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Continuous Vital Signs Monitoring with a Wireless Device on a General Ward: A Survey to Explore Nurses’ Experiences in a Post-Implementation Period

Author

Listed:
  • Femke L. Becking-Verhaar

    (Department of Surgery, Radboud University Medical Centre, Huispost 751, Postbus 9101, 6500 HB Nijmegen, The Netherlands)

  • Robin P. H. Verweij

    (Department of Surgery, Radboud University Medical Centre, Huispost 751, Postbus 9101, 6500 HB Nijmegen, The Netherlands)

  • Marjan de Vries

    (Department of Surgery, Radboud University Medical Centre, Huispost 751, Postbus 9101, 6500 HB Nijmegen, The Netherlands)

  • Hester Vermeulen

    (Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Centre, Huispost 160, Postbus 9101, 6500 HB Nijmegen, The Netherlands)

  • Harry van Goor

    (Department of Surgery, Radboud University Medical Centre, Huispost 751, Postbus 9101, 6500 HB Nijmegen, The Netherlands)

  • Getty J. Huisman-de Waal

    (Department of Surgery, Radboud University Medical Centre, Huispost 751, Postbus 9101, 6500 HB Nijmegen, The Netherlands
    Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Centre, Huispost 160, Postbus 9101, 6500 HB Nijmegen, The Netherlands)

Abstract

Background: Nurse engagement, perceived need and usefulness affect healthcare technology use, acceptance and improvements in quality, safety and accessibility of healthcare. Nurses’ opinions regarding continuous monitoring appear to be positive. However, facilitators and barriers were little studied. This study explored nurses’ post-implementation experiences of the facilitators and barriers to continuously monitoring patients’ vital signs using a wireless device on general hospital wards. Methods: This study employed a cross-sectional survey. Vocational and registered nurses from three general wards in a Dutch tertiary university hospital participated in a survey comprising open and closed questions. The data were analysed using thematic analysis and descriptive statistics. Results: Fifty-eight nurses (51.3%) completed the survey. Barriers and facilitators were identified under four key themes: (1) timely signalling and early action, (2) time savings and time consumption, (3) patient comfort and satisfaction and (4) preconditions. Conclusions: According to nurses, early detection and intervention for deteriorating patients facilitate the use and acceptance of continuously monitoring vital signs. Barriers primarily concern difficulties connecting patients correctly to the devices and system.

Suggested Citation

  • Femke L. Becking-Verhaar & Robin P. H. Verweij & Marjan de Vries & Hester Vermeulen & Harry van Goor & Getty J. Huisman-de Waal, 2023. "Continuous Vital Signs Monitoring with a Wireless Device on a General Ward: A Survey to Explore Nurses’ Experiences in a Post-Implementation Period," IJERPH, MDPI, vol. 20(10), pages 1-21, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:10:p:5794-:d:1145000
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    References listed on IDEAS

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    1. Yogesh K. Dwivedi & Nripendra P. Rana & Anand Jeyaraj & Marc Clement & Michael D. Williams, 2019. "Re-examining the Unified Theory of Acceptance and Use of Technology (UTAUT): Towards a Revised Theoretical Model," Information Systems Frontiers, Springer, vol. 21(3), pages 719-734, June.
    2. Wei Zhang & K Louise Barriball & Alison E While, 2014. "Nurses' attitudes towards medical devices in healthcare delivery: a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2725-2739, October.
    3. Terri Watkins & Lynn Whisman & Pamela Booker, 2016. "Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 278-281, January.
    4. Stephanie K. Sprogis & Judy Currey & Julie Considine, 2019. "Patient acceptability of wearable vital sign monitoring technologies in the acute care setting: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2732-2744, August.
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