Hege Wathne, Marianne Storm, Ingvild Margreta Morken, Anne Marie Lunde Husebø
{"title":"护士辅助远程患者监测对长期疾病患者的自我管理支持-一项定性多方法研究","authors":"Hege Wathne, Marianne Storm, Ingvild Margreta Morken, Anne Marie Lunde Husebø","doi":"10.1111/jan.16736","DOIUrl":null,"url":null,"abstract":"AimTo explore patients and nurses' experiences of digital self‐management support following participation in a remote patient monitoring intervention.DesignAn exploratory qualitative multimethod study.MethodsThe study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis.ResultsThe analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self‐management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self‐management support. The analysis also identified a unifying key theme: ‘bridging technology and self‐management support through remote caring encounters’, which firmly connected the three themes.ConclusionRemote patient monitoring appeared to benefit both patients and nurses by altering patients' self‐management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.Implications for the Profession and Patient CareRemote patient monitoring interventions have the potential to become a valuable tool in modern healthcare, enabling effective communication and collaboration between patients and nurses while also ensuring patient‐centred care. However, future development of remote patient monitoring interventions should include nursing support.ImpactThis study addresses remote patient monitoring and digital self‐management support from the perspectives of both patients and nurses. The findings may have an impact on remote nursing, patient satisfaction and strategies to improve digital follow‐up care for patients with long‐term illnesses.Reporting MethodThe authors adhered to the EQUATOR guidelines through the SRQR reporting method.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"67 1","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurse‐Assisted Remote Patient Monitoring for Self‐Management Support to Patients With Long‐Term Illness—A Qualitative Multimethod Study\",\"authors\":\"Hege Wathne, Marianne Storm, Ingvild Margreta Morken, Anne Marie Lunde Husebø\",\"doi\":\"10.1111/jan.16736\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AimTo explore patients and nurses' experiences of digital self‐management support following participation in a remote patient monitoring intervention.DesignAn exploratory qualitative multimethod study.MethodsThe study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis.ResultsThe analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self‐management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self‐management support. The analysis also identified a unifying key theme: ‘bridging technology and self‐management support through remote caring encounters’, which firmly connected the three themes.ConclusionRemote patient monitoring appeared to benefit both patients and nurses by altering patients' self‐management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.Implications for the Profession and Patient CareRemote patient monitoring interventions have the potential to become a valuable tool in modern healthcare, enabling effective communication and collaboration between patients and nurses while also ensuring patient‐centred care. However, future development of remote patient monitoring interventions should include nursing support.ImpactThis study addresses remote patient monitoring and digital self‐management support from the perspectives of both patients and nurses. The findings may have an impact on remote nursing, patient satisfaction and strategies to improve digital follow‐up care for patients with long‐term illnesses.Reporting MethodThe authors adhered to the EQUATOR guidelines through the SRQR reporting method.Patient or Public ContributionNo patient or public contribution.\",\"PeriodicalId\":54897,\"journal\":{\"name\":\"Journal of Advanced Nursing\",\"volume\":\"67 1\",\"pages\":\"\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2025-01-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Advanced Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jan.16736\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jan.16736","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Nurse‐Assisted Remote Patient Monitoring for Self‐Management Support to Patients With Long‐Term Illness—A Qualitative Multimethod Study
AimTo explore patients and nurses' experiences of digital self‐management support following participation in a remote patient monitoring intervention.DesignAn exploratory qualitative multimethod study.MethodsThe study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis.ResultsThe analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self‐management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self‐management support. The analysis also identified a unifying key theme: ‘bridging technology and self‐management support through remote caring encounters’, which firmly connected the three themes.ConclusionRemote patient monitoring appeared to benefit both patients and nurses by altering patients' self‐management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.Implications for the Profession and Patient CareRemote patient monitoring interventions have the potential to become a valuable tool in modern healthcare, enabling effective communication and collaboration between patients and nurses while also ensuring patient‐centred care. However, future development of remote patient monitoring interventions should include nursing support.ImpactThis study addresses remote patient monitoring and digital self‐management support from the perspectives of both patients and nurses. The findings may have an impact on remote nursing, patient satisfaction and strategies to improve digital follow‐up care for patients with long‐term illnesses.Reporting MethodThe authors adhered to the EQUATOR guidelines through the SRQR reporting method.Patient or Public ContributionNo patient or public contribution.
期刊介绍:
The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy.
All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.