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Nurse-Delivered Telehealth in Home-Based Palliative Care: Integrative Systematic Review
Cong Ma1, Yifan Fang1, Hui Zhang2
1School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Journal of Medical Internet Research
|May 5, 2025
Summary
This review synthesizes evidence on nurses
Area of Science:
- Home-based palliative care
- Telehealth technologies
- Nursing informatics
Background:
- Telehealth significantly improves access to high-quality resources in home-based palliative care.
- Nurses play a crucial role in delivering telehealth services within this setting.
- Existing reviews lack a synthesis of nurses' roles and implementation factors in this field.
Purpose of the Study:
- To comprehensively understand nurses' roles in telehealth home-based palliative care.
- To identify multilevel facilitators and barriers to implementing nurse-delivered telehealth.
- To inform future policy, research, and clinical practice in this area.
Main Methods:
- Integrative systematic review following Joanna Briggs Institute and PRISMA guidelines.
- Searched PubMed, Embase, Web of Science, CINAHL, and Cochrane Library (2014-2024).
- Included qualitative, quantitative, and mixed-methods studies on nurse-delivered telehealth in home-based palliative care, appraised with the Mixed Methods Appraisal Tool.
Main Results:
- 34 papers from 29 studies were included; innovations often involved nurses or multiprofessional teams.
- Nurses' roles identified include palliative care nurses, community nurses, coordinators, coaches, navigators, and case managers.
- Key facilitators included the COVID-19 pandemic and cost savings; barriers included reimbursement issues and technical problems.
Conclusions:
- Nurses' roles in telehealth home-based palliative care are evolving, with opportunities for leadership.
- Telehealth empowers nurses to strengthen professional identity and influence practice, management, and policy.
- Leveraging telehealth can enhance nursing practice and clinical management in home-based palliative care.
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