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Remote Monitoring With a Reusable Device Upon Implementation on a Surgical Department (REQUEST Trial).

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Wearable monitoring in surgical wards significantly reduces nursing workload and manual vital sign checks. The technology is feasible, usable, and accepted by staff, improving postoperative care efficiency.

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Area of Science:

  • Medical Technology
  • Nursing Informatics
  • Surgical Care

Background:

  • Continuous monitoring of vital signs via wearable devices offers potential for early detection of postoperative complications.
  • Limited real-world evidence exists on the clinical implementation of wearable monitoring in surgical wards.
  • This study addresses the feasibility, acceptability, and impact on nursing workload of implementing wearable monitoring in surgical settings.

Purpose of the Study:

  • To evaluate the impact of implementing wearable monitoring devices on nursing workload in surgical wards.
  • To assess the feasibility and staff acceptance of continuous vital sign monitoring using wearable technology.
  • To determine if wearable monitoring improves the efficiency of postoperative care.

Main Methods:

  • A prospective, single-center implementation study on a surgical ward.
  • Assessment of nursing workload using the Integrated Workload Scale (IWS).
  • Evaluation of usability with the System Usability Scale (SUS) and staff attitudes with the Evidence-Based Practice Attitude Scale (EBPAS).

Main Results:

  • Significant reduction in nursing workload (mean IWS scores decreased from 5.46 to 3.87, p < 0.001).
  • A 62.7% decrease in manual spot checks for vital signs, saving 10.1 minutes per patient per day (p < 0.001).
  • Improved usability scores (SUS increased from 74.2 to 86.0, p = 0.025) with no significant change in staff attitudes (EBPAS, p = 0.43).

Conclusions:

  • Implementation of remote wearable monitoring in surgical wards is feasible and well-accepted by staff.
  • Wearable technology significantly reduces nursing workload and enhances the efficiency of postoperative care.
  • Findings support the potential of wearable devices to optimize nursing tasks and patient monitoring in surgical settings.