Doctor of Nursing Practice Program

• Committee Chair Name & Credentials:
  Debra Arnow, DNP, RN, NEA-BC
• Committee Member Name & Credentials:
  Richard Watters, PhD, RN

DNP Project Abstract

Factors Influencing Registered Nurses’ Adoption of Video Monitoring to Improve Patient Safety

Purpose
To survey RNs on four inpatient units at Vanderbilt University Medical Center (VUMC) to identify factors that influence their adoption of video monitoring technology (VMT). The survey instrument was adapted from Barnett et al. (2020) Remote Video Monitoring Acceptance Tool (RVMAT).

Methods
The adapted survey included 13 demographic items, 22 closed-ended items using a five-point Likert scale, and two free-text questions. Descriptive statistics were used to report the findings and a thematic analysis was conducted for the free-text items.

Results
Twenty-four RNs completed the survey for a response rate of 17.8%. The results revealed strong engagement with VMT (M 3.99/SD 0.66). Participants reported agreement on intention to use (M 4.25/SD 0.60) and attitude towards using VMT (M 4.09/SD 0.58). Facilitating factors included patient condition (confusion), ability to redirect patients, and lack of sitters. Fifty-eight percent of the participants disagreed or were uncertain that VMT monitoring was continuous, and identified it as a barrier to using VMT. Lack of education  across units was also identified as a barrier.

Implications for Practice
Understanding nurses' acceptance of VMT into nursing practice is critical to mitigate its underutilization and to ensure patients’ experience the best possible outcomes (Barnett et al. 2020 ). Nurse leaders using the RVMAT can identify facilitators and barriers with adoption of VMT. These findings can assist nurse leaders with implementing strategies which decrease patient self-harm events, decrease costs, and improve patient outcomes.