The use of telecare for people with chronic obstructive pulmonary disease: implications for management
- 1 March 2008
- journal article
- research article
- Published by Hindawi Limited in Journal of Nursing Management
- Vol. 16 (2), 173-180
- https://doi.org/10.1111/j.1365-2834.2008.00845.x
Abstract
To evaluate the telecare service offered by Home Care teams to patients with chronic obstructive pulmonary disease (COPD). The use of telecare aims to support older people in remaining independent at home, reducing hospital admissions and improving the quality of life for older people and their informal carers. In the redesign of managed care for people with COPD using telecare, an evaluation of the implementation process is necessary. A focus group with Home Care teams and social care staff was conducted. Six case studies identified by nursing staff were used to examine key issues relating to telecare implementation. The experience and expectation in telecare, the usability of equipment, and changes in practice can impact on COPD care. Case studies highlight that the rapid access to care, an increased sense of personal safety and security, and the continuity of care are perceived as benefits. However, the equipment was perceived as not 'user friendly' and bulky. It is important that any service redesign to include telecare is evaluated and targeted at its specific role. Partnership working has to be negotiated, and leadership roles include addressing tensions and motivation within the team.Keywords
This publication has 11 references indexed in Scilit:
- Evaluation of return to practice: the views of nurse returnees from three NHS Hospital TrustsJournal of Nursing Management, 2007
- The evaluation of health and social care partnerships: an analysis of approaches and synthesis for the futureHealth & Social Care in the Community, 2006
- Taking the call-bell home: a qualitative evaluation of Tele-HomeCare for childrenHealth & Social Care in the Community, 2006
- PARTICIPATORY EVALUATION: NAVIGATING THE EMOTIONS OF PARTNERSHIPSJournal of Social Work Practice, 2005
- Depression and COPD in older people: a review and discussionBritish Journal of Community Nursing, 2005
- Evidence for a link between mortality in acute COPD and hospital type and resourcesThorax, 2003
- The burden of COPD in the U.K.: results from the confronting COPD surveyRespiratory Medicine, 2003
- Clinical audit indicators of outcome following admission to hospital with acute exacerbation of chronic obstructive pulmonary diseaseThorax, 2002
- Systematic review of studies of patient satisfaction with telemedicineBMJ, 2000
- Prevalence and treatment of chronic airways obstruction in adults over the age of 45.Thorax, 1996