Nurses' attitudes towards medical devices in healthcare delivery: a systematic review

Zhang, Wei; Barriball, Louise; While, Alison

doi:10.1111/jocn.12601

Cited by 18 publications

(17 citation statements)

References 44 publications

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“…Nurses have been reported to have mixed attitudes towards technical devices when forced to struggle between the fundamental nature of nursing and technical orientation (Zhang et al, ). We suggest that involving nurses in the design and development process, with their expertise on fundamental aspects of care, would not only improve the attitudes of nurses, but also increase the safety and efficacy of the devices.…”

Section: Discussionmentioning

confidence: 99%

“…Although this is considered time consuming and expensive according to many developers, it will also help in analysing potential risks (Fearis & Petrie, ). Involving nurses in the development process already in the concept‐stage could also be one factor that might improve the nurses nuanced attitudes towards the constantly increasing amount of medical devices introduced in their work reported by Zhang et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…A recent review recognised the nuanced attitudes of nurses towards medical devices. Although the devices are mainly considered a positive addition to nursing, nurses found it hard to balance between the technically oriented device use and provision of fundamental care (Zhang, Barriball, & While, ).…”

Section: Introductionmentioning

confidence: 99%

“…According to a recent survey, 43% of the nurses who answered, reported spending three hours or more managing various medical devices in their daily work (West Health Institute, ). As the amount of technological innovations is rapidly increasing in health care, it is important that nurses are engaged in the design and development of these devices (Castner, Sullivan, Titus, & Klingman, ; Zhang et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Health and medical device development for fundamental care: Scoping review

Matinolli

Mieronkoski

Salanterä

2019

Journal of Clinical Nursing

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Background: The use of technology and health and medical devices as a part of fundamental nursing care is increasing. Although involving users in the device development process is essential, the role of nurses in the process has not yet been discussed. Objectives: To examine and map what kind of health and medical devices have been developed specifically for fundamental nursing care and to examine the design and development of the devices, particularly focusing on the role of nurses in the process. Design: Scoping review. Review methods: The databases were searched to identify studies describing health and medical devices developed for fundamental nursing care published between the years 2008-2018 in English language. References of included articles were reviewed for additional eligible studies. Two research team members screened the abstracts and full articles against the predefined inclusion and exclusion criteria. The PRISMA-ScR checklist was used.Results: Of the 7223 reports identified, a total of 19 were chosen for the scoping review. Of these, five were further analysed regarding the development process. Main focus areas of the included reports were patient monitoring, pressure ulcer prevention and patient transfer and mobility. Device development process, divided into three phases, was mainly driven by technological expertise and healthcare personnel were mainly involved in the evaluation phases.Conclusions: Health and medical devices are a crucial part of the healthcare today and nurses are increasingly involved with their use. Most of the devices have been developed mainly by using technological expertise although they are directly aimed at fundamental aspects of nursing care. The results of our review suggest that the expertise of the nurses as the end-users of the devices could be much more exploited. Relevance to clinical practice:A combination of expertise of device development from both nursing professionals and technical experts is necessary to disentangle the requirements of increased quality in nursing care combined with the ever-growing technological requirements. K E Y W O R D S delivery of health care, health personnel, medical device, nursing, patient-centered nursing, technology development | 1823 MATINOLLI eT AL.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health and medical device development for fundamental care: Scoping review

Matinolli

Mieronkoski

Salanterä

2019

Journal of Clinical Nursing

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“…Technology is a complex phenomenon due to its many assorted roles and functions in health care (Stayt, Seers, & Tutton, 2015). While it is an inherent aspect of nursing care (Sandelowski, 1999), competing perspectives abound in the literature where technology in nursing is on the one hand embraced but on another ostracised (Barnard, 2016;Zhang, Barriball, & While, 2014). It is argued that new technologies will have the greatest impact on nurses and the way nurses care for patients (Huston, 2013).…”

Section: Introductionmentioning

confidence: 99%

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

Crilly

Dowling

Delaunois

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To synthesise the available body of qualitative evidence relating to nurses' perceptions and experiences of care provision in adult critical care environments. Methods The study adhered to ENTREQ (Confidence in Evidence of Reviews of Qualitative Research) guidelines. See Appendix S1. A systematic search of the literature in nine databases was undertaken: CINAHL, Web of Science, MEDLINE, EMBASE, PsycINFO, Campbell Collaboration, ProQuest A & I, DART and Lenus. Blind screening to select relevant studies was undertaken, and each selected study was assessed for quality using the Critical Appraisal Skills Programme framework. Guided by Thomas and Harden's three‐stage approach to thematic analysis, line‐by‐line coding of participants' verbatim accounts and the researchers' interpretations in the selected studies' findings was undertaken and then organised into higher order analytical themes. Confidence in the findings was reviewed using GRADE‐CERQual. Results Twelve studies reported in thirteen papers, including 122 nurses, were selected in the final sample for synthesis. Three analytical themes were identified: (a) sometimes machines get all the attention, (b) with experience the patient becomes the focus and (c) technology can't save everybody. Conclusions Providing care for adult patients in a highly technological environment is challenging particularly for novice nurses, who face the potential of technology drawing all their attention. Experienced critical care nurses learn to keep technology in abeyance and deliver person‐centred care within the bounds of a technological environment. Relevance to clinical practice The review supports Locsin's theory of technological competence and highlights that providing care in critical care requires nurses to actively balance attention for the person while managing machines. Experienced nurses achieve this balance and can offer support to novice nurses. Critical care nurse orientation programmes should be underpinned by a holistic approach which addresses the dualism of technology and care.

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“Knowledge, attitude and reporting practices of ventilator-related errors among nursing professionals"

Ziaudeen,

Jesiah,

Dakshinamoorthi

et al. 2024

Clinical Epidemiology and Global Health

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Nurses' attitudes towards medical devices in healthcare delivery: a systematic review

Abstract: Healthcare delivery increasingly incorporates the use of medical devices so that understanding nurses' attitudes towards medical devices is essential for their safe implementation.

Cited by 18 publications

References 44 publications

Health and medical device development for fundamental care: Scoping review

Health and medical device development for fundamental care: Scoping review

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

“Knowledge, attitude and reporting practices of ventilator-related errors among nursing professionals"

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