Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Sign In to gain access to subscriptions and/or personal tools.
Chronic Illness
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Mair, F. S.
Right arrow Articles by Beaton, S. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mair, F. S.
Right arrow Articles by Beaton, S. C.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease

Frances S. Mair

Division of Community Based Sciences, University of Glasgow, 1 Horselethill Road Glasgow G12 9LX, UK, fm46c{at}clinmed.gla.ac.uk

Julia Hiscock

National Primary Care Research and Development Centre, University of Manchester 5th Floor, Williamson Building, Manchester M13 9PL, UK

Susan C. Beaton

Mersey Primary Care R&D Consortium, Division of Primary Care/Liverpool PCT 2nd Floor, Whelan Building, University of Liverpool, Liverpool L69 3GB, UK

Objectives: To perform a process evaluation of a randomized controlled trial (RCT) of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD), using the normalization process model (NPM) as an explanatory framework.

Methods: Semi-structured interviews were carried out with patients (n = 9) and nurses (n = 11) participating in a RCT. A framework approach to data analysis was used.

Results: The telecare service did not provide an interactional advantage for the nurses providing this service and did not fit with the nurses' views of the most appropriate or preferred use of their skills. The telecare service seemed unlikely to become normalized as part of routine healthcare delivery, because the nursing team lacked confidence that it was a safe way to provide healthcare in this context and it was not perceived as improving efficiency.

Discussion: The NPM effectively mapped onto the study findings and explained those factors that inhibited the routine delivery of COPD services by telecare.

Key Words: Lung disease • Normalization process model • Telecare

Chronic Illness, Vol. 4, No. 2, 110-117 (2008)
DOI: 10.1177/1742395308092482
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?