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Clinical Nursing Research
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Use of Electronic Monitoring in Clinical Nursing Research

Rita L. Ailinger

Georgetown University, Washington, D.C.

Patricia L. Black

George Mason University, Fairfax, Virginia

Natalie Lima-Garcia

Johns Hopkins University, Baltimore, Maryland

In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethical issues in utilizing this technology are discussed. Nurses need to be aware of these challenges when using electronic measuring devices to monitor medication adherence in clinical nursing practice and research.

Key Words: electronic monitoring • Medication Event Monitoring System • MEMS • adherence

Clinical Nursing Research, Vol. 17, No. 2, 89-97 (2008)
DOI: 10.1177/1054773808316941
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