Cardiovascular nurses' adherence to practice standards in in‐hospital telemetry monitoring

Fålun, Nina; Oterhals, Kjersti; Pettersen, Trond Røed; Brørs, Gunhild; Olsen, Siv; Norekvål, Tone M.; investigators, Telmon-Nor

doi:10.1111/nicc.12425

Cited by 8 publications

(18 citation statements)

References 30 publications

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“…The general characteristics of the selected studies (n = 6) are presented in Table 1. The studies were published from 2014 to 2019 and were conducted in Australia [48], Finland [49], Norway [50], South Korea [51], Sweden [52], and the UK [53].…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…Three studies used a survey design [50][51][52]; one study used an observational method [53]; one applied an observational intervention design [49]; and another one was a three-stage pre-post time-series study [48]. Except for one study [49] that was published in the Finnish language, all other articles were written in English.…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…Diverse foci were evident in the studies: adherence to patient-safety principles on the management of peripheral venous catheters [52], surgical hand rubbing instructions [49], double-checking policies of medicines' preparation and administration [53], handover from the intensive care unit (ICU) to the cardiac ward [48], cardiac monitoring and surveillance standards [50], and care-associated infection precautions [51]. ral Characteristics of the Selected Studies general characteristics of the selected studies (n = 6) are presented in Table 1.…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…The blished from 2014 to 2019 and were conducted in Australia [48], Finland [49], Norw rea [51], Sweden [52], and the UK [53]. ee studies used a survey design [50][51][52]; one study used an observational method [5 n observational intervention design [49]; and another one was a three-stage pre-po dy [48]. Except for one study [49] that was published in the Finnish language, a ere written in English.…”

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…Unobserved or unsupervised administration contravenes the medicines management principle, which requires a nurse's direct supervision; a crucial consideration for the prevention of abuse and patient avoidance of taking medicines as prescribed [53]. Moreover, in spite of the emphasis on patient participation in patient-safety activities, nursing handovers were delivered mainly outside the patient's room [48], or no information was provided to patients regarding the purpose and process of cardiac monitoring [50]. These deviations could hinder patients' active involvement in their own safe care.…”

Section: Patientmentioning

confidence: 99%

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Nurses’ Adherence to Patient Safety Principles: A Systematic Review

Vaismoradi

Tella

Logan

et al. 2020

IJERPH

170

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Background: Quality-of-care improvement and prevention of practice errors is dependent on nurses' adherence to the principles of patient safety. Aims: This paper aims to provide a systematic review of the international literature, to synthesise knowledge and explore factors that influence nurses' adherence to patient-safety principles. Methods: Electronic databases in English, Norwegian, and Finnish languages were searched, using appropriate keywords to retrieve empirical articles published from 2010-2019. Using the theoretical domains of the Vincent's framework for analysing risk and safety in clinical practice, we synthesized our findings according to 'patient', 'healthcare provider', 'task', 'work environment', and 'organisation and management'. Findings: Six articles were found that focused on adherence to patient-safety principles during clinical nursing interventions. They focused on the management of peripheral venous catheters, surgical hand rubbing instructions, double-checking policies of medicines management, nursing handover between wards, cardiac monitoring and surveillance, and care-associated infection precautions. Patients' participation, healthcare providers' knowledge and attitudes, collaboration by nurses, appropriate equipment and electronic systems, education and regular feedback, and standardization of the care process influenced nurses' adherence to patient-safety principles. Conclusions: The revelation of individual and systemic factors has implications for nursing care practice, as both influence adherence to patient-safety principles. More studies using qualitative and quantitative methods are required to enhance our knowledge of measures needed to improve nurse' adherence to patient-safety principles and their effects on patient-safety outcomes.

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Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

Section: General Characteristics Of the Selected Studiesmentioning

confidence: 99%

Section: Patientmentioning

confidence: 99%

See 3 more Smart Citations

Nurses’ Adherence to Patient Safety Principles: A Systematic Review

Vaismoradi

Tella

Logan

et al. 2020

IJERPH

170

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Patient safety, quality of care and missed nursing care at a cardiology department during the COVID‐19 outbreak

et al. 2021

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At the end of 2019, a novel coronavirus resulted in an outbreak of coronavirus disease 2019 (COVID-19), which started in Wuhan, China. In March 2020, the World Health Organization (WHO) characterized COVID-19 as a pandemic (World Health Organization, 2020), and in line with other European countries, several regions in Sweden needed to expand their capacity for treating patients suffering from COVID-19.The literature indicates that nurse staffing has a large impact on whether the required nursing care can be delivered (Griffiths et al., 2018). Missed nursing care (MNC) is defined as any aspect of required patient care that is omitted (in part or in whole) or delayed (Kalisch et al., 2009). Moreover, MNC is associated with negative patient outcomes and is a threat to the quality of care and patient safety (Ball et al., 2014;Schubert et al., 2012).In the disease outbreak in spring 2019, the patients with SARS-Cov-2 were a new patient group for the entire staff. To deliver care for a completely new group of patients challenged the healthcare professionals in their work with patient safety and quality of care.

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The patient experience of in-hospital telemetry monitoring: a qualitative analysis

Holm,

Fålun,

Bendz

et al. 2023

European Journal of Cardiovascular Nursing

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Aim In-hospital telemetry monitoring has been an integrated part of arrhythmia monitoring for decades. A substantial proportion of patients require arrhythmia monitoring during stays in non-intensive care units. However, studies exploring patients’ experiences of telemetry monitoring are scarce. Therefore, the aim was to explore and describe patients’ experiences of in-hospital telemetry monitoring in a non-intensive care setting. Methods and results Twenty face-to-face, semi-structured interviews were conducted. Interviews were conducted before discharge at two university hospitals in Norway. The patients were purposively sampled, resulting in a well-balanced population comprising 11 men and 9 women, mean age 62 years (range, 25–83). Average monitoring time was 9 days (3-14). Data were audiotaped, transcribed verbatim and coded using NVivo software. Qualitative content analysis using an inductive approach was performed. Patients expressed a need for individualised information during telemetry monitoring. Their feelings of safety were related to responses from nurses from the central monitoring station when alarms from the telemetry were triggered. Despite perceived physical restrictions and psychological limitations associated with telemetry monitoring, they found monitoring to be beneficial because it facilitated the diagnosis of arrhythmia. Moreover, they expressed a need for improvements in wearable monitoring equipment. Patients expressed ambivalent feelings about discontinuing the telemetry and their readiness for discharge. Conclusion Patients need individualised information about the results of their telemetry monitoring in order to better understand the arrhythmia management, and to increase their experience of safety after discharge. The limitations patients experienced should be taken into consideration in further upgrades of telemetry monitoring equipment. Registration eProtokoll (ID: 3847)

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Cardiovascular nurses' adherence to practice standards in in‐hospital telemetry monitoring

Cited by 8 publications

References 30 publications

Nurses’ Adherence to Patient Safety Principles: A Systematic Review

Nurses’ Adherence to Patient Safety Principles: A Systematic Review

Patient safety, quality of care and missed nursing care at a cardiology department during the COVID‐19 outbreak

The patient experience of in-hospital telemetry monitoring: a qualitative analysis

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