van Zeist-de Jonge Berte, de Man-van Ginkel Janneke, Olvers Mick, van den Berge Kees, Kooij Laura, Rood Paul J T
Department of Gastroenterology and Hepatology, Rijnstate Hospital, Arnhem, the Netherlands.
Nursing Sciences, Program in Clinical Health Sciences, Utrecht University, Utrecht, the Netherlands.
PLOS Digit Health. 2025 Aug 22;4(8):e0000949. doi: 10.1371/journal.pdig.0000949. eCollection 2025 Aug.
Recent developments make the continuous monitoring of vital signs outside the critical care setting feasible, and may provide a benefit in terms of improved patient outcomes and cost efficiency. A meta-aggregative systematic review was conducted to provide an overview of the experiences of nurses working with continuous monitoring of vital signs in patients admitted to a hospital general ward. All study designs describing nurses' experiences in a qualitative manner were included. Relevant studies were identified by searching the electronic databases Pubmed, Cinahl and Embase from 2017 up to September 2024. The search strategy combined 'nurses', 'continuous monitoring/measuring', 'vital signs', and 'hospital/(general) wards' as well as synonyms. Of 3066 articles found, nine were included. Four themes were synthesized: 1) Emotional and practical advantages, e.g., patients feel safer and nurses feel more secure, as continuous monitoring detects patients deterioration earlier; 2) practical disadvantages, e.g., reduced nurse-patient interaction and stress related to changing vital signs, potential over-monitoring and data overloading; 3) important aspects related to the implementation process, e.g., training and coaching, properly working technical infrastructure; and 4) alarm strategies and clinical assessment, e.g., reducing unnecessary alarms. We conclude that nurses report varying experiences in working with continuous monitoring of vital signs on the general ward. The advantages of continuous monitoring seem to justify investing in further development of the systems and sensors in order to reduce the practical disadvantages. The findings may facilitate optimal implementation of continuous monitoring of vital signs.
近期的发展使得在重症监护环境之外持续监测生命体征成为可能，并且在改善患者预后和成本效益方面可能带来益处。进行了一项元聚合系统评价，以概述在医院普通病房工作的护士对患者进行生命体征持续监测的经验。纳入了所有以定性方式描述护士经验的研究设计。通过检索2017年至2024年9月的电子数据库PubMed、CINAHL和Embase来识别相关研究。检索策略结合了“护士”、“持续监测/测量”、“生命体征”、“医院/（普通）病房”以及同义词。在找到的3066篇文章中，纳入了9篇。综合出四个主题：1）情感和实际优势，例如，由于持续监测能更早发现患者病情恶化，患者感觉更安全，护士感觉更安心；2）实际劣势，例如，护士与患者的互动减少以及与生命体征变化相关的压力、潜在的过度监测和数据过载；3）与实施过程相关的重要方面，例如，培训和指导、正常运行的技术基础设施；4）警报策略和临床评估，例如，减少不必要的警报。我们得出结论，护士报告在普通病房进行生命体征持续监测时有着不同的体验。持续监测的优势似乎证明有必要投资进一步开发系统和传感器，以减少实际劣势。这些发现可能有助于生命体征持续监测的最佳实施。
