature、Communication and Mass Media Complete、Medline、APA PsycINFO、Social Sciences Index 和 Web of Science 数据库）中检索了 2010 年至 2023 年发表的文献：结果：在纳入的研究中，有显著改进的共同点是为参与者提供家庭监控和教育、多重参与以及广泛的社区和/或家庭参与：结论：以护士为主导的慢性病远程医疗/移动医疗模式是一种新兴的方法。护士教育者必须确保未来的护士能熟练掌握各种远程保健模式，并能进行跨学科合作。利用高级执业注册护士和跨学科团队可提供整体护理：我们的综述概述了最近的研究结果，这些结果表明，通过技术、沟通和社区支持，患者的治疗效果得到了改善。此外，我们还为未来的研究和实践提出了建议，强调了探索多样化和服务不足社区需求的重要性。
期刊介绍：
The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners.
Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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