Nurses' ability to timely activate rapid response systems for deteriorating patients: A comparative case scenario study between Finnish and British nurses

被引：9
作者：
Azimirad, Mina [1 ]
Magnusson, Carin [2 ]
Wiseman, Allison [3 ]
Selander, Tuomas [4 ]
Parviainen, Ilkka [4 ]
Turunen, Hannele [1 ,4 ]
机构：
[1] Univ Eastern Finland, Dept Nursing Sci, Kuopio 70211, Finland
[2] Univ Surrey, Fac Hlth & Med Sci, Sch Hlth Sci, Duke Kent Bldg, Guildford, Surrey, England
[3] Brunel Univ London, Coll Hlth & Life Sci, Uxbridge UB8 3BH, Middx, England
[4] Kuopio Univ Hosp, Kuopio, Finland
来源：
INTENSIVE AND CRITICAL CARE NURSING | 2020年 / 60卷
关键词：
Case scenario; Clinical deterioration; Deteriorating patient; Early warning scoring system; Medical Emergency Team; Nursing Care; Patient Safety; Rapid Response System; MEDICAL EMERGENCY TEAM; CARE; PERCEPTIONS; BARRIERS; SURVEILLANCE; CLINICIAN; MORTALITY; ADMISSION;
D O I：
10.1016/j.iccn.2020.102871
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Background: Failure or delay in using rapid response system is associated with adverse patient outcomes. Objectives: To assess nurses' ability to timely activate the rapid response system in case scenarios and to assess nurses' perceptions of the rapid response system. Methodology/design: A comparative cross-sectional study was conducted using a modified rapid response team survey. Settings: A sample of medical/surgical registered nurses were recruited from one acute tertiary care hospital in Finland and one National Health Service acute care hospital in United Kingdom (N = 180; UK: n = 86; Finland: n = 94). Results: The results demonstrated that in half of the case scenarios, nurses failed to activate the rapid response system on time, with no significant difference between countries. Nurses did not perceive doctor's disagreement with activation of the rapid response system to be a strong barrier for activating the rapid response system. Finnish nurses found doctor's disagreement in activating the rapid response system less important compared to British nurses. Conclusions: The study identified gaps in nurses' knowledge in management of deteriorating patients. Nurses' management of the case scenarios was suboptimal. The findings suggest that nurses need education for timely activation of the rapid response system. Case scenarios could be beneficial for nurses' training. (C) 2020 Elsevier Ltd. All rights reserved.
引用
收藏
页数：7
相关论文
共 30 条
  • [21] Factors associated with delayed rapid response team activation
    Reardon, Peter M.
    Fernando, Shannon M.
    Murphy, Kyle
    Rosenberg, Erin
    Kyeremanteng, Kwadwo
    [J]. JOURNAL OF CRITICAL CARE, 2018, 46 : 73 - 78
  • [22] Rapid response systems: where we have come from and where we need to go?
    Rihari-Thomas, John
    Newton, Phillip J.
    Sibbritt, David
    Davidson, Patricia M.
    [J]. JOURNAL OF NURSING MANAGEMENT, 2018, 26 (01) : 1 - 2
  • [23] Rocha Hermano Alexandre Lima, 2018, Rev. bras. ter. intensiva, V30, P366, DOI 10.5935/0103-507X.20180049
  • [24] A Novel Bedside-Focused Ward Surveillance and Response System
    Sebat, Frank
    Vandegrift, Mary Anne
    Childers, Sid
    Lighthall, Geoffrey K.
    [J]. JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2018, 44 (02) : 94 - 100
  • [25] The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death
    Smith, Gary B.
    Prytherch, David R.
    Meredith, Paul
    Schmidt, Paul E.
    Featherstone, Peter I.
    [J]. RESUSCITATION, 2013, 84 (04) : 465 - 470
  • [26] Hospital overnight and evaluation of systems and timelines study: A point prevalence study of practice in Australia and New Zealand
    Sundararajan, Krishnaswamy
    Flabouris, Arthas
    Thompson, Campbell
    Seppelt, Ian
    [J]. RESUSCITATION, 2016, 100 : 1 - 5
  • [27] Factors associated with delayed activation of medical emergency team and excess mortality: An Utstein-style analysis
    Tirkkonen, Joonas
    Yla-Mattila, Jari
    Olkkola, Klaus T.
    Huhtala, Heini
    Tenhunen, Jyrki
    Hoppu, Sanna
    [J]. RESUSCITATION, 2013, 84 (02) : 173 - 178
  • [28] Winters B.D., 2017, TXB RAPID RESPONSE S, P17
  • [29] How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review
    Wood, Colin
    Chaboyer, Wendy
    Carr, Peter
    [J]. INTERNATIONAL JOURNAL OF NURSING STUDIES, 2019, 94 : 166 - 178
  • [30] Evaluating the effect of delayed activation of rapid response teams on patient outcomes: a systematic review protocol
    Xu, Michael K.
    Dobson, Kathleen G.
    Thabane, Lehana
    Fox-Robichaud, Alison E.
    [J]. SYSTEMATIC REVIEWS, 2018, 7
123