What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature

Deborah Massey; W Chaboyer; V Anderson

doi:10.1002/nop2.53

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What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature

Journal article

Open access

Peer reviewed

What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature

Deborah Massey, W Chaboyer and V Anderson

Nursing Open, Vol.4(1), pp.6-23

2017

DOI: https://doi.org/10.1002/nop2.53

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Abstract

integrative review

nurses

patient deterioration

recognizing

responding

Aim In this integrative review, we aimed to: first, identify and summarize published studies relating to ward nurses' recognition of and response to patient deterioration; second, to critically evaluate studies that described or appraised the practice of ward nurses in recognizing and responding to patient deterioration; and third, identify gaps in the literature for further research. Design An integrative review. Methods The Cumulative Index to Nursing and Allied Health Literature (CINAHL) Ovid Medline, Informit and Google Scholar databases were accessed for the years 1990-2014. Data were extracted and summarized in tables and then appraised using the Mixed Method Appraisal Tool. Data were grouped into two domains; recognizing and responding to deterioration and then thematic analysis was used to identify the emerging themes. Results Seventeen studies were reviewed and appraised. Recognizing patient deterioration was encapsulated in four themes: (1) assessing the patient; (2) knowing the patient; (3) education and (4) environmental factors. Responding to patient deterioration was encapsulated in three themes; (1) non-technical skills; (2) access to support and (3) negative emotional responses. Conclusion Issues involved in timely recognition of and response to clinical deterioration remain complex, yet patient safety relies on nurses' timely assessments and actions. © 2016 The Authors.

Details

Title: What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature
Authors: Deborah Massey (Author) - Griffith University
W Chaboyer (Author) - Griffith University
V Anderson (Author) - Menzies Health Institute Qld
Publication details: Nursing Open, Vol.4(1), pp.6-23
Publisher: Wiley-Blackwell Publishing Ltd.
Date published: 2017
DOI: 10.1002/nop2.53
ISSN: 2054-1058
Copyright note: Copyright © 2016 The Authors. Nursing Open published by John Wiley & Sons Ltd.This is an open access article under the terms of the Creative Commons Attribution License,which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99451179502621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Nursing

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