Nursing and Digital Technologies

Mental health Service Users’ vital signs are monitored without disturbing them, via a camera and infrared monitoring unit installed in their bedrooms. The equipment reads vital signs (Heart Rate and Respiratory Rate) when staff access the vital signs features, and alerts staff to unusual activity that may indicate heightened safety risks (e.g. multiple persons in a room, long periods of time in ensuite bathroom). Nurses can access the system via a screen or portable device. The monitoring can be “paused” (switched off for that room) if it is in the best interests of the Service User.

During admission to hospital, patients may not be well enough to fully understand how the technology operates, raising concerns about privacy and surveillance. Staff not being able to access good quality training means that expected processes and procedures breakdown and are not followed. Can adversely affect psychological wellbeing e.g. if not previously been made aware of the technology and later discovering it.

Nursing staff can monitor patients without disturbing their sleep. Unusual activity is flagged to staff. Patients require clear explanations about the presence of the monitoring equipment. Staff training is required on the technology and processes surrounding its use. Robust Service User engagement at all stages of the project and thereafter.

The technology can support fewer disturbances overnight to improve sleep for patients and ensure their wellbeing. However, they must be made fully aware of the technology and its purposes. Earlier intervention in risky situations may prevent or reduce levels of harm.

• NHS/HSC Mental Health Trust

• IT & Digital

• Video-based remote patient monitoring platform