Situation awareness and the mitigation of risk associated with patient deterioration: A meta-narrative review of theories and models and their relevance to nursing practice

Walshe, Nuala; Ryng, Stephanie; Drennan, Jonathan; O’Connor, Paul; O’Brien, Sarah; Crowley, Clare; Hegarty, Josephine

doi:10.1016/j.ijnurstu.2021.104086

Cited by 21 publications

(16 citation statements)

References 164 publications

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“…Endsley's model is the most commonly used in health care. More importantly, it emphasizes the possibility of abstraction at all three levels, which is consistent with the objectives of this study (15).…”

Section: Theoretical Frameworksupporting

confidence: 80%

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Situation awareness in intensive care unit nurses: A qualitative directed content analysis

Ghaderi

Esmaeili

Ebadi

2022

Front. Public Health

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BackgroundSituation awareness (SA) is an essential cognitive construct to create positive patient safety outcomes. SA of the nurses in the intensive care unit (ICU), where conditions may change rapidly, is particularly important. The present study aimed to explain the perception and experience of SA in ICU nurses based on Endsley's SA model.Materials and methodsThis qualitative directed content analysis was conducted on nurses in six hospitals in Tehran, Iran, from December 2020 to July 2021. Twenty-seven ICU nurses were selected using purposive sampling. Data were collected by semi-structured interviews and field observations. The data were analyzed based on the Elo and Kyngas method modified by Assarroudi et al. COREQ checklist was used to report the research.ResultsThe concept of SA in ICU nurses, based on Endsley's model, includes perception of patients' clinical cues, perception of the human environment, perception of the physical environment, and perception of the organizational environment as generic categories of the perception of the elements in the environment. SA in ICU nurses also includes the main categories of comprehension the current situation through a sense of salience and interpretation of cues and projection the future situation through the prediction of patient status into the near future and environmental foresight.ConclusionFindings have further developed the concept of SA in ICU nurses based on Endsley's SA model. The insights and knowledge gained from this study can be useful for future practice, education, and research on SA among ICU nurses.

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Section: Theoretical Frameworksupporting

confidence: 80%

“…Compared to other disciplines, this concept is relatively new in nursing and is not yet well explored (6). In their study, Walshe et al (15) emphasized that more studies connected with the concept of SA have to be conducted in nursing (15).…”

Section: Introductionmentioning

confidence: 99%

Situation awareness in intensive care unit nurses: A qualitative directed content analysis

Ghaderi

Esmaeili

Ebadi

2022

Front. Public Health

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“…It has been defined as the ability to develop an accurate internal representation of events in the environment that may lead to successful decision-making. The failure to recognise the importance of SA in a specific environment may lead to conceptual confusion and a degree of conceptual tension [51][52][53]. Similarly, IR is affected by the environment in the sense that it has a strong impact on individuals' behaviour.…”

Section: Situation Awareness and Information Richnessmentioning

confidence: 99%

The Effectiveness of Online Platforms after the Pandemic: Will Face-to-Face Classes Affect Students’ Perception of Their Behavioural Intention (BIU) to Use Online Platforms?

et al. 2021

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The purpose of this study is to investigate students’ intention to continue using online learning platforms during face-to-face traditional classes in a way that is parallel to their usage during online virtual classes (during the pandemic). This investigation of students’ intention is based on a conceptual model that uses newly used external factors in addition to the technology acceptance model (TAM) contrasts; hence, it takes into consideration users’ satisfaction, the external factor of information richness (IR) and the quality of the educational system and information disseminated. The participants were 768 university students who have experienced the teaching environments of both traditional face-to-face classes and online classes during the pandemic. A structural equation modelling (SEM) test was conducted to analyse the independent variables, including the users’ situation awareness (SA), perceived ease of use, perceived usefulness, satisfaction, IR, education system quality and information quality. An online questionnaire was used to explore students’ perceptions of their intention to use online platforms accessibly in a face-to-face learning environment. The results showed that (a) students prefer online platforms that have a higher level of content richness, to be able to implement the three dimensions of users’ situation awareness (perception, comprehension and projection); (b) there were significant effects of TAM constructs on students’ satisfaction and acceptance; (c) students are in favour of using a learning platform that is characterised by a high level of educational system quality and information quality and (d) students with a higher level of satisfaction have a more positive attitude in their willingness to use the online learning system.

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“…The positive attitudes displayed by the nurses indicate their awareness, collaboration, and adaptability among the team members. Failure to build effective teamwork could lead to unnecessary clinical issues and errors with detrimental consequences [ 27 , 28 ]. It is essential to assess healthcare providers’ attitudes, particularly in a critical care unit with multiple teams.…”

Section: Discussionmentioning

confidence: 99%

“…The present study revealed nurses’ highest mean score attitudes towards teamwork in the dimension of situational monitoring and communication. The use of situational care has been shown to be an effective tool for responding to critical situations [ 28 ]. Figueroa et al (2013) support the study results and highlight that confidence and communication in a multidisciplinary team improve when situational monitoring is practiced.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of Critical Care Nurses towards Teamwork and Patient Safety in Saudi Arabia: A Descriptive Cross-Sectional Assessment

Moussa

Sofyani

et al. 2022

Healthcare

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The study aimed to assess the teamwork and safety attitudes among the critical care unit (CCU) nurses in Saudi Arabia. A descriptive cross-sectional study was carried out in public tertiary hospitals in Al-Madinah, Saudi Arabia. All participants answered a three-part questionnaire that included demographic data, a teamwork attitude questionnaire (T-TAQ), and the Safety Attitudes Questionnaire (SAQ). The analysis revealed that the majority of the nurses were female, n = 52 (76.5%), and almost half of the nurses were aged from 29 to 39 years, n = 29 (42.6%). Teamwork attitude values are found to be relatively stable in all subscales, ranging from 1.63 (SD = 1.23) to higher at 2.92 (SD = 1.32). Of the six dimensions of SAQ, job satisfaction (M = 70, SD 21.46) had the highest positive rate and was approached with a positive attitude, followed by teamwork (M = 66.09, SD 15.12) and safety climate (M = 67.11, SD 17.70). The analysis also shows work experience was the influencing factor of teamwork attitude and safety attitude of nurses, recording beta values of 0.24, p < 0.05 and 0.10, p < 0.001, respectively. The results also identified an association between teamwork and safety attitudes. The study reflected the positive attitudes towards teamwork and less positive attitudes toward patient safety among critical care nurses in Saudi Arabia. Collaborative team performance among nurses improves the medical care quality and patients’ safety, decreasing the occurrence rate of adverse events.

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Situation awareness and the mitigation of risk associated with patient deterioration: A meta-narrative review of theories and models and their relevance to nursing practice

Cited by 21 publications

References 164 publications

Situation awareness in intensive care unit nurses: A qualitative directed content analysis

Situation awareness in intensive care unit nurses: A qualitative directed content analysis

The Effectiveness of Online Platforms after the Pandemic: Will Face-to-Face Classes Affect Students’ Perception of Their Behavioural Intention (BIU) to Use Online Platforms?

Attitudes of Critical Care Nurses towards Teamwork and Patient Safety in Saudi Arabia: A Descriptive Cross-Sectional Assessment

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