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

Femke L. Becking-Verhaar (), Robin P. H. Verweij, Marjan de Vries, Hester Vermeulen, Harry van Goor and Getty J. Huisman- de Waal
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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

IJERPH, 2023, vol. 20, issue 10, 1-21

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.

Keywords: continuous monitoring; early warning system; fundamental care; implementation; nursing; remote monitoring; thematic analysis; vital signs; wearable devices; wireless monitoring (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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