Primary Care Clinic Nurse Activities with a Telehealth Monitoring System.
Chelsea HowlandLaurel DespinsJeri SindtBonnie WakefieldDavid R MehrPublished in: Western journal of nursing research (2020)
The purpose of this study was to evaluate differences in the types of nursing activities and communication processes reported in a primary care clinic between patients who used a home-based monitoring system to electronically communicate self-monitored blood glucose and blood pressure values and those who assumed usual care. Data were extracted from electronic medical records from individuals who participated in a randomized controlled trial comparing in-home monitoring and usual care in patients with Type 2 diabetes and hypertension being treated in a primary care clinic. Data about nursing activities initiated by primary care clinic nurses were compared between groups using descriptive statistics and independent t-tests. Significant differences between groups were identified for the direct care nursing activities of providing lifestyle and health education, medication adjustments, and patient follow-up. This study provides evidence of greater nursing activity reported in a primary care clinic in patients who utilized a home-based monitoring system.
Keyphrases
- skeletal muscle
- primary care
- healthcare
- quality improvement
- blood pressure
- mental health
- blood glucose
- general practice
- electronic health record
- cardiovascular disease
- physical activity
- pain management
- metabolic syndrome
- type diabetes
- hypertensive patients
- risk assessment
- weight loss
- adverse drug
- big data
- glycemic control
- human health