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Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-3348-4307
University of Gothenburg Sahlgrenska academy, SWE.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0001-9870-8477
University of Gothenburg Sahlgrenska academy, SWE.
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2021 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 16, no 4 April, article id e0250122Article in journal (Refereed) Published
Abstract [en]

Purpose To describe nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care. Methods Data was collected through individual semi-structured interviews with seven nurse anesthetists who had used smart glasses, with a customized application for monitoring vital signs, during clinical anesthesia care. Data was analyzed using thematic content analysis. Results An overarching theme became evident during analysis; Facing and embracing responsibility. Being a nurse anesthetist entails a great responsibility, and the participants demonstrated that they shouldered this responsibility with pride. The theme was divided in two sub-themes. The first of these, A new way of working, comprised the categories Adoption and Utility. This involved incorporating smart glasses into existing routines in order to provide safe anesthesia care. The second sub-theme, Encountering side effects, consisted of the categories Obstacles and Personal affect. This sub-theme concerned the possibility to use smart glasses as intended, as well as the affect on nurse anesthetists as users. Conclusion Smart glasses improved access to vital signs and enabled continuous monitoring regardless of location. Continued development and improvement, both in terms of the application software and the hardware, are necessary for smart glasses to meet nurse anesthetists’ needs in clinical practice. Copyright: © 2021 Romare et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Place, publisher, year, edition, pages
Public Library of Science , 2021. Vol. 16, no 4 April, article id e0250122
Keywords [en]
GOOGLE GLASS; INTENSIVE-CARE; SAFETY; TECHNOLOGY; DISPLAYS; SURGERY; IMPACT
National Category
Nursing
Identifiers
URN: urn:nbn:se:bth-21384DOI: 10.1371/journal.pone.0250122ISI: 000644133400015Scopus ID: 2-s2.0-85104496783OAI: oai:DiVA.org:bth-21384DiVA, id: diva2:1553096
Note

open access

Available from: 2021-05-07 Created: 2021-05-07 Last updated: 2022-10-14Bibliographically approved
In thesis
1. Health Care Professionals’ Views of Smart Glasses for Vital Signs Monitoring in Complex Care Environments
Open this publication in new window or tab >>Health Care Professionals’ Views of Smart Glasses for Vital Signs Monitoring in Complex Care Environments
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Monitoring patient vital signs is one of many important tasks for health care professionals in intensive care units and anaesthesia departments. Patient status can deteriorate in seconds, hence close surveillance is requisite for safe care. However, monitoring vital signs can be challenging in some situations. Smart glasses have been suggested for facilitating the monitoring of vital signs. To be useful, smart glasses require a customised application and must be integrated in the interacting work system. A work system comprises Person(s), Tasks, Technology and Tools, Organisation, and Environment. The work system affects care processes and outcomes, and one outcome is patient safety. 

The overall aim of this thesis was to investigate health care professionals’ views on and experiences of smart glasses, as well as whether smart glasses could influence patient safety in complex care environments. Five studies were conducted to answer the overall aim. A scoping review compiled previous research about smart glasses in complex care environments (Study I). Through focus group interviews, health care professionals’ views on smart glasses were collected (Studies II and III). Software developers used the knowledge generated to develop a smart glass application for vital signs monitoring. In individual interviews health care professionals shared their experiences’ using smart glasses for vital signs monitoring during clinical anaesthesia care (Study V). A database study was also conducted to describe burden of care related to monitoring (Study IV). The results were synthesised using SEIPS 2.0. 

The results presented in this thesis show that smart glasses can be used to monitor vital signs, and that they made it possible to monitor vital signs regardless of location. However, using smart glasses for vital signs monitoring requires further development to meet clinical needs. The complexity of care in intensive care units and at anaesthesia departments was evident, as were health care professionals’ responsibilities and their commitment to providing safe care for patients. 

This thesis concludes that adding smart glasses to the work system will affect other components of the work system and hence also processes and outcomes such as patient safety. Providing safe care for patients in complex care environments is challenging. The patient’s best is health care professionals’ highest priority, hence health care professionals are an asset for patient safety. To have positive impact on patient safety, new tools such as smart glasses must be designed to fit into the rest of the work system and to facilitate health care professionals’ work processes.

Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2022. p. 127
Series
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 8
Keywords
Anesthesia Department, Hospital; Human Factors Engineering; Intensive Care Units; Monitoring, Physiologic; Nursing; Smart Glasses; Patient Safety.
National Category
Medical and Health Sciences Nursing
Research subject
Applied Health Technology
Identifiers
urn:nbn:se:bth-23754 (URN)978-91-7295-445-8 (ISBN)
Public defence
2022-12-09, J1630, Karlskrona, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2022-10-17 Created: 2022-10-14 Last updated: 2022-11-09Bibliographically approved

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Romare, CharlotteAnderberg, PeterSanmartin Berglund, JohanSkär, Lisa

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