An integrative telehealth platform managed by nurses

Moraes, Vinícius Ynoe de; Ferreira, César Biselli; Kawagoe, Camila Kaory; Gushken, Fernanda; Azevedo, Guilherme; Filho, Mário Ferretti

doi:10.1186/s13104-022-06197-8

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…Involvement of nurses in telehealth or e‐health was described in 43 studies (Ahmed et al., 2013; Ajay et al., 2016; Anger et al., 2020; Anson et al., 2022; Bosworth et al., 2011; Bove, 2010; Carlisle & Warren, 2013; Chang et al., 2007; Clarke et al., 2018; Cook et al., 2007; Datta et al., 2010; de Moraes et al., 2022; Delahunty‐Pike et al., 2023; Engel et al., 2015; Fox & McCorkle, 2018; Grisot et al., 2019; Hoffman et al., 2023; Howland et al., 2020; Hui et al., 2022; Hunkeler et al., 2000; Iversen et al., 2020; Jackson et al., 2017; Jeong et al., 2018; Jordan et al., 2011; Kwak et al., 2021; Mallow et al., 2018; Mammen et al., 2020; Momin et al., 2022; Moriyama et al., 2021; O'Brien, 2022; Parham et al., 2010; Parham et al., 2023; Pichayapinyo et al., 2019; Ramakrishnan et al., 2020; Rosenman et al., 2006; Schofield et al., 2005; Shaw et al., 2013; Stone et al., 2010; Teo et al., 2024; Turner et al., 2009; Wakefield et al., 2011; Walker et al., 2015; Williams et al., 2001), with nurses using devices (both telephone and videoconferencing) to counsel patients and gather medical information. This included interpreting electronic or patient reported data such as patient biometrics (Chang et al., 2007; Clarke et al., 2018; Grisot et al., 2019; Howland et al., 2020; Pichayapinyo et al., 2019; Schofield et al., 2005; Stone et al., 2010; Turner et al., 2009; Wakefield et al., …”

Section: Resultsmentioning

confidence: 99%

Nurse and midwife involvement in task‐sharing and telehealth service delivery models in primary care: A scoping review

Moulton,

Botfield,

Subasinghe

et al. 2024

Journal of Clinical Nursing

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AimTo synthesise and map current evidence on nurse and midwife involvement in task‐sharing service delivery, including both face‐to‐face and telehealth models, in primary care.DesignThis scoping review was informed by the Joanna Briggs Institute (JBI) Methodology for Scoping Reviews.Data Source/Review MethodsFive databases (Ovid MEDLINE, Embase, PubMed, CINAHL and Cochrane Library) were searched from inception to 16 January 2024, and articles were screened for inclusion in Covidence by three authors. Findings were mapped according to the research questions and review outcomes such as characteristics of models, health and economic outcomes, and the feasibility and acceptability of nurse‐led models.ResultsOne hundred peer‐reviewed articles (as 99 studies) were deemed eligible for inclusion. Task‐sharing models existed for a range of conditions, particularly diabetes and hypertension. Nurse‐led models allowed nurses to work to the extent of their practice scope, were acceptable to patients and providers, and improved health outcomes. Models can be cost‐effective, and increase system efficiencies with supportive training, clinical set‐up and regulatory systems. Some limitations to telehealth models are described, including technological issues, time burden and concerns around accessibility for patients with lower technological literacy.ConclusionNurse‐led models can improve health, economic and service delivery outcomes in primary care and are acceptable to patients and providers. Appropriate training, funding and regulatory systems are essential for task‐sharing models with nurses to be feasible and effective.ImpactNurse‐led models are one strategy to improve health equity and access; however, there is a scarcity of literature on what these models look like and how they work in the primary care setting. Evidence suggests these models can also improve health outcomes, are perceived to be feasible and acceptable, and can be cost‐effective. Increased utilisation of nurse‐led models should be considered to address health system challenges and improve access to essential primary healthcare services globally.Reporting MethodThis review is reported against the PRISMA‐ScR criteria.Patient or Public ContributionNo patient or public contribution.Protocol registrationThe study protocol is published in BJGP Open (Moulton et al., 2022).

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Section: Resultsmentioning

confidence: 99%

Nurse and midwife involvement in task‐sharing and telehealth service delivery models in primary care: A scoping review

Moulton,

Botfield,

Subasinghe

et al. 2024

Journal of Clinical Nursing

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“…Finally, we found few works in the literature about customer satisfaction using telemedicine, for example, regarding services using telemonitoring and teleconsulting [27], a satisfaction questionnaire to measure health care professionals' satisfaction [28], a specific questionnaire to assess the quality of the service and the patient satisfaction [29] or using telehealth platforms managed by nurses [30]. To our knowledge, there are no data about televisit and telecounselling in post-myocardial infarction patients; this study examined the users' satisfaction, reporting the majority of patients being satisfied not only with televisit itself, but also with the technicians' counselling and contact at a distance to improve self-management of their diseases.…”

Section: Discussionmentioning

confidence: 99%

Follow-Up of Post Myocardial Infarction Using Telemedicine: Stakeholders’ Education, Results and Customer Satisfaction

Bocchino,

Gabbrielli,

Pastena

et al. 2023

IME

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Background. There are few studies about post myocardial infarction follow-up using telemedicine. We organized a post-discharge telemedicine service with a dedicated team. To do this, it was necessary that all stakeholders involved in the organization and use of the telemedicine service were properly educated and informed. Methods. We designed a theoretical–practical mini-course to train healthcare personnel and increase skills, with excellent learning outcomes and satisfaction. Thereafter, we enrolled patients affected by acute myocardial infarction with ST elevation (STEMI), MINOCA (myocardial infarction with no obstructive coronary atherosclerosis), Takotsubo syndrome or spontaneous coronary dissection, and high-risk acute myocardial infarction without ST elevation (NSTEMI). At discharge, the cardiology technician performed counselling for the patient, using regional platforms, such as televisit, at 1 and 4 months, allowed us to monitor major adverse cardiac events (MACE), heart failure, arrhythmias, unstable angina and non-cardiovascular events, therapy adherence, target therapy and customer satisfaction. Results. Between November 2021 and February 2023, we enrolled 110 patients: 72% affected by STEMI, 22% by NSTEMI. At the 1-month follow up, 12 patients did not reach the pressure target and 23 patients did not reach the LDL target. We observed three patients requiring hospital readmission, three requiring hospital visits for further investigation, and one death. To date, a four month follow up was performed for 54 patients. No readmissions or deaths occurred. We detected a rate of 96% of customer satisfaction. Conclusions. A health coordination center with a dedicated team makes televisit safe as a follow-up for post-myocardial infarction patients. Beforehand, it is fundamental for healthcare professionals to acquire theoretical knowledge and updates, and the acquisition of manual, technical and practical skills.

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“…These technologies facilitate the collection and incorporation of patient-reported information into clinical practice. Electronic Patient Reported Outcomes (e-PRO) evaluation systems allow for continuous standardized patient assessments and have resulted in a lower response burden and better user experience compared to paper-based PRO evaluations (1)(2)(3). Additionally, e-PRO systems contain features that enable progress tracking by both clinicians and patients providing real-time assessment and feedback (2).…”

Section: Introductionmentioning

confidence: 99%

“…These patients are supported by a nursing team that are guided by evidence-based medicine protocols. Our recent research has shown that 64% of acute conditions were resolved with the assistance of our telehealth platform, mainly driven by nurses ( 1 ). Thus, acute conditions are already partly being addressed by our digital ecosystem.…”

Section: Introductionmentioning

confidence: 99%

Monitoring health as an opportunity to categorize preventative and early-treatment actions in a self-care journey: our experience with a Healthcare Magenta Scorecard

Moraes¹,

Silva²,

Kawagoe³

et al. 2023

mHealth

Self Cite

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Background: Applying a digital health intervention to measure health and wellbeing status may be an opportunity to guide healthcare and promotion. In our scenario, we deal with mainly digital-native patients, we developed the Healthcare Magenta Scorecard with this aim.Methods: Grounded in the six domains of health and promotion (physical activity; sleep quality; nutrition; habits/lifestyle; mental Health; quality of life) we developed a health Magenta Scorecard (magenta score), a mobile based Electronic Patient Reported Outcomes (e-PRO) that measures patients health and wellbeing every 3-5 months. The Magenta Scorecard was derived from previously published evidence-based instruments. We collected data when patients onboard in our healthcare system (T0 and T1, time span between measurements, 141 days) and provided correlations among our domains of care.Results: A total of 1,622 participants responded to T0 and T1 our Magenta Scorecard. Participants mean age was 31.3 [95% confidence interval (CI): 31.2-31.5] years and female (63.4%). Fifty-five percent (n=892) of our sample were categorized as Health and Wellbeing promotion, 8.5% (n=138) disease management, 35.7% (n=579) self-care care support and only 0.8% (n=13) as case management. From our care coordination guided approach, our Magenta Scorecard improved by 26 points, from T0 (649, 95% CI: 643-656) to T1 (675, 95% CI: 668-682). Our Magenta Scorecard domains had significant, however weak spearman correlations.Conclusions: we exposed our Magenta Scorecard rationale and its guided approach. The Magenta Scorecard seems to have adequate responsiveness and significantly correlated with all the domains. Further prospective research is needed to validate our results in the long term.

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An integrative telehealth platform managed by nurses

Cited by 4 publications

References 9 publications

Nurse and midwife involvement in task‐sharing and telehealth service delivery models in primary care: A scoping review

Nurse and midwife involvement in task‐sharing and telehealth service delivery models in primary care: A scoping review

Follow-Up of Post Myocardial Infarction Using Telemedicine: Stakeholders’ Education, Results and Customer Satisfaction

Monitoring health as an opportunity to categorize preventative and early-treatment actions in a self-care journey: our experience with a Healthcare Magenta Scorecard

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