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Digital Health and Technology-Supported Interventions Supporting Advanced Practice Nurses in Cardiovascular Risk
Tahissa Frota Cavalcante1,2, José Erivelton de Souza Maciel Ferreira2, Caroline Evaristo Lourenço2
1Federal University of Ceará, Fortaleza, Brazil.
Advanced practice nurses utilize digital health technologies for cardiovascular risk management in primary care, enhancing patient monitoring and self-management. These tools support clinical decisions and improve care coordination, strengthening nursing practice.
Area of Science:
- Nursing
- Digital Health
- Cardiovascular Risk Management
Background:
- Digital health technologies are increasingly integrated into primary healthcare.
- Advanced practice nurses play a crucial role in cardiovascular risk management.
- The use of technology by nurses in this field requires mapping and description.
Purpose of the Study:
- To map and describe digital health technologies and interventions used by advanced practice nurses.
- To identify the advanced nursing functions supported by these technologies in cardiovascular risk management.
- To understand the application of technology in primary healthcare for cardiovascular disease prevention and management.
Main Methods:
- A comprehensive scoping review was conducted following Joanna Briggs Institute methodology.
- Systematic searches were performed across multiple databases (PubMed/MEDLINE, Web of Science, Embase, Scopus, CINAHL, Cochrane Library, SciELO) and grey literature.
- International studies published between January 2005 and May 2026 were included, with no language restrictions.
Main Results:
- 12 studies out of 3919 records met the inclusion criteria.
- Technologies included structured nurse-led programs, clinical decision support software, telehealth, and mobile self-management tools.
- These interventions supported primary and secondary prevention, chronic disease management, and cardiac rehabilitation, aiding in decision-making, monitoring, education, and care coordination.
Conclusions:
- Digital health technologies can enhance advanced cardiovascular nursing practice when integrated into defined care pathways.
- Key contributions include connecting clinical decision support, longitudinal follow-up, and supported self-management.
- Effective implementation depends on workflow integration, role clarity, equitable access, and governance.
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