Nurse-Assisted Remote Patient Monitoring for Self-Management Support to Patients With Long-Term Illness-A Qualitative Multimethod Study.
Hege Wathne, Marianne Storm, Ingvild Margreta Morken and 1 others
PMID 39788555WHAT IT FOUND
Patients described the remote monitoring as a safe space to ask questions and see their own trends, which helped them manage their condition after discharge.
Nurses reported being able to spot problems early and offer support, but found it difficult to judge severity from data alone.
Key findings
01Patients reported that seeing their own daily measurements helped them understand their condition and feel safer to engage in daily activities.
02Nurse navigators used the data to intervene early, but noted that single measurements were often insufficient and that interpreting fluctuating symptoms was difficult.
03The intervention fostered a collaborative relationship where patients could ask specific questions and receive tailored advice, though some struggled to know what information to provide.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had a small sample size (35 participants) from only two hospitals in Norway, which limits the transferability of the findings to other healthcare systems or patient populations. The number of patients (27) significantly outnumbered the nurse navigators (8), which may have skewed the representation of perspectives toward the patient experience. Different interview modes (face-to-face vs. digital vs. dyadic) were used, which may have influenced the depth and dynamics of the data collected. This was a feasibility study of a 30-day intervention; it did not measure long-term clinical outcomes such as readmission rates or survival.
Declared interests
The authors declared no conflicts of interest. The study was funded by the Norwegian Research Council and the University of Stavanger.
The easy way to misread this
Do not interpret the patients' reported confidence and nurses' early interventions as proof that RPM reduces hospital readmissions or improves clinical outcomes. This was a qualitative feasibility study exploring experiences, not an efficacy trial with measured health endpoints.