Implementation of a scenario - an example Organic.Edunet Open days 2010.
Example implementation scenario COPD
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Associated publication: Mair et al. Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease. Chronic Illness 2008 4: 110 Workshop 1 ‘COPD’: NPT Master Class Implementation Scenario Home tele-care for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD) What is the intervention? The intervention aimed to address a growing problem of high hospital admission rates of patients with exacerbations of chronic obstructive pulmonary disease (COPD). What does the intervention consist of? In an RCT of home tele-care for people suffering acute exacerbation of COPD, patients who would normally have been considered eligible for admission to hospital were randomised to receive either face-to-face home nursing support for a 2-week period or a home tele-care support service The intervention consisted of a videophone link and attachments that permitted remote physiological monitoring of blood pressure, pulse, temperature and pulse oximetry. The system used standard analogue telephone lines. Twelve specialist respiratory nurses delivered the intervention. How is this different from what staff ‘normally’ do (previously ‘did’)? Patients suffering from acute exacerbation of COPD would normally have been admitted to hospital for a period of care and discharged home. Respiratory nurses would previously had visited patients in their homes and/or provided care in hospital. The tele-care system required nurses to assess symptoms and support patients via a video-link. What are the different staff/individuals involved in delivering the intervention? The key staff groups involved in delivering the home tele-care intervention were specialist respiratory nurses and respiratory consultants. What staff/individuals are most involved in delivery of the intervention? The staff who are mostly involved in the delivery of home tele-care intervention were specialist respiratory nurses. What might make the implementation of this particularly complex? The implementation of the home tele-care intervention for COPD is complex due to a number of factors, such as, equipment issues (having equipment available, and arrangements for installing in patients’ homes), communication issues (reliance on video-link working, more limited medium for communicating non-verbally), attitudes, nurse- patient relationships and safety (making judgements about risk).
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Transcript of Example implementation scenario COPD
Associated publication: Mair et al. Understanding factors that inhibit or promote the utilization of
telecare in chronic lung disease. Chronic Illness 2008 4: 110
Workshop 1 ‘COPD’: NPT Master Class Implementation Scenario
Home tele-care for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD) What is the intervention?
The intervention aimed to address a growing problem of high hospital admission rates of patients with
exacerbations of chronic obstructive pulmonary disease (COPD).
What does the intervention consist of?
In an RCT of home tele-care for people suffering acute exacerbation of COPD, patients who would normally have
been considered eligible for admission to hospital were randomised to receive either face-to-face home nursing
support for a 2-week period or a home tele-care support service The intervention consisted of a videophone link
and attachments that permitted remote physiological monitoring of blood pressure, pulse, temperature and pulse
oximetry. The system used standard analogue telephone lines. Twelve specialist respiratory nurses delivered the
intervention.
How is this different from what staff ‘normally’ do (previously ‘did’)?
Patients suffering from acute exacerbation of COPD would normally have been admitted to hospital for a period of
care and discharged home. Respiratory nurses would previously had visited patients in their homes and/or provided
care in hospital. The tele-care system required nurses to assess symptoms and support patients via a video-link.
What are the different staff/individuals involved in delivering the intervention?
The key staff groups involved in delivering the home tele-care intervention were specialist respiratory nurses and
respiratory consultants.
What staff/individuals are most involved in delivery of the intervention?
The staff who are mostly involved in the delivery of home tele-care intervention were specialist respiratory nurses.
What might make the implementation of this particularly complex?
The implementation of the home tele-care intervention for COPD is complex due to a number of factors, such as,
equipment issues (having equipment available, and arrangements for installing in patients’ homes), communication
issues (reliance on video-link working, more limited medium for communicating non-verbally), attitudes, nurse-
patient relationships and safety (making judgements about risk).
