van Noort Harm H J, Becking-Verhaar Femke L, Bahlman-van Ooijen Wilmieke, Pel Maarten, van Goor Harry, Huisman-de Waal Getty
Department of Surgery, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands.
J Clin Med. 2024 Jan 13;13(2):439. doi: 10.3390/jcm13020439.
Continuous monitoring of vital signs using a wireless wearable device was implemented in 2018 at a surgical care unit of an academic hospital. This study aimed at gaining insight into nurses' and patients' perspectives regarding the use and innovation of a continuous vital signs monitoring system, three years after its introduction. This qualitative study was performed in a surgical, non-intensive care unit of an academic hospital in 2021. Key-user nurses (nurses with additional training and expertise with the device) and patients were selected for semi-structured interviews, and nurses from the ward were selected for a focus group interview using a topic list. Transcripts of the audio tapes were deductively analysed using four dimensions for adoptions of information and communication technologies (ICT) devices in healthcare. The device provided feelings of safety for nurses and patients. Nurses and patients had a few issues with the device, including the size and the battery life. Nurses gained knowledge and skills in using the system for measurement and interpretations. They perceived the system as a tool to improve the recognition of clinical decline. The use of the system could be further developed regarding the technical device's characteristics, nurses' interpretation of the data and the of type of alarms, the information needs of patients, and clarification of the definition and standardization of continuous monitoring. Three years after the introduction, wireless continuous vital signs monitoring is the new standard of care according to the end-users at the general surgical ward.
2018年，一家学术医院的外科护理单元开始使用无线可穿戴设备对生命体征进行连续监测。本研究旨在了解在引入连续生命体征监测系统三年后，护士和患者对其使用和创新的看法。这项定性研究于2021年在一家学术医院的外科非重症监护病房进行。选择关键用户护士（接受过该设备额外培训且具备专业知识的护士）和患者进行半结构化访谈，并使用主题列表选择病房护士进行焦点小组访谈。使用医疗保健领域采用信息通信技术（ICT）设备的四个维度对录音文本进行演绎分析。该设备为护士和患者提供了安全感。护士和患者对该设备存在一些问题，包括尺寸和电池续航时间。护士在使用该系统进行测量和解读方面获得了知识和技能。他们将该系统视为提高对临床病情恶化识别能力的工具。在技术设备的特性、护士对数据的解读、警报类型、患者的信息需求以及连续监测的定义和标准化的澄清等方面，该系统的使用还有待进一步发展。引入三年后，无线连续生命体征监测已成为普通外科病房终端用户认可的新护理标准。
