Factors influencing nurses' decisions to activate medical emergency teams.

作者: Ioannis Pantazopoulos , Aikaterini Tsoni , Evangelia Kouskouni , Lila Papadimitriou , Elizabeth O Johnson

DOI: 10.1111/J.1365-2702.2012.04080.X

关键词:

摘要: Aims and objectives.  To evaluate the relationship between nurse demographics correct identification of clinical situations warranting specific nursing actions, including activation medical emergency team. Background.  If abnormal physiology is left untreated, patient may develop cardiac arrest. Nurses in general wards are those who perceive any deterioration patients. Design.  A descriptive, quantitative design was selected. Methods.  An anonymous survey with 13 multiple choice questions distributed to 150 randomly selected nurses working surgical a large tertiary hospital Athens, Greece. After explanation purposes study, 94 (response ratio: 62%) agreed respond questionnaire. Results.  Categories greatest concern were patients heart rate < 40/minute, an atypical thoracic pain, foreign body airway obstruction bronchial secretions, respiratory rate < 5/minute rate = 100/minute. However, almost 50% able accurately identify critical action for rate < 4/minute, 72% 73% chest pain. had graduated from four-year educational programme identified that necessitated team significantly higher rate also scored concerning evaluation than two-year programme. Conclusion.  Activation influenced by factors such as level education cardiopulmonary resuscitation courses attendance. Relevance practice.  Graduating helps emergencies. irrespective they have followed, undertaking basic life support or advanced provider course it them

参考文章(22)
Troyen A. Brennan, Lucian L. Leape, Nan M. Laird, Liesi Hebert, A. Russell Localio, Ann G. Lawthers, Joseph P. Newhouse, Paul C. Weiler, Howard H. Hiatt, Incidence of Adverse Events and Negligence in Hospitalized Patients New England Journal of Medicine. ,vol. 324, pp. 370- 376 ,(1991) , 10.1056/NEJM199102073240604
Andrew Casamento, Andrea Kattula, Margaret Way, Daryl Jones, Graeme Duke, John Green, Juris Briedis, Rinaldo Bellomo, Medical emergency team syndromes and an approach to their management. Critical Care. ,vol. 10, pp. 1- 4 ,(2006) , 10.1186/CC4821
Manish N. Shah, The Formation of the Emergency Medical Services System American Journal of Public Health. ,vol. 96, pp. 414- 423 ,(2006) , 10.2105/AJPH.2004.048793
Yvette Bertaut, Anita Campbell, Debbie Goodlett, Implementing a rapid-response team using a nurse-to-nurse consult approach. Journal of Vascular Nursing. ,vol. 26, pp. 37- 42 ,(2008) , 10.1016/J.JVN.2007.12.001
J Herlitz, A Bång, S Aune, L Ekström, G Lundström, S Holmberg, Characteristics and outcome among patients suffering in-hospital cardiac arrest in monitored and non-monitored areas. Resuscitation. ,vol. 48, pp. 125- 135 ,(2001) , 10.1016/S0300-9572(00)00249-5
Sanjay Galhotra, Carol C. Scholle, Mary Amanda Dew, Nicolette C. Mininni, Gilles Clermont, Michael A. DeVita, Medical emergency teams: a strategy for improving patient care and nursing work environments Journal of Advanced Nursing. ,vol. 55, pp. 180- 187 ,(2006) , 10.1111/J.1365-2648.2006.03901.X
Juliane Kause, Gary Smith, David Prytherch, Michael Parr, Arthas Flabouris, Ken Hillman, A comparison of Antecedents to Cardiac Arrests, Deaths and EMergency Intensive care Admissions in Australia and New Zealand, and the United Kingdom—the ACADEMIA study Resuscitation. ,vol. 62, pp. 275- 282 ,(2004) , 10.1016/J.RESUSCITATION.2004.05.016
John F. Fieselmann, Michael S. Hendryx, Charles M. Helms, Douglas S. Wakefield, Respiratory rate predicts cardiopulmonary arrest for internal medicine inpatients. Journal of General Internal Medicine. ,vol. 8, pp. 354- 360 ,(1993) , 10.1007/BF02600071
V. P. Harjola, J. Nolan, M. Castren, J. Nurmi, Observations and warning signs prior to cardiac arrest. Should a medical emergency team intervene earlier Acta Anaesthesiologica Scandinavica. ,vol. 49, pp. 702- 706 ,(2005) , 10.1111/J.1399-6576.2005.00679.X