Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons

Mathilde van Rossum; Jobbe Leenen; Feike Kingma; Martine Breteler; Richard van Hillegersberg; Jelle Ruurda; Ewout Kouwenhoven; Marc J. van Det; Misha Luyer; Grard Nieuwenhuijzen; Cor J. Kalkman; Hermie Hermens

doi:10.2196/22387

Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons

Mathilde van Rossum^*, Jobbe Leenen, Feike Kingma, Martine Breteler, Richard van Hillegersberg, Jelle Ruurda, Ewout Kouwenhoven, Marc J. van Det, Misha Luyer, Grard Nieuwenhuijzen, Cor J. Kalkman, Hermie Hermens

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Background:Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging.

Objective:This study explored nurses’ and surgeons’ expectations of the potential effectiveness and impact of continuous wireless vital signs monitoring in patients admitted to the ward after esophagectomy.

Methods:Semistructured interviews were conducted at 3 esophageal cancer centers in the Netherlands. In each center, 2 nurses and 2 surgeons were interviewed regarding their expectations of continuous vital signs monitoring for early recognition of complications after esophagectomy. Historical data of patient characteristics and clinical outcomes were collected in each center and presented to the local participants to support estimations on clinical outcome.

Results:The majority of nurses and surgeons expected that continuous vital signs monitoring could contribute to the earlier recognition of deterioration and result in earlier treatment for postoperative complications, although the effective time gain would depend on patient and situational factors. Their expectations regarding the impact of potential earlier diagnosis on clinical outcomes varied. Nevertheless, most caregivers would consider implementing continuous monitoring in the surgical ward to support patient monitoring after esophagectomy.

Conclusions:Caregivers expected that wireless vital signs monitoring would provide opportunities for early detection of postoperative complications in patients undergoing esophagectomy admitted to the ward and prevent sequelae under certain circumstances. As the technology matures, clinical outcome studies will be necessary to objectify these expectations and further investigate overall effects on patient outcome.

Original language	English
Article number	e22387
Journal	JMIR Perioperative Medicine
Volume	4
Issue number	1
DOIs	https://doi.org/10.2196/22387
Publication status	Published - 12 Feb 2021

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van Rossum, M., Leenen, J., Kingma, F., Breteler, M., van Hillegersberg, R., Ruurda, J., Kouwenhoven, E., van Det, M. J., Luyer, M., Nieuwenhuijzen, G., Kalkman, C. J., & Hermens, H. (2021). Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons. JMIR Perioperative Medicine, 4(1), [e22387]. https://doi.org/10.2196/22387

van Rossum, Mathilde ; Leenen, Jobbe ; Kingma, Feike ; Breteler, Martine ; van Hillegersberg, Richard ; Ruurda, Jelle ; Kouwenhoven, Ewout ; van Det, Marc J. ; Luyer, Misha ; Nieuwenhuijzen, Grard ; Kalkman, Cor J. ; Hermens, Hermie. / Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy : Interview Study Among Nurses and Surgeons. In: JMIR Perioperative Medicine. 2021 ; Vol. 4, No. 1.

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title = "Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons",

abstract = "Background:Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging.Objective:This study explored nurses{\textquoteright} and surgeons{\textquoteright} expectations of the potential effectiveness and impact of continuous wireless vital signs monitoring in patients admitted to the ward after esophagectomy.Methods:Semistructured interviews were conducted at 3 esophageal cancer centers in the Netherlands. In each center, 2 nurses and 2 surgeons were interviewed regarding their expectations of continuous vital signs monitoring for early recognition of complications after esophagectomy. Historical data of patient characteristics and clinical outcomes were collected in each center and presented to the local participants to support estimations on clinical outcome.Results:The majority of nurses and surgeons expected that continuous vital signs monitoring could contribute to the earlier recognition of deterioration and result in earlier treatment for postoperative complications, although the effective time gain would depend on patient and situational factors. Their expectations regarding the impact of potential earlier diagnosis on clinical outcomes varied. Nevertheless, most caregivers would consider implementing continuous monitoring in the surgical ward to support patient monitoring after esophagectomy.Conclusions:Caregivers expected that wireless vital signs monitoring would provide opportunities for early detection of postoperative complications in patients undergoing esophagectomy admitted to the ward and prevent sequelae under certain circumstances. As the technology matures, clinical outcome studies will be necessary to objectify these expectations and further investigate overall effects on patient outcome.",

author = "{van Rossum}, Mathilde and Jobbe Leenen and Feike Kingma and Martine Breteler and {van Hillegersberg}, Richard and Jelle Ruurda and Ewout Kouwenhoven and {van Det}, {Marc J.} and Misha Luyer and Grard Nieuwenhuijzen and Kalkman, {Cor J.} and Hermie Hermens",

year = "2021",

month = feb,

day = "12",

doi = "10.2196/22387",

language = "English",

volume = "4",

journal = "JMIR Perioperative Medicine",

issn = "2561-9128",

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van Rossum, M, Leenen, J, Kingma, F, Breteler, M, van Hillegersberg, R, Ruurda, J, Kouwenhoven, E, van Det, MJ, Luyer, M, Nieuwenhuijzen, G, Kalkman, CJ & Hermens, H 2021, 'Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons', JMIR Perioperative Medicine, vol. 4, no. 1, e22387. https://doi.org/10.2196/22387

Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy : Interview Study Among Nurses and Surgeons. / van Rossum, Mathilde; Leenen, Jobbe; Kingma, Feike; Breteler, Martine; van Hillegersberg, Richard; Ruurda, Jelle; Kouwenhoven, Ewout; van Det, Marc J.; Luyer, Misha; Nieuwenhuijzen, Grard; Kalkman, Cor J.; Hermens, Hermie.

In: JMIR Perioperative Medicine, Vol. 4, No. 1, e22387, 12.02.2021.

Research output: Contribution to journal › Article › Academic › peer-review

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T1 - Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy

T2 - Interview Study Among Nurses and Surgeons

AU - van Rossum, Mathilde

AU - Leenen, Jobbe

AU - Kingma, Feike

AU - Breteler, Martine

AU - van Hillegersberg, Richard

AU - Ruurda, Jelle

AU - Kouwenhoven, Ewout

AU - van Det, Marc J.

AU - Luyer, Misha

AU - Nieuwenhuijzen, Grard

AU - Kalkman, Cor J.

AU - Hermens, Hermie

PY - 2021/2/12

Y1 - 2021/2/12

N2 - Background:Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging.Objective:This study explored nurses’ and surgeons’ expectations of the potential effectiveness and impact of continuous wireless vital signs monitoring in patients admitted to the ward after esophagectomy.Methods:Semistructured interviews were conducted at 3 esophageal cancer centers in the Netherlands. In each center, 2 nurses and 2 surgeons were interviewed regarding their expectations of continuous vital signs monitoring for early recognition of complications after esophagectomy. Historical data of patient characteristics and clinical outcomes were collected in each center and presented to the local participants to support estimations on clinical outcome.Results:The majority of nurses and surgeons expected that continuous vital signs monitoring could contribute to the earlier recognition of deterioration and result in earlier treatment for postoperative complications, although the effective time gain would depend on patient and situational factors. Their expectations regarding the impact of potential earlier diagnosis on clinical outcomes varied. Nevertheless, most caregivers would consider implementing continuous monitoring in the surgical ward to support patient monitoring after esophagectomy.Conclusions:Caregivers expected that wireless vital signs monitoring would provide opportunities for early detection of postoperative complications in patients undergoing esophagectomy admitted to the ward and prevent sequelae under certain circumstances. As the technology matures, clinical outcome studies will be necessary to objectify these expectations and further investigate overall effects on patient outcome.

AB - Background:Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging.Objective:This study explored nurses’ and surgeons’ expectations of the potential effectiveness and impact of continuous wireless vital signs monitoring in patients admitted to the ward after esophagectomy.Methods:Semistructured interviews were conducted at 3 esophageal cancer centers in the Netherlands. In each center, 2 nurses and 2 surgeons were interviewed regarding their expectations of continuous vital signs monitoring for early recognition of complications after esophagectomy. Historical data of patient characteristics and clinical outcomes were collected in each center and presented to the local participants to support estimations on clinical outcome.Results:The majority of nurses and surgeons expected that continuous vital signs monitoring could contribute to the earlier recognition of deterioration and result in earlier treatment for postoperative complications, although the effective time gain would depend on patient and situational factors. Their expectations regarding the impact of potential earlier diagnosis on clinical outcomes varied. Nevertheless, most caregivers would consider implementing continuous monitoring in the surgical ward to support patient monitoring after esophagectomy.Conclusions:Caregivers expected that wireless vital signs monitoring would provide opportunities for early detection of postoperative complications in patients undergoing esophagectomy admitted to the ward and prevent sequelae under certain circumstances. As the technology matures, clinical outcome studies will be necessary to objectify these expectations and further investigate overall effects on patient outcome.

U2 - 10.2196/22387

DO - 10.2196/22387

M3 - Article

VL - 4

JO - JMIR Perioperative Medicine

JF - JMIR Perioperative Medicine

SN - 2561-9128

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