ABSTRACT
Wearable vital sign monitors are a promising step towards optimal patient surveillance, providing continuous data to allow for early detection and treatment of patient deterioration. However, as wearable monitors become more widely adopted in healthcare, there is a corresponding need to carefully design the implementation of these tools to promote their integration into clinical workflows and defend against potential misuse and patient harm. Prior to the roll-out of these monitors, our multidisciplinary team of clinicians, clinical engineers, information technologists and research investigators conducted a modified Healthcare Failure Mode and Effect Analysis (HFMEA), a proactive evaluation of potential problems which could be encountered in the use of a wireless vital signs monitoring system. This evaluation was accomplished by focussing on the identification of procedures and actions that would be required during the devices' regular usage, as well as the implementation of the system as a comprehensive process. Using this method, the team identified challenges that would arise throughout the lifecycle of the device and developed recommendations to address them. This proactive risk assessment can guide the implementation of wearable patient monitors, optimising the use of innovative health information technology.
Subject(s)
Monitoring, Physiologic/methods , Risk Assessment/methods , Vital Signs/physiology , HumansABSTRACT
This manuscript demonstrates how one institution used research background information to recommend the use of two survey studies on nurses' knowledge, attitude, and practice related to research as a needs assessment tool to develop research education. The survey results provided in this manuscript helped the staff development specialist members of the nursing research committee develop an organized approach to education development that targeted nurses who need research education. The committee is planning for the future incorporation of research skills into the new nurses' orientation program.
Subject(s)
Health Knowledge, Attitudes, Practice , Needs Assessment , Nursing Research/education , Nursing Staff, Hospital/education , Professional Role , Staff Development/methods , Adult , Attitude of Health Personnel , Educational Measurement , Female , Health Care Surveys , Humans , Male , Middle Aged , Models, Educational , Quality of Health CareABSTRACT
Within Christiana Care Health System, an opportunity evolved to develop a nurse recruitment strategy for our stepdown units. Being a large teaching system, there was specific need for nursing education at this entry level. Through collaboration of nursing colleagues, the Stepdown Nurse Internship Program was created. The program encompassed clinical orientation and didactic classes. Of notable significance at the completion of the program were the Basic Knowledge Assessment Test score improvement and the nurse retention rate.
