Enhancing Healthcare Quality through Connected Care Monitoring: A Survey on Nurses' Knowledge, Attitude, and Practice in Wards
Main Article Content
Abstract
Background
Enhanced Connected Care (ECC) monitoring, which fuses medical devices with continuous monitoring of patient vitals captured by a nursing dashboard, offers a better way to address patient safety and improve clinical outcomes. Nurses are the key players involved in the implementation of ECC, while their KAP towards the technology in place decides the success and efficacy of this innovation. The purpose of this study is to determine the level of knowledge among nurses regarding ECC, perceptions regarding its benefits/challenges, and drivers/inhibitors of its implementation in a hospital environment.
Methods
A two-month cross-sectional study was conducted at Apollo Hospital – Jubilee Hills. Nurses with a minimum of six months of practice experience were invited to complete a structured questionnaire via Survey Monkey. A total of 125 Nurses participated voluntarily in the survey. Descriptive statistics using SPSS and thematic analysis for qualitative answers were used. The significant variables were nurses’ knowledge of ECC, confidence level, time saving per shift and the perceived barriers for implementation of ECC.
Results
Sixty-one percent of nurses expressed high confidence in ECC usage, with increased comfort in ECC evident among younger (18–34 years) than older nurses. Time saved was substantial, with 47.2% saving 5–10 min per shift. There was a strong correlation between levels of knowledge and confidence (p = 0.009). The main cited benefits were enhanced patient safety (24%) and increased early deterioration detection (22.4%), although alarm burden and technical integration challenges constrained uptake.
Conclusion
ECC monitoring can improve our patients and workflow but to be successful we need better training, tailored mid-career nurse support, and the right systems in place to drive alarm fatigue down. The solution to these challenges will enable wider adoption and better clinical outcomes.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
Aziz AA, Rogers S, Hassanien O, Shalaby L, Nagy
M. Knowledge, attitudes and practice regarding
pharmacovigilance and adverse drug reaction
reporting among physicians and pharmacists in Egypt:
a step toward personalized medicine implementation.
Pers Med 2022;19:495–507. https://doi.org/10.2217/
pme-2022-0030.
Bindu Kotamarthy H, Praveen Haranath S, Subba
Reddy K. Avoiding ICU Admission in a Case of Septic
Encephalopathy Through Enhanced Connected Care
Monitoring: A Case Study. Telehealth Med Today
;9. https://doi.org/10.30953/thmt.v9.507.
Petersen CL, Weeks WB, Norin O, Weinstein JN.
Development and Implementation of a Person-
Centered, Technology-Enhanced Care Model For
Managing Chronic Conditions: Cohort Study.
JMIR MHealth UHealth 2019;7:e11082. https://doi.
org/10.2196/11082.
Ramalakshmi K, Krishna Kumari L, Rajalakshmi R,
Theivanathan G. Enhancing Healthcare Through
Remote Patient Monitoring Using Internet of Things:
In: Murugan T, W. J, P. V, editors. Adv. Med. Technol.
Clin. Pract., IGI Global; 2024, p. 133–46. https://doi.
org/10.4018/979-8-3693-2901-6.ch008.
Ingale PC, Nandanwar S, Buva K. Enhancing Patient
Care and Monitoring Using AI and IoT in Healthcare
n.d.
Ivanovich Vatin N, Pant R, Mohan C, Kumar A,
Rajasekhar N. IoT-Enhanced Healthcare: A Patient
Care Evaluation Using the IoT Healthcare Test. BIO
Web Conf 2024;86:01092. https://doi.org/10.1051/
bioconf/20248601092.
Hellzén O, Kjällman Alm A, Holmström Rising
M. Primary Healthcare Nurses’ Views on Digital
Healthcare Communication and Continuity of Care: A
Deductive and Inductive Content Analysis. Nurs Rep
Pavia Italy 2022;12:945–57. https://doi.org/10.3390/
nursrep12040091.
Ayyad A, Baker NA, Oweidat I, Al-Mugheed K,
Alsenany SA, Abdelaliem SMF. Knowledge, attitudes,
and practices toward Patient Safety among nurses in
health centers. BMC Nurs 2024;23:171. https://doi.
org/10.1186/s12912-024-01831-1.
Ashipala DanielO, Kaihoto C, Munangatire T.
Knowledge, Attitudes, and Practices of Nurses
Regarding the Prevention and Control of COVID-19
at a Selected Regional Hospital in Namibia. SAGE
Open Nurs 2024;10:23779608231225868. https://doi.
org/10.1177/23779608231225868.
Brown J, Pope N, Bosco AM, Mason J, Morgan A.
Issues affecting nurses’ capability to use digital
technology at work: An integrative review. J Clin Nurs
;29:2801–19. https://doi.org/10.1111/jocn.15321.
Norman CD, Skinner HA. eHealth Literacy: Essential
Skills for Consumer Health in a Networked World.
J Med Internet Res 2006;8:e506. https://doi.
org/10.2196/jmir.8.2.e9.
Kemp E, Trigg J, Beatty L, Christensen C, Dhillon
HM, Maeder A, et al. Health literacy, digital health
literacy and the implementation of digital health
technologies in cancer care: the need for a strategic
approach. Health Promot J Aust Off J Aust Assoc
Health Promot Prof 2021;32 Suppl 1:104–14. https://
doi.org/10.1002/hpja.387.
Becking-Verhaar FL, Verweij RPH, de Vries M,
Vermeulen H, van Goor H, Huisman-de Waal GJ.
Continuous Vital Signs Monitoring with a Wireless
Device on a General Ward: A Survey to Explore
Nurses’ Experiences in a Post-Implementation Period.
Int J Environ Res Public Health 2023;20:5794. https://
doi.org/10.3390/ijerph20105794.
Leenen JPL, Dijkman EM, van Dijk JD, van
Westreenen HL, Kalkman C, Schoonhoven L, et al.
Feasibility of continuous monitoring of vital signs in
surgical patients on a general ward: an observational
cohort study. BMJ Open 2021;11:e042735. https://doi.
org/10.1136/bmjopen-2020-042735.
Kooij L, Peters GM, Doggen CJM, van Harten WH.
Remote continuous monitoring with wireless wearable
sensors in clinical practice, nurses perspectives on
factors affecting implementation: a qualitative study.
BMC Nurs 2022;21:53. https://doi.org/10.1186/
s12912-022-00832-2.
Khanna AK, Ahuja S, Weller RS, Harwood TN.
Postoperative ward monitoring – Why and what
now? Best Pract Res Clin Anaesthesiol 2019;33:229–45.
https://doi.org/10.1016/j.bpa.2019.06.005.
Downey C, Brown J, Jayne D, Randell R. Nursing
staff perspectives of continuous remote vital signs
monitoring on surgical wards: Theory elicitation for
a realist evaluation. J Eval Clin Pract 2022;28:394–403.
https://doi.org/10.1111/jep.13678.
Farokhzadian J, Khajouei R, Hasman A, Ahmadian L.
Nurses’ experiences and viewpoints about the benefits
of adopting information technology in health care:
a qualitative study in Iran. BMC Med Inform Decis
Mak 2020;20:240. https://doi.org/10.1186/s12911-
-01260-5.
Molina-Mula J, Gallo-Estrada J. Impact of Nurse-
Patient Relationship on Quality of Care and Patient
Autonomy in Decision-Making. Int J Environ Res
Public Health 2020;17:835. https://doi.org/10.3390/
ijerph17030835.
L S P, Khurdi S, G PT, Mary S P. Impact of Remote
Patient Monitoring Systems on Nursing Time,
Healthcare Providers, and Patient Satisfaction in
General Wards. Cureus 2024;16:e61646. https://doi.
org/10.7759/cureus.61646.