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An Evaluation of a Monitoring System Intervention

Author

Listed:
  • Douglas Holmes

    (Hebrew Home for the Aged at Riverdale and Columbia University Faculty of Medicine, New York)

  • Jeanne A. Teresi

    (Hebrew Home for the Aged at Riverdale, Columbia University Stroud Center, New York State Psychiatric Institute, and Columbia University Faculty of Medicine)

  • Mildred Ramirez

    (Hebrew Home for the Aged at Riverdale, New York, MilRamirez@aol.com)

  • Julie Ellis

    (La Trobe University, Bendigo, Australia)

  • Joseph Eimicke

    (Hebrew Home for the Aged at Riverdale, New York)

  • Jian Kong

    (Hebrew Home for the Aged at Riverdale, New York)

  • Lucja Orzechowska

    (Hebrew Home for the Aged at Riverdale, New York)

  • Stephanie Silver

    (Hebrew Home for the Aged at Riverdale, New York)

Abstract

This project assessed the extent to which modern technology (Vigil) can augment or substitute for direct staff intervention in nonacute late-evening and nighttime situations in a nursing home setting. Vigil was implemented for dementia residents of a special care unit (SCU) in a large nursing home. An SCU matched in terms of unit-wide case mix and cognition was used for comparison. Results showed that there was no significant reduction in falls and injuries, but there was a significant improvement in affective disorder in the intervention group as contrasted with the comparison group. There was no significant increase in staff-perceived burden, despite the significant increase in the amount of direct care time logged. Additional time spent in staff care was significantly related to decreased affective disorder. The findings related to Vigil are generally mixed. The question remains as to whether the improvement in affect was due to Vigil or vigilance.

Suggested Citation

  • Douglas Holmes & Jeanne A. Teresi & Mildred Ramirez & Julie Ellis & Joseph Eimicke & Jian Kong & Lucja Orzechowska & Stephanie Silver, 2007. "An Evaluation of a Monitoring System Intervention," Clinical Nursing Research, , vol. 16(4), pages 317-335, November.
    • Handle: RePEc:sae:clnure:v:16:y:2007:i:4:p:317-335
    DOI: 10.1177/1054773807307870
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    References listed on IDEAS

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    1. Todd, J.F. & Ruhl, C.E. & Gross, T.P., 1997. "Injury and death associated with hospital bed side-rails: Reports to the US food and drag administration from 1985 to 1995," American Journal of Public Health, American Public Health Association, vol. 87(10), pages 1675-1677.
    2. Todd, J. & Ruhl, C.E. & Gross, T.P., 1997. "Erratum: Injury and death associated with hospital bed side-rails: Reports to the US Food and Drug Administration from 1985 to 1995 (American Journal of Public Health (1997) 87 (1675-1677))," American Journal of Public Health, American Public Health Association, vol. 87(12), pages 2052-2052.
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