Clinical Nursing Research

 

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Clinical Nursing Research, Vol. 16, No. 4, 317-335 (2007)
DOI: 10.1177/1054773807307870

An Evaluation of a Monitoring System Intervention

Falls, Injuries, and Affect in Nursing Homes

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{at}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

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.

Key Words: nursing homes • accidental falls • technology • affect


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