The Impact of Perioperative Remote Patient Monitoring on Clinical Staff Workflows: Scoping Review

Aguirre, Maria Alejandra León; Pannunzio, Valeria; Kleinsmann, Maaike

doi:10.2196/37204

Cited by 7 publications

(4 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As noticeable in the introductory scenario, RPM introduces radical experiential changes compared to in-person care; patients might be asked to download and install software; pair, charge, and wear monitoring devices; submit personal data; or attend alerts or calls, all in the midst of everyday life contexts and activities. Similarly, clinical and especially nursing staff might be asked to carry out data analysis and administrative work and maintain remote contact with patients, often without a clear definition of roles and responsibilities and in addition to usual tasks [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Patient and Staff Experience of Remote Patient Monitoring—What to Measure and How: Systematic Review

Pannunzio,

Morales Ornelas,

Gurung

et al. 2024

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

Background Patient and staff experience is a vital factor to consider in the evaluation of remote patient monitoring (RPM) interventions. However, no comprehensive overview of available RPM patient and staff experience–measuring methods and tools exists. Objective This review aimed at obtaining a comprehensive set of experience constructs and corresponding measuring instruments used in contemporary RPM research and at proposing an initial set of guidelines for improving methodological standardization in this domain. Methods Full-text papers reporting on instances of patient or staff experience measuring in RPM interventions, written in English, and published after January 1, 2011, were considered for eligibility. By “RPM interventions,” we referred to interventions including sensor-based patient monitoring used for clinical decision-making; papers reporting on other kinds of interventions were therefore excluded. Papers describing primary care interventions, involving participants under 18 years of age, or focusing on attitudes or technologies rather than specific interventions were also excluded. We searched 2 electronic databases, Medline (PubMed) and EMBASE, on February 12, 2021.We explored and structured the obtained corpus of data through correspondence analysis, a multivariate statistical technique. Results In total, 158 papers were included, covering RPM interventions in a variety of domains. From these studies, we reported 546 experience-measuring instances in RPM, covering the use of 160 unique experience-measuring instruments to measure 120 unique experience constructs. We found that the research landscape has seen a sizeable growth in the past decade, that it is affected by a relative lack of focus on the experience of staff, and that the overall corpus of collected experience measures can be organized in 4 main categories (service system related, care related, usage and adherence related, and health outcome related). In the light of the collected findings, we provided a set of 6 actionable recommendations to RPM patient and staff experience evaluators, in terms of both what to measure and how to measure it. Overall, we suggested that RPM researchers and practitioners include experience measuring as part of integrated, interdisciplinary data strategies for continuous RPM evaluation. Conclusions At present, there is a lack of consensus and standardization in the methods used to measure patient and staff experience in RPM, leading to a critical knowledge gap in our understanding of the impact of RPM interventions. This review offers targeted support for RPM experience evaluators by providing a structured, comprehensive overview of contemporary patient and staff experience measures and a set of practical guidelines for improving research quality and standardization in this domain.

show abstract

Section: Introductionmentioning

confidence: 99%

Patient and Staff Experience of Remote Patient Monitoring—What to Measure and How: Systematic Review

Pannunzio,

Morales Ornelas,

Gurung

et al. 2024

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Telemonitoring may not only benefit health outcomes [ 4 - 6 ] but also reduce workload for clinical staff and save health care resources. [ 7 ]…”

Section: Introductionmentioning

confidence: 99%

“…Telemonitoring may not only benefit health outcomes [4][5][6] but also reduce workload for clinical staff and save health care resources. [7] Significant advantages for patients, the economy, and society could result from widespread telehealth adoption [8]. For example, using a digital platform for blood pressure and symptom monitoring in antenatal care for high-risk women is related to lower costs and equal health outcomes in conventional care [9].…”

Section: Introductionmentioning

confidence: 99%

The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study

Gijsbers,

Nurmohamed,

van de Belt

et al. 2023

JMIR Res Protoc

View full text Add to dashboard Cite

Background Sustainable implementation of telemonitoring in health care is challenging, especially if one aims to scale up telemonitoring initiatives nationwide. The National collaborative eHealth program in the Netherlands is supporting the nationwide upscaling of telemonitoring in 3 clinical domains by implementing telemonitoring in all Dutch university medical centers (UMCs). The chosen telemonitoring concepts are (1) telemonitoring solutions in the domain of cardiology, (2) telemonitoring solutions providing care from a distance in obstetrics, and (3) telemonitoring solutions monitoring vital functions in hospital wards. Objective The aim of this study is to evaluate the upscaling of telemonitoring in Dutch university hospitals in order to gain a better knowledge of the process, methods, and outcomes of nationwide upscaling strategies. Our hypothesis is that by the completion of the Citrien program’s scale-up, telemonitoring will be operational in all UMCs but not normalized in routine care. Methods A before-and-after study will be conducted to assess upscaling. The theoretical frameworks used are the framework for nonadoption, abandonment, scale-up, spread, and sustainability; the Normalization Process Theory; and a project management tool Project Canvas. The primary outcome of the study is the degree of normalization to which health care providers at UMCs consider telemonitoring a part of their routine practice, measured using the Normalization MeAsurement Development tool (NoMAD). Our secondary outcome is the uptake of telemonitoring at the Dutch UMCs, using management data from UMCs’ business intelligence systems query. Results Data will be collected between May 2020 and December 2022. Results were retrieved in June 2023. UMCs’ business intelligence systems are queried for data for the secondary outcome measures. There is a risk that the UMCs will not be able to provide this management information. The laws and regulations governing telemonitoring in the Netherlands are changing, with the Electronic Data Exchange in Health Care Act (Wet elektronische gegevensuitwisseling in de zorg) and the European Health Data Space Act expected to positively influence implementation and upscaling. Conclusions The Citrien program is a nationally coordinated change management program that is scaling up telemonitoring across contexts and settings. This study will produce original data on the uptake and upscaling of telemonitoring at Dutch UMCs. Future initiatives to implement eHealth in the health care sector may be guided by the wide range of success factors, obstacles, and experiences collected through this program. The network itself may be of great value impacting future acceleration of eHealth initiatives. International Registered Report Identifier (IRRID) DERR1-10.2196/45201

show abstract

“…The positive benefits of telehealth are not only unique to oncology or palliative care. For example, León et al (2022) undertook a scoping review on the impact of perioperative remote patient monitoring on nurses and other health professional workflows. The benefits they identified included improvements in data management and analysis, which improved timely detection and treatment of conditions and optimized health care resources, resulting in a reduction of in‐hospital visits and stays.…”

mentioning

confidence: 99%

Embracing and sustaining telehealth progress: The role of the nurse manager

Denieffe¹,

Denny

White³

2022

J Nursing Management

View full text Add to dashboard Cite

show abstract

The Impact of Perioperative Remote Patient Monitoring on Clinical Staff Workflows: Scoping Review

Cited by 7 publications

References 48 publications

Patient and Staff Experience of Remote Patient Monitoring—What to Measure and How: Systematic Review

Patient and Staff Experience of Remote Patient Monitoring—What to Measure and How: Systematic Review

The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study

Embracing and sustaining telehealth progress: The role of the nurse manager

Contact Info

Product

Resources

About