Implementation of Telemonitoring in Health Care: Facilitators and Barriers for Using eHealth for Older Adults with Chronic Conditions

Abstract

Purpose The retrospective study used a hybrid design aimed to a) describe the implementation process of telemonitoring from stakeholders’ perspectives and b) identify facilitators and barriers perceived by the care team. Patients and Methods Qualitative interview data were analyzed using manifest inductive qualitative content analysis to describe what was perceived as barriers and what facilitated the implementation. Participating healthcare professionals recruited from a multi-professional care team in Sweden. Overall, 14 healthcare professionals comprising 8 assistant nurses, 3 nurses, 1 physiotherapist, 1 occupational therapist, and one general practitioner participated in five interviews. Results Four categories were derived from the interview analysis: previous experience with digital technology, the need for preparation before implementation, perceptions of using telemonitoring in daily practice from the patient’s perspective, and perceptions of the relevance and reasons for applying telemonitoring from the care team’s perspective. The identification of stakeholders and the need to plan carefully when proposing the introduction of telemonitoring systems into work practices are both crucial. Conclusion The attitudes of healthcare professionals can be a significant factor in the acceptance and efficiency of the use of telemonitoring in practice. Therefore, implementing new technology in healthcare should involve healthcare professionals at an early stage to gain common understanding.

Training and provision of mobility aids to promote autonomy and mobility of older patients in a geriatric emergency department: A protocol for a randomized controlled trial

“…Telemonitoring has been more frequently studied in older adults, but mainly in ambulatory settings and focused on chronic illnesses [ 48 – 50 ]. In this study, the intervention will be evaluated in acutely ill older patients admitted to a Geriatric ED and trained in the use of walking aids.…”

Nurses’ Willingness and Demand for Internet+Home Care Services and the Associated Factors in Municipal Hospitals in China: Cross-Sectional Survey

“…Finally, our study revealed that nurses with higher job titles, higher educational levels, and higher monthly incomes expressed a significant demand for IHC care compared with their counterparts with lower job titles, lower educational levels, and lower monthly incomes. Because most of the people with higher titles and more education have longer working hours, extensive work experience, and are able to calmly and stably handle various unexpected events that may arise [ 17 ], they have given sufficient consideration to their demands, such as the requirements for improving the qualifications of nurses providing IHC services and developing complete regulations and laws [ 37 ]. Consistently, previous studies reported that professional title, educational level, and mortgage or car loan were associated with nurses’ demand for IHC services [ 13 , 17 ].…”

“…Second, we can use some technologies in the IHC services. The study by Liljeroos and Arkkukangas [ 37 ] indicated that suitable adoption of devices and technologies is important in facilitating care delivery. Adequate patient and caregiver training and easy-to-use devices, such as wearables for remote vital sign monitoring, have been shown to result in greater satisfaction, improved ability to use the device, and better overall functioning [ 37 ], which is related to the technology areas mentioned in the NASSS framework [ 39 ].…”

“…The study by Liljeroos and Arkkukangas [ 37 ] indicated that suitable adoption of devices and technologies is important in facilitating care delivery. Adequate patient and caregiver training and easy-to-use devices, such as wearables for remote vital sign monitoring, have been shown to result in greater satisfaction, improved ability to use the device, and better overall functioning [ 37 ], which is related to the technology areas mentioned in the NASSS framework [ 39 ]. Third, based on our research, we recommend that medical institutions should establish clear IHC service management norms, an evaluation system for service work quality, service process and content, an evaluation system for the service object, and emergency plans.…”

Tele-Monitoring Applications in Respiratory Allergy

“…However, others underpin the patients' concerns regarding the impact of TM on physicians' attentiveness, while doctors state that such systems might provide novel insights into patients' living circumstances [80]. Additional concerns and obstacles are raised when eHealth is implemented in older patients [84], such as insufficient technical literacy and hesitancy in using digital tools, with apprehensions regarding privacy and security. Of note, infrequent face-to-face visits might enhance loneliness and depression feelings in this age group [85,86].…”