Leveraging Smart Telemedicine Technology to Enhance Nursing Care Satisfaction and Revolutionize COVID-19 Care: Prospective Cohort Study.
Journal
JMIR human factors
Journal Volume
12
Pages
e53456
ISSN
2292-9495
Date Issued
2025-01-21
Author(s)
Chang, You-Lung
Lin, Chi-Ying
Hsu, Jiun
Liao, Sui-Ling
Yu, Chun-Ti
Peng, Hung-Chueh
Abstract
Background: Telemedicine has been utilized in the care of patients with COVID-19, allowing real-time remote monitoring of vital signs. This technology reduces the risk of transmission while providing high-quality care to both self-quarantined patients with mild symptoms and critically ill patients in hospitals. Objective: This study aims to investigate the application of telemedicine technology in the care of patients with COVID-19, specifically focusing on usability, effectiveness, and patient outcomes in both home isolation and hospital ward settings. Methods: The study was conducted between January 2022 and December 2022. More than 800 cases were monitored using the QOCA remote home care system, a telemedicine platform that enables remote monitoring of physiological data—including heart rate, blood pressure, temperature, and oxygen levels—through Internet of Things devices and a 4G-connected tablet. Of these, 27 patients participated in thie study: the QOCA remote home care system was deployed 36 times in the isolation ward and 21 times to those in home isolation. The QOCA remote care system monitored isolated cases through remote care packages and a 4G tablet. Case managers and physicians provided telemedicine appointments and medications. Innovative methods were developed to enhance usage, including online health education, remote care equipment instructions via QR core links, and video consultations for patients without smartphones. Results: A clinical nurse satisfaction survey revealed that most respondents found the content of the remote care package comprehensive and the interface easy to learn. They expressed a desire to continue using the system. The majority also agreed that using the remote care system and package would reduce their workload and that patients and caregivers could easily learn to use the package. While some respondents expressed concerns about network and Bluetooth connectivity, the majority (24/27, 89%) agreed to include the remote device as part of their routine equipment, with an average score of 84.8 points. Conclusions: The integration of telemedicine technology improves the quality of care while reducing the workload and exposure of health care workers to viruses.
Subjects
COVID-19
caregiver
digital health
health education
home-care
hospital-care
intelligent medical care
mHealth
medical care
medical staff
mobile health
nursing care
patient
quality of care
quarantine
remote care
remote equipment
remote monitoring
screening
smart home care
smartphone
telemedicine
treatment
video consultation
vital signs
SDGs
Type
journal article