Vital signs monitoring on general wards

Clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology

Mirela Prgomet*, Magnolia Cardona-Morrell, Margaret Nicholson, Rebecca Lake, Janet Long, Johanna Westbrook, Jeffrey Braithwaite, Ken Hillman

*Corresponding author for this work

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: Early detection of patient deterioration and prevention of adverse events are key challenges to patient safety. This study investigated clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards.Design: Multi-method study comprising structured surveys, in-depth interviews and device trial with log book feedback.Setting: Two general wards in a large urban teaching hospital in Sydney, Australia.Participants: Respiratory and neurosurgery nursing staff and two doctors.Results: Nurses were confident about their abilities to identify patients at risk of deterioration, using a combination of vital signs and visual assessment. There were concerns about the accuracy of current vital signs monitoring equipment and frequency of intermittent observation. Both the nurses and the doctors were enthusiastic about the prospect of continuous monitoring and perceived it would allow earlier identification of patient deterioration; provide reassurance to patients; and support interdisciplinary communication. There were also reservations about continuous monitoring, including potential decrease in bedside nurse-patient interactions; increase in inappropriate escalations of patient care; and discomfort to patients.Conclusions: While continuous monitoring devices were seen as a potentially positive tool to support the identification of patient deterioration, drawbacks, such as the potential for reduced patient contact, revealed key areas that will require close surveillance following the implementation of devices. Training and improved interdisciplinary communication were identified as key requisites for successful implementation.

Original languageEnglish
Article numbermzw062
Pages (from-to)515-521
Number of pages7
JournalInternational Journal for Quality in Health Care
Volume28
Issue number4
DOIs
Publication statusPublished - 1 Sep 2016

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