Summary of Findings.

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环境（critical care setting）之外开展生命体征（vital signs）持续监测成为可行方案，且有望在改善患者结局与提升成本效益方面带来获益。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住院病房开展生命体征持续监测的护理人员的工作体验。本次综述纳入所有以定性方式描述护理人员工作体验的研究设计。通过检索PubMed、Cinahl及Embase电子数据库（2017年至2024年9月）筛选相关研究，检索策略组合了‘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。最终从检索到的3066篇文献中纳入9篇符合要求的研究。本次综述共归纳出4类核心主题：1）情感与实践层面的获益：例如，由于持续监测可更早发现患者病情恶化，患者会感到更安心，护理人员也更有安全感；2）实践层面的弊端：例如，护患互动时长减少、因处理生命体征变化相关工作产生的压力、潜在的过度监测问题以及数据过载情况；3）落地实施过程中的关键要点：例如，培训与带教指导、稳定运行的技术基础设施；4）警报策略与临床评估：例如，减少不必要的警报触发。本综述得出结论：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差异。持续监测的获益似乎足以支持对相关系统与传感器开展进一步研发投入，以缓解其带来的实践层面弊端。本次研究结果可为生命体征持续监测的优化落地实施提供参考依据。