To examine the implementation of a multidevice telemonitoring program for older adults with heart failure across three regional health organizations in Quebec, focusing on feasibility, acceptability, and integration into nursing practice, thereby addressing critical challenges in heart failure management.
Key Findings:
Home care nurses play a critical role in the success of digital health interventions, including data interpretation and patient education, with specific barriers such as time constraints and enablers like training support.
The implementation faced various barriers and enablers that influenced its integration into nursing workflows, including technology acceptance and workflow adjustments.
Patient engagement was facilitated through daily symptom questionnaires and medication adherence tracking, enhancing their involvement in care.
Interpretation:
Understanding the experiences of home care nurses is essential for evaluating the feasibility and sustainability of telemonitoring implementations, as their insights can inform future adaptations and training needs.
Limitations:
The study does not report formal key performance indicators, which limits the ability to measure success quantitatively.
Findings are based on qualitative data from a limited number of participants across three sites, which may not represent broader experiences.
Conclusion:
The pilot project provides insights into the implementation of telemonitoring for heart failure in home care settings, highlighting the importance of nurse involvement and suggesting areas for future research to enhance digital health integration.
