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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Remote Patient Monitoring-Understanding by Nurses Who Support Home Dialysis Patients.

Louise Collingridge^1,2, Nadine Tinsley³, Rosemary Simmonds⁴

¹Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.

Journal of Renal Care

|October 9, 2025

Summary

This summary is machine-generated.

Renal nurses find remote patient monitoring (RPM) valuable for adjusting home dialysis machines and strengthening patient relationships, aiding treatment adherence despite challenges like cost.

Keywords:

home dialysis nursing remote monitoring

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Area of Science:

Nephrology Nursing
Digital Health
Patient Monitoring

Background:

Home dialysis adherence is crucial and supported by renal nurses.
Remote patient monitoring (RPM) offers potential for improved adherence and clinical tools.
Limited research exists on nurses' perceptions and use of RPM in home dialysis.

Purpose of the Study:

To explore renal nurses' experiences with RPM while supporting home-based ambulatory peritoneal dialysis patients.
To understand how RPM is integrated into nursing practice for home dialysis care.

Main Methods:

Qualitative descriptive study using focus groups and interviews with renal nurses.
Data collected from three centers providing home dialysis support.
Verbatim transcripts analyzed using NVivo software.

Main Results:

RPM is valued for remote programming of dialysis machines.
Patient health benefits from RPM were complex, not directly linked to reduced hospitalizations.
RPM aids in maintaining nurse-patient relationships, supporting adherence.
Routine monitoring decreased over time; cost and data privacy were barriers.

Conclusions:

RPM is a key tool for renal nurses, particularly for remote dialysis machine adjustments.
RPM enhances nurse-patient relationships, indirectly supporting treatment adherence.
Overcoming barriers like cost and technology availability is justified by RPM's benefits.