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Nurses' and Physicians' Experiences With Digital Remote Patient Monitoring-Transforming the Boundaries of Breast
Maren-Kathrine Guriby Spillum1,2, Guro Kristine Kleivi Sahlberg2,3, Helle Kristine Skjerven4
1Section for Breast and Endocrine Surgery, Department of Surgery, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Aim:
To explore expectations and experiences of nurses and physicians with remote care monitoring for breast cancer patients within the Norwegian specialist health service.
Design:
Qualitative exploratory study.
Methods:
Individual semi-structured interviews were conducted with nine nurses and physicians before and after the implementation of remote patient monitoring. The data were analysed using reflexive thematic analysis.
Results:
Three key themes were developed: (1) 'Navigating patient empowerment: Reassurance, misinterpretation and guidance in remote patient monitoring communication'; (2) 'Digital care impacts the workflow: Efficiency gains and hidden burdens'; and (3) 'Clinical judgement in a digital context: Balancing standardisation and clinical discretion'.
Conclusion:
While remote patient monitoring increased flexibility and targeted follow-up, it also reshaped roles and workloads and introduced new interpretive demands that often lack formal delegation, highlighting the need for clearer task allocation and organisational support.
Implications For The Profession:
Remote patient monitoring expands nurses' roles in symptom assessment and digital follow-up. As such, clear role boundaries and support for clinical judgement are essential for its successful implementation.
Impact:
The results are relevant for management in healthcare services, nurses and other healthcare professionals implementing remote patient monitoring.
Reporting Method:
The study followed CORQ guidelines.
Patient Or Public Contribution:
Four user representatives with lived experience of breast cancer contributed to the design of the study and gave input regarding the interview guide.
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