Outcomes of Clinical Nurse Specialist Practice in the Implementation of Video Monitoring at an Academic Medical Center
| Autor: | Jessica Weber Viste, Emilie Fedorov, Suzanne Purvis, Alazda Kaun, Andrea McKenna |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Leadership and Management
MEDLINE Video Recording Assessment and Diagnosis Clinical nurse specialist 03 medical and health sciences 0302 clinical medicine Documentation Health care Outcome Assessment Health Care Inpatient units Humans 030212 general & internal medicine Workgroup Video monitoring Advanced and Specialized Nursing Medical education Academic Medical Centers 030504 nursing business.industry LPN and LVN United States Adoption model Nursing Evaluation Research Patient Safety 0305 other medical science Psychology business Nurse Clinicians |
| Zdroj: | Clinical nurse specialist CNS. 32(2) |
| ISSN: | 1538-9782 |
| Popis: | Purpose/objectives The purpose of this project was to design and implement a program that utilizes video cameras with the goal of monitoring for and preventing unsafe patient events that can lead to poor outcomes. Description of the project The Concerns-Based Adoption Model was utilized to address users' concerns in different stages of diffusion of the new technology. Clinical nurse specialists, as part of a Constant Observation Workgroup, addressed these concerns during initial development and subsequent implementation of video monitoring on adult inpatient units. Establishing initiation criteria for video monitoring and documentation in the electronic health record was critical to success of the project. Outcomes Video monitoring was successfully implemented on 8 inpatient units. A decline in full-time employment numbers for 1:1 sitters was demonstrated with no increase in fall numbers. Conclusions Clinical nurse specialists were successful in collaborating with interdisciplinary colleagues to support the development of a Constant Observation Program that included video monitoring. In addition, clinical nurse specialists developed documentation, policies, and procedures to support this new technology. Success was evidenced by support of and growth of the program over time. |
| Databáze: | OpenAIRE |
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