Insight into hospital ward nurses’ concerns about patient health and the corresponding Medical Emergency Team nurse response

作者: Jaana Kalliokoski , Helvi Kyngäs , Tero Ala-Kokko , Merja Meriläinen

DOI: 10.1016/J.ICCN.2019.04.009

关键词:

摘要: Abstract Aim This study aims to understand the concerns of nurses when making MET calls which did not fulfil vital sign criteria, and subsequent responses these calls. Methods was a retrospective report-based study. Research material included nursing reports forms related made due nurses’ concern. Inductive content analysis used identify observations, were then quantified based on research material. Findings From total 546 calls, 39 visits (7%) In visits, criteria reach alert threshold, but call subjective worry. 13% concern inadequate contact with doctor. responded by providing clinical indirect nursing; more specifically, they performed examinations interventions collaborated other professionals. Conclusion A nurse’s worry is influenced changes in patient’s condition or an doctor’s response rather than objective physiological measurements. ability assess patient condition, respond acknowledge justified alerts help support concerned encourage them if necessary.

参考文章(40)
Patrick Lavoie, Jacinthe Pepin, Marie Alderson, Defining patient deterioration through acute care and intensive care nurses' perspectives. Nursing in Critical Care. ,vol. 21, pp. 68- 77 ,(2016) , 10.1111/NICC.12114
Gooske Douw, Lisette Schoonhoven, Tineke Holwerda, Getty Huisman-de Waal, Arthur R H van Zanten, Theo van Achterberg, Johannes G van der Hoeven, Nurses' worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review. Critical Care. ,vol. 19, pp. 230- 230 ,(2015) , 10.1186/S13054-015-0950-5
Lynne A. Donohue, Ruth Endacott, Track, trigger and teamwork: Communication of deterioration in acute medical and surgical wards Intensive and Critical Care Nursing. ,vol. 26, pp. 10- 17 ,(2010) , 10.1016/J.ICCN.2009.10.006
Susan E. Shapiro, Nancy E. Donaldson, Mary B. Scott, Rapid response teams seen through the eyes of the nurse. American Journal of Nursing. ,vol. 110, pp. 28- 34 ,(2010) , 10.1097/01.NAJ.0000377686.64479.84
Dustin J. Williams, Angela Newman, Cheryl Jones, Betty Woodard, Nurses' perceptions of how rapid response teams affect the nurse, team, and system. Journal of Nursing Care Quality. ,vol. 26, pp. 265- 272 ,(2011) , 10.1097/NCQ.0B013E318209F135
Jack Chen, Rinaldo Bellomo, Ken Hillman, Arthas Flabouris, Simon Finfer, MERIT Study Investigators for the Simpson Centre, ANZICS Clinical Trials Group, Triggers for emergency team activation: A multicenter assessment ☆,☆☆ Journal of Critical Care. ,vol. 25, pp. 3- 9 ,(2010) , 10.1016/J.JCRC.2009.12.011
Jack Chen, Ken Hillman, Rinaldo Bellomo, Arthas Flabouris, Simon Finfer, Michelle Cretikos, MERIT Study Investigators for the Simpson Centre, ANZICS Clinical Trials Group, The impact of introducing medical emergency team system on the documentations of vital signs Resuscitation. ,vol. 80, pp. 35- 43 ,(2009) , 10.1016/J.RESUSCITATION.2008.10.009
Thorsteinn Jonsson, Helga Jonsdottir, Alma D Möller, Lovísa Baldursdottir, Nursing documentation prior to emergency admissions to the intensive care unit Nursing in Critical Care. ,vol. 16, pp. 164- 169 ,(2011) , 10.1111/J.1478-5153.2011.00427.X