Synthesized Findings and Categories.

Recent developments make the continuous monitoring of vital signs outside the critical care setting feasible, and may provide a benefit in terms of improved patient outcomes and cost efficiency. A meta-aggregative systematic review was conducted to provide an overview of the experiences of nurses working with continuous monitoring of vital signs in patients admitted to a hospital general ward. All study designs describing nurses’ experiences in a qualitative manner were included. Relevant studies were identified by searching the electronic databases Pubmed, Cinahl and Embase from 2017 up to September 2024. The search strategy combined ‘nurses’, ‘continuous monitoring/measuring’, ‘vital signs’, and ‘hospital/(general) wards’ as well as synonyms. Of 3066 articles found, nine were included. Four themes were synthesized: 1) Emotional and practical advantages, e.g., patients feel safer and nurses feel more secure, as continuous monitoring detects patients deterioration earlier; 2) practical disadvantages, e.g., reduced nurse-patient interaction and stress related to changing vital signs, potential over-monitoring and data overloading; 3) important aspects related to the implementation process, e.g., training and coaching, properly working technical infrastructure; and 4) alarm strategies and clinical assessment, e.g., reducing unnecessary alarms. We conclude that nurses report varying experiences in working with continuous monitoring of vital signs on the general ward. The advantages of continuous monitoring seem to justify investing in further development of the systems and sensors in order to reduce the practical disadvantages. The findings may facilitate optimal implementation of continuous monitoring of vital signs.

近年来的技术进展使得在重症监护病房以外的场景开展生命体征（vital signs）持续监测（continuous monitoring）成为可行方案，且有望通过改善患者转归、提升成本效益带来临床获益。本研究采用元整合系统综述（meta-aggregative systematic review）方法，旨在全面梳理在医院普通病房接受治疗的患者开展生命体征持续监测时，护理人员的相关工作体验。本综述纳入所有以定性方法描述护理人员工作体验的研究设计。研究通过检索2017年至2024年9月期间的PubMed、CINAHL及Embase电子数据库，筛选得到相关文献；检索策略涵盖“护理人员”“持续监测/测量”“生命体征”“医院（普通）病房”及其同义词。初筛共获取3066篇文献，最终纳入9篇。经整合归纳出4项核心主题：1）情感与实践双重优势：得益于持续监测可更早识别患者病情恶化，患者的安全感得以提升，护理人员也更具职业安心感；2）实践层面的潜在弊端：包括护患互动时间被挤压、生命体征监测相关的工作压力攀升，以及可能出现的过度监测与数据过载问题；3）落地实施的关键考量因素：例如系统化培训与督导机制、稳定可靠的技术基础设施；4）报警策略与临床评估优化：例如减少不必要的报警触发。本综述结论表明，护理人员在普通病房开展生命体征持续监测的工作体验存在显著个体差异。持续监测的临床优势足以支撑对相关系统及传感器开展进一步研发，以缓解其带来的实践弊端。本研究结果可为生命体征持续监测的规范化落地提供科学参考。