Perspectives of staff nurses toward patient- and family-initiated call light usage and response time to call lights

Tzeng, Huey‐Ming

doi:10.1016/j.apnr.2009.03.003

Cited by 12 publications

(17 citation statements)

References 7 publications

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“…Third, regarding the person in the work system, our survey focused on collecting general information about the CNAs such as their age, number of years working as a CAN, in which unit they worked, and the shift they usually covered (Aiken & Patrician, ; Holden et al, ). Fourth, we measured the call light system by the degree of ease with which the CNAs were notified and the degree of ease with which they could locate the room from which the alarm was emanating (Tzeng, , ). Finally, the outcomes were measured by the mean of the CNAs' job satisfaction and the level of job stress and burnout (Holden et al, ; Tzeng, , ).…”

Section: Methodsmentioning

confidence: 99%

“…Fourth, we measured the call light system by the degree of ease with which the CNAs were notified and the degree of ease with which they could locate the room from which the alarm was emanating (Tzeng, , ). Finally, the outcomes were measured by the mean of the CNAs' job satisfaction and the level of job stress and burnout (Holden et al, ; Tzeng, , ).…”

Section: Methodsmentioning

confidence: 99%

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Evaluating a smartwatch notification system in a simulated nursing home

Ali

2019

Int J Older People Nursing

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Aims This paper evaluates a high‐fidelity prototype of a smartwatch‐based communication system for nursing homes. The system could improve communication between residents and caregivers, thus reducing staff response time and improving residents' safety. Background Across the country, nursing homes are often cited as having serious quality and safety issues. Deficiencies in the communication systems that connect residents with caregivers significantly impact the quality of care. Most nursing homes still use traditional call light systems, that give visual and auditory cues to caregivers, who may or may not be in proximity to the system. This study evaluates a smartwatch communication system developed to quickly relay a resident's requests for assistance to staff anywhere in the nursing home. Method Certified Nursing Assistants (CNAs) employed by nursing homes were recruited to perform routine tasks using both a traditional system and a smart system. Response time to call lights, staff performance and outcomes were measured through direct and recorded observations and through the surveys of participants. Results The smartwatch system reduced staff response time to call lights from bedrooms by 40%, from bathrooms by 58% and from bed exit alarms by 29%. The smartwatch system also reduced perceived workload by about 50% and was highly accepted by the CNAs. Conclusion A smartwatch‐based notification system may increase staff performance and decrease workload, thus leading to greater staff and patient satisfaction, which could ultimately lead to better quality of care and patient safety. Relevance to clinical practice This study provides empirical evidence for the usefulness of smartwatches in facilitating the notification and communication processes in healthcare settings and is also among the first to actually examine a smartwatch system in a healthcare setting.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Evaluating a smartwatch notification system in a simulated nursing home

Ali

2019

Int J Older People Nursing

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“…This pilot study [15] found that, although the majority of the staff (81.6%) agreed that call lights were meaningful, only half of the staff members perceived that call lights mattered to patient safety and required nursing staff attention and 44% thought that answering call lights prevented them from doing critical aspects of their role.…”

Section: Introductionmentioning

confidence: 99%

Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: an exploratory survey study in four USA hospitals

Tzeng

2010

BMC Health Serv Res

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BackgroundLittle research has been done on patient call light use and staff response time, which were found to be associated with inpatient falls and satisfaction. Nurses' perspectives may moderate or mediate the aforementioned relationships. This exploratory study intended to understand staff's perspectives about call lights, staff responsiveness, and the reasons for and the nature of call light use. It also explored differences among hospitals and identified significant predictors of the nature of call light use.MethodsThis cross-sectional, multihospital survey study was conducted from September 2008 to January 2009 in four hospitals located in the Midwestern region of the United States. A brief survey was used. All 2309 licensed and unlicensed nursing staff members who provide direct patient care in 27 adult care units were invited to participate. A total of 808 completed surveys were retrieved for an overall response rate of 35%. The SPSS 16.0 Window version was used. Descriptive and binary logistic regression analyses were conducted.ResultsThe primary reasons for patient-initiated calls were for toileting assistance, pain medication, and intravenous problems. Toileting assistance was the leading reason. Each staff responded to 6 to 7 calls per hour and a call was answered within 4 minutes (estimated). 49% of staff perceived that patient-initiated calls mattered to patient safety. 77% agreed that that these calls were meaningful. 52% thought that these calls required the attention of nursing staff. 53% thought that answering calls prevented them from doing the critical aspects of their role. Staff's perceptions about the nature of calls varied across hospitals. Junior staff tended to overlook the importance of answering calls. A nurse participant tended to perceive calls as more likely requiring nursing staff's attention than a nurse aide participant.ConclusionsIf answering calls was a high priority among nursing tasks, staff would perceive calls as being important, requiring nursing staff's attention, and being meaningful. Therefore, answering calls should not be perceived as preventing staff from doing the critical aspects of their role. Additional efforts are necessary to reach the ideal or even a reasonable level of patient safety-first practice in current hospital environments.

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“…Nurse calls are not perceived to be of a critical nature that requires nurses' immediate attention [13], although patients take an opposite perspective [5]. Therefore scholars have argued that more focus needs to be directed towards fostering attitudes that prioritise responding to nurse calls in order to promote patient-centred care and reduce patient incidences [5,13,14].…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have investigated the reasons for nurse calls and found that many of these do not always require immediate attention [4,11,13]. Studies have found that nurses perceive nurse calls 'as an interruption to their work rather than a means of patient communication' [10].…”

Section: Introductionmentioning

confidence: 99%