The Integration of Virtual Monitoring Technology to Empower Advanced Practice Nurses to Optimize Health Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/622189
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Integration of Virtual Monitoring Technology to Empower Advanced Practice Nurses to Optimize Health Outcomes
Other Titles:
Technology in Practice
Author(s):
Lewis, Eugene; Kulik, Carole
Lead Author STTI Affiliation:
Eta
Author Details:
Eugene Lewis, MSN, RN, ACNP-BC, Professional Experience: Eugene is a Board Certified Acute Care Nurse Practitioner. He began his career in health care by working as a nursing assistant with a goal of helping veterans like his father. His registered nurse career commenced in critical care and soon advanced his education at the University of Pittsburgh to become a nurse practitioner in cardiac surgery. In addition to her extensive clinical experience, Gene also has an outstanding academic background that includes a msters in Education and has a fcus with patient and family education. Author Summary: Eugene is a practicing Nurse Practitioner at the Home Based Primary Care Outpatient Clinics at the Veteran’s Administration Medical Center in VA Pacific Islands Health Care System. He is currently detailed to the Department of Veterans Central Office in Hawaii and is serving as the NationalNurse Practitioner Liason.
Abstract:

BACKGROUND: The use of virtual monitoring in Homebased Primary Care through technology enhanced patient reporting provides automated environmental monitoring to monitor symptoms and medication compliance is an effective way for Advanced Practice Nurses to provide timely care, practice to full scope of practice and serve populations with limited access.

OBJECTIVE: This program aimed to implement the feasibility and acceptability of virtual symptom and compliance management systems with patients in rural communities receiving Home Based Primary Care, Assessment in the changes of patient outcomes from baseline and implementation of the virtual monitoring will be evaluated for effectiveness, cost reduction and hospitalizations.

METHODS: Repeated patient measures, chart abstractions, interviews and completion of reported outcomes measures at baseline and annually are assessed and provider survey and interviews.

RESULTS: Dramatic improvements were seen in the continuity of care, compliance with medications, and significant reduction in hospital admissions. Clinical improvements in patient blood pressure, glucose, Drug levels, anxiety, and self-care self-efficacy were also observed. Clinicians perceived the use of "real-time" monitoring data and risk algorithms positively contributing to improved clinical care and improved time efficiency and satisfaction. Reducing the complexity of the system was seen as important to promote the utility of technology by both patients, families and providers.

CONCLUSIONS: The connection between the Advanced Practice Nurse, clinical staff and the patient is critical to the success of the virtual monitoring program in Home Based Primary Care. Integrating monthly visits to the home into the clinical program reinforces the importance of using the virtual monitoring equipment to the patient. The results annually suggest that monitoring patient symptoms using technology, computer or mobile based is feasible in rural communities and acceptable in practice.

IMPLICATIONS FOR PRACTICE: Future research would be most beneficial if the use of this technology expanded the number of applications and expanded the scope of the system to encompass a wider range of supportive care needs. Opportunities for a limitless number of technology enhanced applications.

Keywords:
Advanced practice nurse; Disease monitoring; Technology
Repository Posting Date:
26-Jul-2017
Date of Publication:
26-Jul-2017
Other Identifiers:
INRC17O09
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Integration of Virtual Monitoring Technology to Empower Advanced Practice Nurses to Optimize Health Outcomesen_US
dc.title.alternativeTechnology in Practiceen
dc.contributor.authorLewis, Eugeneen
dc.contributor.authorKulik, Caroleen
dc.contributor.departmentEtaen
dc.author.detailsEugene Lewis, MSN, RN, ACNP-BC, Professional Experience: Eugene is a Board Certified Acute Care Nurse Practitioner. He began his career in health care by working as a nursing assistant with a goal of helping veterans like his father. His registered nurse career commenced in critical care and soon advanced his education at the University of Pittsburgh to become a nurse practitioner in cardiac surgery. In addition to her extensive clinical experience, Gene also has an outstanding academic background that includes a msters in Education and has a fcus with patient and family education. Author Summary: Eugene is a practicing Nurse Practitioner at the Home Based Primary Care Outpatient Clinics at the Veteran’s Administration Medical Center in VA Pacific Islands Health Care System. He is currently detailed to the Department of Veterans Central Office in Hawaii and is serving as the NationalNurse Practitioner Liason.en
dc.identifier.urihttp://hdl.handle.net/10755/622189-
dc.description.abstract<p><span>BACKGROUND: The use of virtual monitoring in Homebased Primary Care through technology enhanced patient reporting </span><span lang="EN">provides automated environmental monitoring to monitor symptoms and medication compliance is an effective way for Advanced Practice Nurses to provide timely care, practice to full scope of practice and serve populations with limited access.</span></p> <p><span lang="EN">OBJECTIVE: This program aimed to implement the feasibility and acceptability of virtual symptom and compliance management systems with patients in rural communities receiving Home Based Primary Care, Assessment in the changes of patient outcomes from baseline and implementation of the virtual monitoring will be evaluated for effectiveness, cost reduction and hospitalizations.</span></p> <p><span lang="EN">METHODS: Repeated patient measures, chart abstractions, interviews and completion of reported outcomes measures at baseline and annually are assessed and provider survey and interviews.</span></p> <p><span lang="EN">RESULTS:</span><strong><span lang="EN"> </span></strong>Dramatic improvements were seen in the continuity of care, compliance with medications, and significant reduction in hospital admissions.<strong> </strong>Clinical improvements in patient blood pressure, glucose, Drug levels, anxiety, and self-care self-efficacy were also observed.<strong> </strong>Clinicians perceived the use of "real-time" monitoring data and risk algorithms positively contributing to improved clinical care and improved time efficiency and satisfaction. Reducing the complexity of the system was seen as important to promote the utility of technology by both patients, families and providers.</p> <p><span lang="EN">CONCLUSIONS:</span><span lang="EN"> </span><span lang="EN">The connection between the Advanced Practice Nurse, clinical staff and the patient is critical to the success of the virtual monitoring program in Home Based Primary Care. Integrating monthly visits to the home into the clinical program reinforces the importance of using the virtual monitoring equipment to the patient. The results annually suggest that monitoring patient symptoms using technology, computer or mobile based is feasible in rural communities and acceptable in practice.</span></p> <p>IMPLICATIONS FOR PRACTICE: Future research would be most beneficial if the use of this technology expanded the number of applications and expanded the scope of the system to<strong> </strong>encompass a wider range of supportive care needs. Opportunities for a limitless number of technology enhanced applications<strong>.</strong></p>en
dc.subjectAdvanced practice nurseen
dc.subjectDisease monitoringen
dc.subjectTechnologyen
dc.date.available2017-07-26T13:44:40Z-
dc.date.issued2017-07-26-
dc.date.accessioned2017-07-26T13:44:40Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.