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护士在全球大流行期间实施自动视频监控系统以降低患者跌倒风险的经验。

Nurses' Experience Implementing an Automated Video Monitoring System to Decrease the Risk of Patient Falls during a Global Pandemic.

作者信息

Allen Joseph A, Reiter-Palmon Roni, Jones Katherine J, Sabalka Lucas, Ciagala Kelsey, Meens Andrea

机构信息

Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, UT 84111, USA.

Department of Psychology, College of Arts and Sciences, University of Nebraska at Omaha, Omaha, NE 68182, USA.

出版信息

Healthcare (Basel). 2023 Sep 15;11(18):2556. doi: 10.3390/healthcare11182556.

Abstract

Healthcare is a complex sociotechnical system where information systems (IS) and information technology (IT) intersect to solve problems experienced by patients and providers alike. One example of IS/IT in hospitals is the Ocuvera automated video monitoring system (AVMS), which has been implemented in more than 30 hospitals. The purpose of this study was to evaluate nurses' attitudes toward AVMS implementation over time as they received the training program developed for this intervention. Consistent with the job demands-resources (JDR) model, we found that perceptions of AVMS usefulness increased over time and were positively associated with perceptions of social influence and behavioral control. These results were consistent with our finding that there was a significant decrease in the risk of unassisted falls from the bed from baseline to intervention. Leaders in hospital systems and healthcare organizations may want to consider implementing an AVMS as researchers continue to test, verify, and demonstrate the effectiveness of these interventions for improving patient well-being.

摘要

医疗保健是一个复杂的社会技术系统,信息系统(IS)和信息技术(IT)在此交汇,以解决患者和医疗服务提供者所面临的问题。医院中信息系统/信息技术的一个例子是Ocuvera自动视频监控系统(AVMS),该系统已在30多家医院实施。本研究的目的是评估护士在接受为该干预措施制定的培训计划后,对AVMS实施的态度随时间的变化。与工作需求-资源(JDR)模型一致,我们发现,随着时间的推移,对AVMS有用性的认知有所增加,并且与社会影响和行为控制的认知呈正相关。这些结果与我们的发现一致,即从基线到干预阶段,无辅助从床上跌倒的风险显著降低。随着研究人员继续测试、验证并证明这些干预措施对改善患者福祉的有效性,医院系统和医疗保健组织的领导者可能会考虑实施AVMS。

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