telemonitoring
Telemonitoring of patients with heart failure Mercy College
Nurs 370-DLB
Theoretical Framework
The theoretical framework guiding this study is Donabedian’s (1988) classic model for assessing quality of care. This framework is useful in this study because it evaluate the effectiveness of intervention using mobile phone based telemonitoring for heart failure management. According to the Donabedian’s model, quality of care can be measured in three categories: structure, process, and outcomes. Structure includes the aspects in which care is provided such as equipment used to improve patient care and organization etc. Process represents the intervention needed to carry out patient care and finally, outcomes discusses the results of intervention on the health status of patients and populations.
The structure in this study includes five clinicians (three cardiologist and two nurse practitioners) from a heart function clinic who will manage the alerts and use data from the monitoring system during trial. Electrocardiogram (ECG), mobile device, scale and sphygmomanometer are part of the equipment given to patients to collect data during the trial. The use of mobile- base-monitoring will be researched to evaluate how it will impact the monitoring of early worsening sign of heart failure. Early warning signs of worsening heart failure include weight gain, elevated or lower blood pressure and side effects of medications. When patients understand and monitor this early warning signs, they are more likely to be engaged and make necessary changes that will positively influence the outcomes of heart failure management, thus reducing the readmission rate among this patients.
According to Donabedian’s classic model, the measurement of process includes the intervention needed to carry out patients care. In the study, 120 patients median age 66years were randomized into a control group with 54 patients and a tele-group with 54 patients.
Nurs 370-DLB
Theoretical Framework
The theoretical framework guiding this study is Donabedian’s (1988) classic model for assessing quality of care. This framework is useful in this study because it evaluate the effectiveness of intervention using mobile phone based telemonitoring for heart failure management. According to the Donabedian’s model, quality of care can be measured in three categories: structure, process, and outcomes. Structure includes the aspects in which care is provided such as equipment used to improve patient care and organization etc. Process represents the intervention needed to carry out patient care and finally, outcomes discusses the results of intervention on the health status of patients and populations.
The structure in this study includes five clinicians (three cardiologist and two nurse practitioners) from a heart function clinic who will manage the alerts and use data from the monitoring system during trial. Electrocardiogram (ECG), mobile device, scale and sphygmomanometer are part of the equipment given to patients to collect data during the trial. The use of mobile- base-monitoring will be researched to evaluate how it will impact the monitoring of early worsening sign of heart failure. Early warning signs of worsening heart failure include weight gain, elevated or lower blood pressure and side effects of medications. When patients understand and monitor this early warning signs, they are more likely to be engaged and make necessary changes that will positively influence the outcomes of heart failure management, thus reducing the readmission rate among this patients.
According to Donabedian’s classic model, the measurement of process includes the intervention needed to carry out patients care. In the study, 120 patients median age 66years were randomized into a control group with 54 patients and a tele-group with 54 patients.