Nurse–Technology Interactions and Patient Safety

Ruppel, Halley; Funk, Marjorie

doi:10.1016/j.cnc.2018.02.003

Cited by 13 publications

(9 citation statements)

References 32 publications

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“…Present education on clinical alarms has not taken into account the social and psychological factors that are involved in the transformation of knowledge into behaviour. Moreover, problems such as an inadequate understanding of alarm management behaviours and poor awareness of the risk of no response to alarms persist in nurses (Christensen, Dodds, Sauer, & Watts, 2014; Gazarian, Carrier, Cohen, Schram, & Shiromani, 2015; Ruppel & Funk, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…The theory of planned behaviour is one of the most important theories on individual behaviours in social psychology, and it can be used to influence, analyse and intervene in behaviours (Christensen et al., 2014; Gazarian et al., 2015; Ruppel & Funk, 2018). In previous studies, scholars have intervened in nurses’ behaviours based on the theory of planned behaviour to promote the implementation of cancer pain management (Schaffler, 2005), enteral nutrition management (Knowles, 2018) and weight management (Kothe et al, 2018) in patients.…”

Section: Introductionmentioning

confidence: 99%

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Effects of monitor alarm management training on nurses’ alarm fatigue: A randomised controlled trial

Yin

et al. 2020

Journal of Clinical Nursing

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Background: Chaotic monitor alarm management generates a large number of alarms, which result in alarm fatigue. Intensive care unit (ICU) nurses are caretakers of critically ill patients, the effect of alarm management affect patient safety directly. Objectives: To evaluate the effect of monitor alarm management training based on the theory of planned behaviour for reducing alarm fatigue in intensive care unit nurses. Design: A randomised, single-blind trial. This article follows the requirements of CONSORT statement. Participants: The study was conducted from February 2019-May 2019 in a tertiary A-level hospital. 93 ICU clinical nurses were included, and they were randomly assigned into two groups.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of monitor alarm management training on nurses’ alarm fatigue: A randomised controlled trial

Yin

et al. 2020

Journal of Clinical Nursing

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“…There is a risk that if “a new technology is not found to be easy to use or useful, nurses adapt by developing workarounds, or by using the technology ineffectively or inefficiently, at the expense of quality of care.” (p203) This can happen when the designers of new technology are unfamiliar with nursing workflow and there is no opportunity for nurses to provide input on design or feedback on use of a device. Systems are often rapidly upgraded, and without consideration of those workarounds, updating a system may result in consequences that workarounds cannot address …”

Section: Technology Challengesmentioning

confidence: 99%

“…Technology will continue to pose serious patient safety threats if nurses’ interactions with technology are not considered. Understanding and using technology requires not just a technical skillset, but rather a combination of physiologic knowledge, biomedical engineering principles, and HFE concepts …”

Section: Perioperative Nurses At the Decision‐making Tablementioning

confidence: 99%

“…Perioperative nurses must continue to push for the integration of HFE with medical technologies, and they are well positioned to be a positive influence in this regard. Including nurses in usability testing, in purchasing decisions, and on value analysis teams will contribute to an environment in which nurses are aware of their influence over their work environment and patient and personnel safety, and understand that they are not simply subject to the decisions of administrators …”

Section: Perioperative Nurses At the Decision‐making Tablementioning

confidence: 99%

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Technology in the Perioperative Environment

Saletnik¹

2018

AORN Journal

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P erioperative nursing practice is heavily influenced by advances in technology. "The development of OR nursing has been, and still is, inextricably linked to the development of technology." 1(p3) From the inception of perioperative nursing as a specialty in 1889, 2 which led to the manufacture of the first rubber surgical gloves, 3 to the present, which includes surgical robots, navigational systems, and three-dimensional organ printing, expertise in technology has been a critical aspect of the perioperative nurse's role. Given the precipitous rate of technology advancement, maintaining this expertise is no easy task.Recently, I visited an equipment vendor headquarters and was exposed to some of the contemporary technology. This included full automation of everyday workspaces, robots that perform specialized tasks, and virtual reality headsets to allow full immersion into a hospital environment. It was a reminder of how much has changed since I entered perioperative nursing and the speed with which those advances are occurring. It raises the question that if this is the current technology, what will be coming in the next 10 years? According to Harold Thimbleby, "Technology drives healthcare more than any other force, and in the future it will continue to develop in dramatic ways." 4(pe28) Although technologic advances are aimed at making health care more efficient, affordable, and safe, we must not lose sight of the fact that there also exists the potential for unintended consequences. As perioperative nurses, we must stay abreast of those advances and update our practice to reflect the benefits of those changes. TECHNOLOGY CHALLENGESThe literature rightfully suggests that, as perioperative nurses, we should remain focused not solely on the technology, but also on the interactions between people and the devices they use. 4,5 Consistent integration of human factors and ergonomics (HFE) principles with advancements in technology could potentially reduce the number of device-related medical errors that occur each year. The area of HFE consists of three domains: physical ergonomics, which identifies physical limitations and strengths; cognitive ergonomics, which considers the cognitive limitations and abilities of users in the system; and macroergonomics, which focuses on the overall work system inclusive of such aspects as teamwork and safety culture. 5 Thimbleby points out that it is typically the complex features that make new technology attractive, 4 and this leaves the user to manage the human factors associated with its use.There is a risk that if "a new technology is not found to be easy to use or useful, nurses adapt by developing workarounds, or by using the technology ineffectively or inefficiently, at the expense of quality of care." 6(p203) This can happen when the designers of new technology are unfamiliar with nursing workflow and there is no opportunity for nurses to provide input on design or feedback on use of a device. Systems are often rapidly upgraded, and without consideration of those workaroun...

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Nursing students' perceptions of interaction in a multiplayer virtual reality simulation: A qualitative descriptive study

Piispanen,

Haavisto,

Hublin

et al. 2024

Nursing Open

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AimTo describe nursing students' perceptions of interaction in a multiplayer virtual reality (MPVR) simulation.DesignA qualitative descriptive study.MethodsSecond‐semester nursing students (n = 24) participated in pairs in MPVR simulations and semi‐structured interviews. Data were analysed deductively and inductively.ResultsFour types of interaction in a MPVR simulation were identified: interaction between the students, interaction between the student and the virtual environment (VE), interaction between the student and the virtual patient (VP), and interaction between the student and the simulation facilitator. Interaction consisted of verbal and nonverbal interaction, as well as object manipulation and movement in the VE. The reasons for interaction were to coordinate the care, to assess the VP, and to implement VPs' care.ConclusionsMPVR simulation offered nursing students an opportunity to practice nurse‐to‐nurse interaction and interaction related to nurses' collaboration, which are essential skills in nursing practice. Students were also able to interact with the VP, which can promote students' nurse–patient interaction skills. Therefore, MPVR simulations can be utilized as a platform to enhance interaction skills of future healthcare professionals, which could improve patient safety.Patient or Public ContributionNone.

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Nurse–Technology Interactions and Patient Safety

Cited by 13 publications

References 32 publications

Effects of monitor alarm management training on nurses’ alarm fatigue: A randomised controlled trial

Effects of monitor alarm management training on nurses’ alarm fatigue: A randomised controlled trial

Technology in the Perioperative Environment

Nursing students' perceptions of interaction in a multiplayer virtual reality simulation: A qualitative descriptive study

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