title: Impact of continuous vigilance monitoring on nursing workflow.
abstract: BACKGROUND
  Increasing nursing time in patient care is beneficial in improving patient outcomes, but this is proving increasingly difficult with the nursing shortage, budgetary constraints, and higher patient acuity.
  
  
  OBJECTIVE
  Nursing workflow was evaluated after the implementation of a continuous vigilance monitoring system to determine if the system enhanced patient-centric nursing care.
  
  
  METHODS
  Work sampling observations were conducted at 3 hospitals for 6 categories of nursing activities (direct and indirect nursing, documentation, administrative, housekeeping, and miscellaneous) at baseline and at 3 and 9 months.
  
  
  RESULTS
  Statistically significant increases in direct (3 months) and indirect nursing care (3 and 9 months) were found, with variability between sites. Statistically significant increases at 3 and 9 months for documentation of patient care activities and decreases in administrative activities were the most consistent findings for all sites.
  
  
  CONCLUSIONS
  Continuous vigilance monitoring enhanced patient-centric care with increases in direct and indirect nursing care and documentation of those activities.
authors: Hoana Medical, Inc., 828 Fort St Mall, Honolulu, HI 96813, USA.
authors: T Heather
authors: TH
authors: Herdman
authors: Lawrence P A
authors: LP
authors: Burgess
authors: Patricia R
authors: PR
authors: Ebright
authors: Shirley S
authors: SS
authors: Paulson
authors: Gail
authors: G
authors: Powell-Cope
authors: Holly
authors: H
authors: Hancock
authors: Edward
authors: E
authors: Wada
authors: Edwin C
authors: EC
authors: Cadman
mesh_terms: D006761:Hospitals; D006801:Humans; D007362:Intensive Care Units; D008991:Monitoring, Physiologic / Q000379:methods*; D009726:Nurses; D005791:Patient Care / Q000592:standards*; D010561:Personnel Staffing and Scheduling; D012449:Safety; D013997:Time Factors