Evaluating an Advanced Practice Provider-Managed Coronavirus Disease 2019 Deterioration Program

J Nurse Pract. 2023 Oct;19(9):104754. doi: 10.1016/j.nurpra.2023.104754. Epub 2023 Sep 4.

Abstract

Background: COVID-19 changed how healthcare systems could provide quality healthcare to patients, safely. An urban healthcare system created an advanced practice provider (APP)-managed continuous remote patient monitoring (cRPM) program.

Methods: A mixed-method study design focusing on the usable and feasible nature of the cRPM program. Both APP-guided interviews and online questionnaires were analyzed.

Results: There was overwhelmingly positive APP feedback utilizing the remote monitoring solution including providing quality healthcare, detecting early clinical deterioration, and desiring to adapt the solution to other acute or chronic diseases.

Implications: Understanding the clinical users' feedback on usability and feasibility of cRPM highlights the significance of rapid clinical assessment, urgent care escalation and provider accessibility.

Keywords: Advance practice provider; continuous remote patient monitoring; feasibility; novel coronavirus 2019; nurse practitioner; usability.