Nurses' Experiences and Perceptions of two Early Warning Score systems to Identify Patient Deterioration-A Focus Group Study

被引：17

作者：

Langkjaer, Caroline S. ^{[1
]}

Bove, Dorthe G. ^{[1
]}

Nielsen, Pernille B. ^{[2
,3
]}

Iversen, Kasper K. ^{[2
,3
,4
]}

Bestle, Morten H. ^{[4
,5
]}

Bunkenborg, Gitte ^{[6
,7
]}

机构：

[1] Univ Copenhagen, Nordsjaellands Hosp, Dept Emergency Med, Dyrehavevej 29, DK-3400 Hillerod, Denmark

[2] Univ Copenhagen, Herlev & Gentofte Hosp, Dept Cardiol, Herlev, Denmark

[3] Univ Copenhagen, Herlev & Gentofte Hosp, Dept Emergency Med, Herlev, Denmark

[4] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark

[5] Univ Copenhagen, Nordsjaellands Hosp, Dept Anaesthesiol & Intens care, Hillerod, Denmark

[6] Holbaek Cent Hosp, Dept Anesthesiol, Holbaek, Denmark

[7] Univ Southern Denmark, Dept Reg Hlth Res, Odense, Denmark

来源：

NURSING OPEN | 2021年 / 8卷 / 04期

关键词：

clinical assessment; clinical decision-making; focus groups; Individual Early Warning Score; National Early Warning Score; nursing; patient deterioration; qualitative research; track and trigger systems; vital signs; TRACK; IMPLEMENTATION;

D O I：

10.1002/nop2.821

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aims: To explore Registered Nurses' experiences and perceptions with National Early Warning Score and Individual Early Warning Score to identify patient deterioration. Design: A qualitative exploratory design. Methods: Six focus groups were conducted at six Danish hospitals from February to June 2019. Registered Nurses from both medical, surgical and emergency departments participated. The focus groups were analysed using content analysis. Results: One theme and four categories were identified. Theme: Meaningful in identifying patient deterioration but causing frustration due to lack of flexibility. Categories: (a) Inter-professional collaboration strengthened through the use of Early Warning Score systems, (b) Enhanced professional development and communication among nurses when using Early Warning Score systems, (c) Detecting patient deterioration by integrating nurses' clinical gaze with Early Warning Score systems and (d) Modification and fear of making mistakes when using Early Warning Score systems.

引用

页码：1788 / 1796

页数：9

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