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Journal of clinical nursing · 2026

Nurses' and Physicians' Experiences With Digital Remote Patient Monitoring-Transforming the Boundaries of Breast Cancer Care.

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Spillum Maren-Kathrine Guriby, Sahlberg Guro Kristine Kleivi, Skjerven Helle Kristine, Mjøsund Nina Helen

Аннотация

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.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты