Academic Journal
Vital signs monitoring on general wards: clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology
| العنوان: | Vital signs monitoring on general wards: clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology |
|---|---|
| المؤلفون: | Cardona-Morrell, M, Prgomet, M, Hillman, K, Westbrook, Johanna, Braithwaite, Jeffrey, Long, Janet |
| المصدر: | urn:ISSN:1353-4505 ; urn:ISSN:1464-3677 ; International Journal for Quality in Health Care, 28, 4, 515-521 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2016 |
| المجموعة: | UNSW Sydney (The University of New South Wales): UNSWorks |
| مصطلحات موضوعية: | 4203 Health Services and Systems, 4205 Nursing, 42 Health Sciences, Patient Safety, Prevention, Clinical Research, 7.3 Management and decision making, 4.1 Discovery and preclinical testing of markers and technologies, 4.2 Evaluation of markers and technologies, Adolescent, Adult, Attitude of Health Personnel, Australia, Evaluation Studies as Topic, Female, Hospitals, Teaching, Urban, Humans, Interviews as Topic, Male, Middle Aged, Monitoring, Physiologic, Nursing Process, Patients' Rooms, Vital Signs, Young Adult, general wards, physiological |
| الوصف: | Objective Early detection of patient deterioration and prevention of adverse events are key challenges to patient safety. This study investigated clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards. Design Multi-method study comprising structured surveys, in-depth interviews and device trial with log book feedback. Setting Two general wards in a large urban teaching hospital in Sydney, Australia. Participants Respiratory and neurosurgery nursing staff and two doctors. Results Nurses were confident about their abilities to identify patients at risk of deterioration, using a combination of vital signs and visual assessment. There were concerns about the accuracy of current vital signs monitoring equipment and frequency of intermittent observation. Both the nurses and the doctors were enthusiastic about the prospect of continuous monitoring and perceived it would allow earlier identification of patient deterioration; provide reassurance to patients; and support interdisciplinary communication. There were also reservations about continuous monitoring, including potential decrease in bedside nurse–patient interactions; increase in inappropriate escalations of patient care; and discomfort to patients. Conclusions While continuous monitoring devices were seen as a potentially positive tool to support the identification of patient deterioration, drawbacks, such as the potential for reduced patient contact, revealed key areas that will require close surveillance following the implementation of devices. Training and improved interdisciplinary communication were identified as key requisites for successful implementation. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| Relation: | http://purl.org/au-research/grants/nhmrc/APP1054146; http://intqhc.oxfordjournals.org/content/early/2016/06/17/intqhc.mzw062; http://hdl.handle.net/1959.4/unsworks_39994; https://doi.org/10.1093/intqhc/mzw062 |
| DOI: | 10.1093/intqhc/mzw062 |
| الاتاحة: | http://hdl.handle.net/1959.4/unsworks_39994 https://doi.org/10.1093/intqhc/mzw062 |
| Rights: | metadata only access ; http://purl.org/coar/access_right/c_14cb ; CC-BY-NC-ND ; https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.255E1E99 |
| قاعدة البيانات: | BASE |
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