普通病房护士住院连续监测生命体征的经验:系统回顾。

IF 7.7
PLOS digital health Pub Date : 2025-08-22 eCollection Date: 2025-08-01 DOI:10.1371/journal.pdig.0000949
Berte van Zeist-de Jonge, Janneke de Man-van Ginkel, Mick Olvers, Kees van den Berge, Laura Kooij, Paul J T Rood
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引用次数: 0

摘要

最近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,并可能在改善患者预后和成本效率方面提供益处。一项荟萃的系统评价进行了提供的经验概述护士工作与持续监测病人的生命体征入院的医院普通病房。所有以定性方式描述护士经历的研究设计均被纳入。通过检索2017年至2024年9月Pubmed、Cinahl和Embase等电子数据库,发现相关研究。搜索策略结合了“护士”、“持续监测/测量”、“生命体征”、“医院/(普通)病房”以及同义词。在发现的3066篇文章中,有9篇被收录。综合四个主题:1)情感和实际优势,如患者更安全,护士更有安全感,因为持续监测可以更早地发现患者的病情恶化;2)实际缺点,如减少护患互动和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,适当工作的技术基础设施;4)报警策略和临床评估,如减少不必要的报警。我们得出结论,护士报告不同的经验,在工作与生命体征的持续监测在普通病房。为了减少实际的缺点,持续监测的优点似乎证明了进一步开发系统和传感器的投资是合理的。研究结果可促进生命体征持续监测的优化实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.

Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.

Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.

Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.

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.

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