Development of a remote monitoring application to improve care and support patients in the first 30 days following colorectal cancer surgery

Miller, Morven and Roxburgh, Campbell S. and McCann, Lisa and Connaghan, John and Van-Wyk, Hester and McSorley, Stephen and Maguire, Roma (2020) Development of a remote monitoring application to improve care and support patients in the first 30 days following colorectal cancer surgery. Seminars in Oncology Nursing, 36 (6). 151086. ISSN 0749-2081 (https://doi.org/10.1016/j.soncn.2020.151086)

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Abstract

Objective: To design and develop a digital monitoring application to support and improve the care of patients in the first 30 post-operative days following colorectal cancer surgery. Data Sources: Patient interviews, health professional focus groups, patient co-creation activities, and health professional prioritization discussions. Conclusion: The structured and iterative co-design activities adopted in this study with key stakeholders, including patients and health professionals, lead to the development of a prototype application (app) to support patients at home during the first 30 days following surgery for colorectal cancer. A similar approach could be implemented to develop comparable apps for patients with other cancer diagnoses requiring different surgical procedures. Further research should focus on the continued development and testing of this app in relation to patient care and outcomes as well as the app's affect on nursing and other health services. Implications for Nursing Practice: Clinical implementation of remote monitoring following discharge home after surgery for colorectal cancer gives patients the opportunity to report issues of concern to relevant health professionals. This could facilitate the early identification of concerning signs and symptoms, ensuring appropriate and timely interventions to minimize readmission rates. Patients’ experiences during the recovery period could also be improved through the provision of reliable and relevant online information. More specifically, health professionals could easily identify those patients requiring additional support to manage their recovery, for example, those with more severe symptoms or problems, facilitating the direction of appropriate health services to those most in need of their expertise.

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