Impact of Continuous Vigilance Monitoring on Nursing Workflow

Background: Increasing nursing time in patient care is beneficial in improving patient outcomes, but this is proving increasingly difficult with the nursing shortage, budgetary constraints, and higher patient acuity. Objective: Nursing workflow was evaluated after the implementation of a continuous...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of nursing administration 2009-03, Vol.39 (3), p.123-129
Main Authors: Powell-Cope, Gail, Hancock, Holly, Wada, Edward, Cadman, Edwin C., Herdman, T. Heather, Burgess, Lawrence P.A., Ebright, Patricia R., Paulson, Shirley S.
Format: Article
Language:English
Subjects:
Health informatics
Hospitals
Humans
Intensive Care Units
Monitoring systems
Monitoring, Physiologic - methods
Nurses
Nursing
Nursing administration
Nursing care
Patient Care - standards
Personnel Staffing and Scheduling
Safety
Time Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Increasing nursing time in patient care is beneficial in improving patient outcomes, but this is proving increasingly difficult with the nursing shortage, budgetary constraints, and higher patient acuity. Objective: Nursing workflow was evaluated after the implementation of a continuous vigilance monitoring system to determine if the system enhanced patient-centric nursing care. Methods: Work sampling observations were conducted at 3 hospitals for 6 categories of nursing activities (direct and indirect nursing, documentation, administrative, housekeeping, and miscellaneous) at baseline and at 3 and 9 months. Results: Statistically significant increases in direct (3 months) and indirect nursing care (3 and 9 months) were found, with variability between sites. Statistically significant increases at 3 and 9 months for documentation of patient care activities and decreases in administrative activities were the most consistent findings for all sites. Conclusion: Continuous vigilance monitoring enhanced patient-centric care with increases in direct and indirect nursing care and documentation of those activities.
ISSN:0002-0443
1539-0721
DOI:10.1097/NNA.0b013e31819894c8