Primary Care Clinic Nurse Activities with a Telehealth Monitoring System

West J Nurs Res. 2020 Jan;43(1):5-12. doi: 10.1177/0193945920923082. Epub 2020 May 22.


The purpose of this study was to evaluate differences in the types of nursing activities and communication processes reported in a primary care clinic between patients who used a home-based monitoring system to electronically communicate self-monitored blood glucose and blood pressure values and those who assumed usual care. Data were extracted from electronic medical records from individuals who participated in a randomized controlled trial comparing in-home monitoring and usual care in patients with Type 2 diabetes and hypertension being treated in a primary care clinic. Data about nursing activities initiated by primary care clinic nurses were compared between groups using descriptive statistics and independent t-tests. Significant differences between groups were identified for the direct care nursing activities of providing lifestyle and health education, medication adjustments, and patient follow-up. This study provides evidence of greater nursing activity reported in a primary care clinic in patients who utilized a home-based monitoring system.

Keywords: diabetes; hypertension; nursing activity; telehealth; telemedicine.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Blood Glucose
  • Blood Pressure
  • Diabetes Mellitus, Type 2 / nursing*
  • Disease Management
  • Electronic Health Records
  • Female
  • Humans
  • Hypertension / nursing*
  • Male
  • Monitoring, Physiologic*
  • Patient-Centered Care*
  • Primary Care Nursing*
  • Primary Health Care
  • Telemedicine*


  • Blood Glucose