An Evaluation of a Monitoring System Intervention

Douglas Holmes, Jeanne A. Teresi, Mildred Ramirez, Julie Ellis, Joseph Eimicke, Jian Kong, Lucja Orzechowska and Stephanie Silver
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Douglas Holmes: Hebrew Home for the Aged at Riverdale and Columbia University Faculty of Medicine, New York
Jeanne A. Teresi: Hebrew Home for the Aged at Riverdale, Columbia University Stroud Center, New York State Psychiatric Institute, and Columbia University Faculty of Medicine
Mildred Ramirez: Hebrew Home for the Aged at Riverdale, New York, MilRamirez@aol.com
Julie Ellis: La Trobe University, Bendigo, Australia
Joseph Eimicke: Hebrew Home for the Aged at Riverdale, New York
Jian Kong: Hebrew Home for the Aged at Riverdale, New York
Lucja Orzechowska: Hebrew Home for the Aged at Riverdale, New York
Stephanie Silver: Hebrew Home for the Aged at Riverdale, New York

Clinical Nursing Research, 2007, vol. 16, issue 4, 317-335

Abstract: This project assessed the extent to which modern technology (Vigil) can augment or substitute for direct staff intervention in nonacute late-evening and nighttime situations in a nursing home setting. Vigil was implemented for dementia residents of a special care unit (SCU) in a large nursing home. An SCU matched in terms of unit-wide case mix and cognition was used for comparison. Results showed that there was no significant reduction in falls and injuries, but there was a significant improvement in affective disorder in the intervention group as contrasted with the comparison group. There was no significant increase in staff-perceived burden, despite the significant increase in the amount of direct care time logged. Additional time spent in staff care was significantly related to decreased affective disorder. The findings related to Vigil are generally mixed. The question remains as to whether the improvement in affect was due to Vigil or vigilance.

Keywords: nursing homes; accidental falls; technology; affect (search for similar items in EconPapers)
Date: 2007
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:16:y:2007:i:4:p:317-335

DOI: 10.1177/1054773807307870

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