Nurses' willingness to resort to Telemonitoring in users with chronic conditions: A cross-sectional study
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Keywords

Atenção Primária à Saúde
Enfermeiros
Tecnologias da Informação e Comunicação
Condição Crônica Primary Health Care
Nurses
Information and Communication Technologies
Chronic Condition

PlumX Metrics

Abstract

Objective: to verify Primary Care nurses' willingness to resort to Telemonitoring in the follow-up of users with arterial hypertension and/or diabetes mellitus. Method: a cross-sectional study conducted with nurses working in the municipalities from the 15th Health Region of Paraná. Of all the 289 individuals invited, 65 answered the online questionnaire made available in May and June 2021 via Google Forms. The nurses included were those working in the health units from the 15th Health Region and who answered the questionnaire sent. No exclusion criteria were adopted, even when a nurse left some question unanswered. Chi-square, Fisher's Exact and Prevalence Ratio tests were used in the analysis. Results: an association was observed between less time since graduation and the perception that Telemonitoring without in-person assistance is insufficient to follow-up the users; in addition, it was noticed that the Telemonitoring variables favor communication with the patients and that it can streamline the work performed by the team. More willingness to using Telemonitoring was perceived among those who underwent training. Conclusion: absence of training sessions and insufficiency of devices and human resources are factors that affect and may preclude Telemonitoring.

https://doi.org/10.17665/1676-4285.20236648
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References

- Paula EA de, Schwartz E, Nunes BP, Santos BP dos Barceló A. Institutionalcapacity for thecareofpeoplewithchronicdiseases in primary health care. Rev. Eletr. Enferm. 2022 24:68990.https://doi.org/10.5216/ree.v24.68990

- Sarti TD, Andreão RV, de Souza CB, Schimidt MQ, Celestrini JR. O serviço de teleconsultoria assíncrona na APS: avaliação de uso e fatores associados do Programa Telessaúde Espírito Santo entre 2012 e 2015. RevBras Med Fam Comunidade. 2019 [citado 2022 out 10];14(41):2068.https://doi.org/10.5712/rbmfc14(41)2068

- Ferreira PC, Teston EF, Marquete VF, Santos RMS, Rossi RM, Marcon SS. Use ofurgencyandemergencyservices for acutehypertensionand / or diabetes complications. Ecs. Anna Nery.2021 15(2):599-615. https://doi.org/10.1590/2177-9465-EAN-2021-0003

- Unda Villafuerte F, Llobera Canaves J, Lorente Montalvo P, Sancho MLM, Oliver BO, Flores BP, et al. Effectiveness of a multifactorial intervention, consisting of self-management of antihypertensive medication, self-measurement of bloodpressure, hypocaloric and low sodium diet, and physical exercise, in patients with uncontrolled hypertension taking 2 or more antihypertensive drugs. Medicina (Baltimore). 2020;99(17):e19769. http://dx.doi.org/10.1097/MD.0000000000019769

- Costa LS, Silva IR, Silva TP, Silva MM, Mendes IAC, Ventura CAA. Information and communication technologies: interfaces of the nursing work process. Rev Bras Enferm. 2022 75(2):e20201280. https://doi.org/10.1590/0034-7167-2020-1280

- Silva WNS, Silva KCS, Araújo AA, Barros MBSC, Monteiro EMLM, Bushatsky M et al. Technologies in the empowerment process of primary nursing care in the covid-19 context. Cien Cuid Saúde [Internet] 202221. https://doi.org/10.4025/ciencuidsaude.v21i0.58837

- Damasceno RF, Caldeira AP. Fatores associados à não utilização da teleconsultoria por médicos da Estratégia Saúde da Família. CiêncSaúde Colet. 2019 24:3089-98. https://doi.org/10.1590/1413-81232018248.28752017

- Hanley J, Pinnock H, Paterson M, McKinstry B. Implementing telemonitoring in primary care: learning from a large qualitative dataset gathered during a series of studies. BMC FamPract. 2018;19(1):118.https://doi.org/10.1186/s12875-018-0814-6

- Azavedo SL, Oliveira ASFR, Parente JS, Cunha MAL, Mour MLC, Lima ALO, et al. A tecnologia de informação e comunicação em saúde: Vivências e práticas educativas no Programa HIPERDIA. Braz. J. Dev. 2021; 7(3).https://doi.org/10.34117/bjdv7n3-591

- Machado M, Paz A, Linch GFC. Uso das tecnologias de informação e comunicação em saúde pelos enfermeiros brasileiros. Enferm. Foco 2019; 10 (5): 91-96. https://doi.org/10.21675/2357-707X.2019.v10.n5.2543

- Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806-8. https://doi.org/10.1136/bmj.39335.541782.AD

- Martin BD, Barnhart E, Gillis J Jr, Vazquez GA. Primary Care Population Management for COVID-19 Patients. J GenIntern Med. 2020 35(10):3077-3080. https://doi.org/10.1186/s12875-018-0814-6

- Martins MMFPS, Trindade LL, Vandresen L, Leite MJMGC, Pereira CMG. Tecnologias utilizadas por enfermeiros gestores em hospitais portugueses. Rev Gaúcha Enferm. 2020;41:e20190294.https://doi.org/10.1590/1983- 1447.2020.20190294

- Fernandes BCG, Silva Júnior JNB, Guedes HCS, Macedo DBG, Nogueira MF, Barrêto AJR. Use of technologies by nurses in the management of primary health care. Rev Gaúcha Enferm. 2021 ,42: e20200197. https://doi.org/10.1590/1983-1447.2021.20200197

- Vandresen L, Pires DEP, Martins MMFPS, Forte ECN, Leão E, Mendes M. Potencialidades e dificuldadesda mediação tecnológica no trabalho de enfermeiros gestores em hospitais. Texto Contexto Enferm. 2022; 31:e20220173. https://doi.org/10.1590/1980-265X-TCE-2022-0173pt

- Grustam AS, Severens JL, De Massari D, Buyukkaramikli N, Koymans R, Vrijhoef HJM. Cost-Effectiveness Analysis in Telehealth: A Comparison between Home Telemonitoring, Nurse Telephone Support, and Usual Care in Chronic Heart Failure Management. Value Health. 2018; 21(7):772-782. https://doi.org/10.1016/j.jval.2017.11.011

- Zaman SB, Khan RK, Evans RG, Thrift AG, Maddison R, Islam SMS. Exploring Barriers to and Enablers of the Adoption of Information and Communication Technology for the Care of Older Adults With Chronic Diseases: Scoping Review. JMIR Aging. 2022 Jan 7;5(1):e25251. https://doi: 10.2196/25251

- Sarti TD, Almeida APS. Incorporation of telehealth in primary health care and associated factors in Brazil. Cad. Saúde Pública. 2022 38(4).https://doi.org/10.1590/0102-311XPT252221

- Kouskoukis MN, Botsaris C. Cost-Benefit Analysis of Telemedicine Systems/Units in Greek Remote Areas. Pharmacoecon Open. 2017 Jun;1(2):117-121.https://0.1007/s41669-016-0006-z

- Gordon K, Dainty KN, Steele Gray C, DeLacy J, Shah A, Resnick M, Seto E. Experiences of Complex Patients With Telemonitoring in a Nurse-Led Model of Care: Multimethod Feasibility Study. JMIR Nurs. 2020; 29;3(1):e22118. https://doi.org/10.2196/22118

- Nakata, LC, Feltrin AFS, Chaves LDP, Ferrreira JBF. Concept of health care network and its key characteristics: a scoping review - Concepto de red de atención de salud y sus características clave: una revisión de alcance. Ecs. Anna Nery. 2020; 24 (2). https://doi.org/10.1590/2177-9465-EAN-2019-0154

- Hammersley V, Parker R, Paterson M et al. Telemonitoring at scale for hypertension in primary care: An implementation study. PLoS Med.2020;16 (6). https://10.1371/journal.pmed.1003124

- Paula, AC; Maldonado, JMSV; Gadelha, CAG. Health care telemonitoring and business dynamics: challenges and opportunities for SUS. Rev. Saúde Pública. 2020 54: 65. https://doi.org/10.11606/s1518-8787.2020054001996

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