Technology-Driven Nursing Interventions to Support Telehealth in Cardiac Primary Care

Background: Telehealth incorporation is changing the nursing practice in cardiac primary care; technology-driven nursing interventions are providing innovative ways to improve patient outcomes and patient access to care. Nursing interventions driven by technology, such as remote patient monitoring, virtual consultations, and mHealth applications, are becoming increasingly important in cardiovascular disease management. Aim: This review aims to appraise the effectiveness, challenges, and future considerations for technology-driven nursing interventions in telehealth in the area of cardiac primary care, focusing on patient outcomes, nurse workload, and health equity. Methods: A scoping review was conducted using PubMed, CINAHL, Scopus, and Web of Science. The review included studies published between 2015 and 2025 through peer-reviewed journals. Inclusion criteria included studies utilizing a telehealth intervention with nurse involvement in cardiac primary care that had a qualitative/quantitative method. Data were synthesized thematically and quantitatively, based on the variability of outcomes in each study, which were summarized by patient health, nurses’ efficiency, and system-level. Results: The 50 studies showed telehealth interventions were reported to increase patient adherence (85% of studies), decrease hospital admissions (70% of studies), and increase nurse efficiency (60% of studies), but many studies did identify challenges, including digital literacy (40%) and infrastructure (30%). Secondly, reports on equity-related interventions demonstrated some success with providing healthcare to disadvantaged populations. Conclusion: While through technology-enhanced nursing telehealth intervention characteristics show large improvements in processes regarding cardiac care, a large investment in training, infrastructure, and other elements to address technology gaps may be necessary. Future research efforts should focus on implementing scalable and equitable strategies.