OBJECTIVE: This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP). METHODS: Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services. RESULTS: Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management and achievements in health status. CONCLUSION: This project provides new evidence that the purposeful creation of patient-tailored web resources within a hospital portal is possible; that nurses have difficulty with modifying their practice routines, even with a highly-tailored web resource; and that the benefits of this intervention are more discernable in the early postdischarge stages of care.
OBJECTIVE: This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP). METHODS: Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services. RESULTS:Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management and achievements in health status. CONCLUSION: This project provides new evidence that the purposeful creation of patient-tailored web resources within a hospital portal is possible; that nurses have difficulty with modifying their practice routines, even with a highly-tailored web resource; and that the benefits of this intervention are more discernable in the early postdischarge stages of care.
Authors: Shirley M Moore; Jacqueline M Charvat; Nahida H Gordon; Fredric Pashkow; Paul Ribisl; Beverly L Roberts; Michael Rocco Journal: Ann Behav Med Date: 2006-02
Authors: Warner V Slack; Hollis B Kowaloff; Roger B Davis; Tom Delbanco; Steven E Locke; Charles Safran; Howard L Bleich Journal: J Am Med Inform Assoc Date: 2012-01-11 Impact factor: 4.497
Authors: Gregory L Alexander; Andrew Georgiou; Kevin Doughty; Andrew Hornblow; Anne Livingstone; Michelle Dougherty; Stephen Jacobs; Malcolm J Fisk Journal: Int J Med Inform Date: 2020-01-24 Impact factor: 4.046
Authors: Sonali R Mishra; Andrew D Miller; Shefali Haldar; Maher Khelifi; Jordan Eschler; Rashmi G Elera; Ari H Pollack; Wanda Pratt Journal: Proc SIGCHI Conf Hum Factor Comput Syst Date: 2018-04-21
Authors: Lauren Wilcox; Janet Woollen; Jennifer Prey; Susan Restaino; Suzanne Bakken; Steven Feiner; Alexander Sackeim; David K Vawdrey Journal: J Am Med Inform Assoc Date: 2016-01-07 Impact factor: 4.497
Authors: Dana C Nevedal; Chun Wang; Lindsay Oberleitner; Steven Schwartz; Amy M Williams Journal: J Med Internet Res Date: 2013-09-25 Impact factor: 5.428
Authors: Sophie Boisvert; Alexandra Proulx-Belhumeur; Natalia Gonçalves; Michel Doré; Julie Francoeur; Maria Cecilia Gallani Journal: Rev Lat Am Enfermagem Date: 2015 Jul-Aug