Summary/ Reaction: The main journal is entitled Staff Acceptance of Video Monitoring for Coordination: a Video System to Support

Perioperative Situation Awareness, the study aims to understand staff acceptance of a remote video monitoring system for operating room (OR) coordination. It says that improved real-time remote visual access to OR may enhance situational awareness but also raises privacy concerns for patients and staff. Video monitoring system or surveillance system as said in the article Hospital to install video surveillance system solutions (2012) states that Hospital network video surveillance system has broad application prospects in the hospital: outpatient, inpatient building security monitoring, 24 hour care wards, intensive care unit patients, operating room surgery to learn from the doctors consultation, the families of remote visits are In its place, but the most direct point of application but also a number of critical emergency room and operating room spaces. In Huntingtons Hospital, (Nursing Services Operating Rooms) one of their nursing services in the OR is the video monitoring system, according to them Nurses keep track of the activities, equipment, and staffing needs of each of the operating rooms via a sophisticated video monitoring system. Huntington Hospital is designated as a Center for Orthopedic Excellence and the OR meets the demands of a very busy orthopedic service with skilled staff and the latest in equipment. The OR has all the latest in technology to perform minimally invasive laparoscopic procedures as well as sophisticated spine surgery. Other services provided include plastic surgery, general surgery, ear/nose/throat surgery, eye surgery as well as gynecologic and urologic surgeries. A priority of the nursing staff is to maintain an open line of communication with family members. The Surgical Waiting Room, also on the 4th floor, is equipped with a large screen display that, while guaranteeing patient confidentiality, enables family members to track the progress of the patient through the perioperative areas. Beepers are also available from hospital volunteers stationed in the Surgical Waiting Room, which allow family members to move around the hospital, but still be available to speak to the surgeon when the procedure is completed. But according to the main Journal which studied on the staff acceptance of a remote video monitoring system for operating room (OR) coordination results were about half of all OR personnel responded (n = 63). Overall levels of concerns were low, with 53% rated no concerns and 42% little concern. Top two reported uses of the video were to see if cases are finished and to see if a room is ready. Viewing the video monitoring system as useful did not reduce levels of concern. Staff in supervisory positions perceived less concern about the systems impact on privacy than did those supervised (p < 003). Concerns for patient privacy correlated with concerns for staff privacy and performance monitoring. Technical m e a n s such as manipulating image quality h e l p e d staff acceptance. Manipulation of image quality resulted overall acceptance of monitoring video, with residual levels of concerns. OR nurses may express staff privacy concern in the form of concerns over patient privacy.

In conclusion, this study p r o v i d e s suggestions f o r t echnolog ical and i m p l e m e n t a t i o n strategies of video monitoring for coordination use in OR. Deployment of communication technology and integration of clinical information will likely raise concerns over staff privacy and performance monitoring. The potential gain of increased information access may be offset by negative impact of a sense of loss of autonomy. On the other hand, in my own point of view, with these advances in the health care technologies, nurses physical interaction with patients and families as well as families physical interaction with the patient is also decreased.