Key result
Non-invasive telemonitoring shows inconsistent effects on HF hospitalizations across multidisciplinary nursing programs.
Why the study?
Non-invasive telemonitoring may support heart-failure management, but the nursing activities embedded within complex programmes are not always clearly distinguished from technological and multidisciplinary components.
Does non-invasive telemonitoring improve clinical outcomes, self-care, and continuity of care in patients with heart failure?
Systematic Review
Does non-invasive telemonitoring improve clinical outcomes, self-care, and continuity of care in patients with heart failure?
This systematised review clarifies the specific nursing care processes embedded within non-invasive heart failure telemonitoring programmes, noting that while some structured programmes reduce hospitalisations, overall clinical effectiveness is heterogeneous and cannot be isolated from multidisciplinary care.
May guide nursing integration in HF telemonitoring programs; leaves open optimal role definitions for prospective trials.
Background/Objectives: Non-invasive telemonitoring may support heart-failure management, but the nursing activities embedded within complex programmes are not always clearly distinguished from technological and multidisciplinary components. This systematised review synthesised contemporary evidence on clinical outcomes, self-care, health education, nursing roles and continuity of care. Methods: We searched PubMed, CINAHL, Scopus, SciELO, Dialnet and LILACS for original studies published between January 2020 and June 2026 in English, Spanish or Portuguese. Findings were synthesised narratively and appraised descriptively using Joanna Briggs Institute tools. Independent duplicate screening, extraction and appraisal were not undertaken. Results: From 232 identified records, 23 publications representing 21 independent studies or parent trial populations were included. Evidence was heterogeneous: some structured programmes reported fewer heart-failure-related hospitalisations or worsening events, while others showed neutral or inconsistent clinical effects. Nursing activities included symptom assessment, alert interpretation, health education, self-care support, structured communication and care coordination. Their independent effects could not be isolated from broader multidisciplinary interventions. Conclusions: Non-invasive telemonitoring may support selected patients when integrated into responsive clinical pathways, but its effectiveness should not be generalised across settings. This review clarifies the nursing care processes involved rather than establishing a pooled effect of telemonitoring. The review was retrospectively registered with the Open Science Framework (https://osf.io/r42cm/ (accessed on 18 October 2026)).
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Khamis-Ali et al. (2026) conducted a systematic review in Heart Failure. Non-invasive telemonitoring with embedded nursing activities was evaluated on Clinical outcomes (including heart-failure-related hospitalisations or worsening events), self-care, health education, nursing roles, and continuity of care. Non-invasive telemonitoring across 21 studies showed heterogeneous effects on heart-failure hospitalisations, with nursing roles inseparable from multidisciplinary care.
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