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Lessons from the implementation of a home telecare service

Lookup NU author(s): Professor Carl May, Tony Boland


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We conducted a qualitative evaluation of the introduction of a telenursing service. The service used an analogue videophone linked with a physiological monitoring device, which allowed the transmission of data between the patient's home and the hospital. A researcher kept a detailed diary of day-to-day activity for the first year of the project. Computer software for qualitative data analysis was used to code the text and the analysis followed the principles of constant comparison. The diary entries documented how the commercially available equipment was adapted to suit the organization and content of the nurses' work. The nurses made a number of suggestions to improve the user-friendliness of the equipment. The technology, the existing home care service (the comparison arm of the study) and the randomized controlled trial itself all underwent continuous change. The traditional randomized control design of trial has limitations in this situation, and there is a need for more realistic trial designs.

Publication metadata

Author(s): Hibbert D, Mair FS, Angus RM, May C, Boland A, Haycox A, Roberts C, Shiels C, Capewell S

Publication type: Article

Publication status: Published

Journal: Journal of Telemedicine and Telecare

Year: 2003

Volume: 9

Issue: s1

Pages: 55-56

ISSN (print): 1357-633X

ISSN (electronic): 1758-1109

Publisher: Royal Society of Medicine Press Ltd.


DOI: 10.1258/135763303322196358



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