{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:01:22Z","timestamp":1791324082069,"version":"4.3.1"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":82,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify factors associated with usability and adoption of continuous monitoring with deterioration alerting systems (CM\u2010DAS) in non\u2010ICU wards from clinicians\u2019 perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient deterioration is a safety concern on general wards; intermittent vital sign checks can miss early decline. CM\u2010DAS can help, but impact depends on usability and clinician adoption, which remain variably achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Convergent mixed methods using the unified theory of acceptance and use of technology (UTAUT) model to guide data collection: An online UTAUT\u2010based survey (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009111 clinicians, 20 countries; April\u2013August 2023) and semistructured interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910) were conducted. Quantitative data were analysed with nonparametric tests and composite PLS\u2010SEM (3000 bootstraps); qualitative data underwent thematic analysis; findings were integrated narratively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Perceived usefulness and ease of use were positively associated with the intention to adopt CM\u2010DAS. In the multivariable PLS\u2010SEM, only intention to use the system (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009\u02dc\u20090.29,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u02dc\u20090.01) and prior CM\u2010DAS experience (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009\u02dc\u20090.28,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u02dc\u20090.01) were associated with routine bedside use; other constructs did not retain independent associations, and variance explained was modest (\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      _use\u22480.15). Interviews corroborated benefits (patient safety and workflow) and highlighted barriers\u2014false alarms, reliability\/connectivity issues, technical language\/user interface and gaps in support and training. Peer practices and patient\/family responses shaped the climate for adoption.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that ensuring reliable infrastructure (signal stability, hospital Wi\u2010Fi and integration with EHR) is foundational for safe and sustained CM\u2010DAS operation. Routine use was most closely associated with clinicians\u2019 intention to use the system and accumulated experience. Factors such as how easy a system is to use and how individuals perceived its usefulness strengthened an individual\u2019s intention to use the system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Management should prioritise reliable infrastructure, implement tiered alarm governance to reduce nonactionable alerts, designate ward super\u2010users supported by vendor service\u2010level agreements and deliver brief, recurring, practice\u2010embedded training so that intention translates into sustained, safe bedside use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/3056495","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T08:42:22Z","timestamp":1774341742000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Associated With the Usability and Adoption of Continuous Monitoring Devices With Deterioration Alerting Systems in Acute Hospital Non\u2010ICU Settings: A Mixed Methods Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9364-597X","authenticated-orcid":false,"given":"Jo-Fan","family":"Pan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8117-9193","authenticated-orcid":false,"given":"David","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8840-0599","authenticated-orcid":false,"given":"Kuan","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5672-8605","authenticated-orcid":false,"given":"Dawn","family":"Dowding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.53"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000000038"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001667"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/ael113"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.02.009"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2018.03.014"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0141076820925436"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12846"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-021-03766-4"},{"key":"e_1_2_14_10_2","volume-title":"Ergonomics of human-system interaction\u2014Part 11: Usability: Definitions and Concepts","author":"International Organization for Standardization","year":"2018"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1006\/ijhc.2001.0483"},{"key":"e_1_2_14_12_2","volume-title":"Medical devices\u2014Part 1: Application of Usability Engineering to Medical Devices","author":"International Electrotechnical Commission","year":"2015"},{"key":"e_1_2_14_13_2","first-page":"35","volume-title":"Applied Interdisciplinary Theory in Health Informatics","author":"Coiera E.","year":"2019"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103175"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.2345\/0899-8205-46.4.268"},{"key":"e_1_2_14_16_2","unstructured":"The Joint Commission R3 Report: Requirement Rationale reference\u2014Issue 5: Alarm System Safety 2013 https:\/\/www.jointcommission.org\/-\/media\/tjc\/documents\/standards\/r3-reports\/r3_report_issue_5_12_2_13_final.pdf."},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.2307\/30036540"},{"key":"e_1_2_14_18_2","doi-asserted-by":"crossref","unstructured":"VenkateshV. 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