Wathne Hege, Storm Marianne, Morken Ingvild Margreta, Lunde Husebø Anne Marie
Department of Public Health, University of Stavanger, Faculty of Health Science, Stavanger, Norway.
Research Group for Health and Nursing Sciences, Stavanger University Hospital, Stavanger, Norway.
J Adv Nurs. 2025 Jan 9. doi: 10.1111/jan.16736.
To explore patients and nurses' experiences of digital self-management support following participation in a remote patient monitoring intervention.
An exploratory qualitative multimethod study.
The 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.
The 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.
Remote 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.
Remote 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.
This 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.
The authors adhered to the EQUATOR guidelines through the SRQR reporting method.
No patient or public contribution.
探讨患者和护士参与远程患者监测干预后在数字自我管理支持方面的体验。
一项探索性定性多方法研究。
该研究于2022年1月至2023年2月在挪威的两家大学医院进行。通过对17名心力衰竭患者、10名接受结直肠癌手术治疗的患者和8名护士进行半结构化访谈获取数据。数据收集还包括从2024年1月和2月数字平台上获取的患者与护士之间的聊天记录摘录。采用归纳主题分析法对数据进行分析。
分析揭示了三个主题：（1）通过远程患者监测技术提高疾病意识；（2）在自我管理挑战中建立相互协作；（3）促进持续参与健康行为改变。这些主题反映了患者和护士在接受和提供数字自我管理支持方面的体验。分析还确定了一个统一的关键主题：“通过远程关怀互动架起技术与自我管理支持之间的桥梁”，该主题将三个主题紧密联系在一起。
远程患者监测似乎通过改变患者的自我管理常规和护士的工作流程，使患者和护士都受益。此外，将护理中的技术能力关怀理论应用于远程患者监测干预可能有助于确保随着技术进步患者与护士之间的关系不会被削弱。
远程患者监测干预有可能成为现代医疗保健中的一项有价值的工具，实现患者与护士之间的有效沟通与协作，同时确保以患者为中心的护理。然而，远程患者监测干预的未来发展应包括护理支持。
本研究从患者和护士的角度探讨了远程患者监测和数字自我管理支持。研究结果可能会对远程护理、患者满意度以及改善慢性病患者数字后续护理的策略产生影响。
作者通过SRQR报告方法遵循了EQUATOR指南。
无患者或公众贡献。
