Use of a single parameter track and trigger chart and the perceived barriers and facilitators to escalation of a deteriorating ward patient: a mixed methods study

Smith, Duncan; Aitken, Leanne M.

doi:10.1111/jocn.13104

Cited by 35 publications

(52 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Foley and Dowling () also identify some challenges around parameter adjustment; in that study, nurses said they believed they could use their own knowledge to adjust the parameters. Prior studies have suggested that nurses need clear structure and support for deciding when to assess the vital signs of patients at risk of deterioration (Johnson, Mueller, & Winkelman, ; Smith & Aitken, ). An absence of guidelines for when to assess vital signs leads to inconsistency in both assessment and documentation (Stevenson, Israelsson, Petersson, & Bath, ).…”

Section: Discussionmentioning

confidence: 99%

Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design

Jensen

Skår

Tveit

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim To explore general hospital ward nurses' experiences with the National Early Warning Score and to determine its impacts on their professionalism. Background The National Early Warning Score has broad appeal; it is a patient safety initiative designed to ensure early identification of and response to deteriorating patients in hospitals. However, it is still unclear how the tool impacts nurses' professionalism. Methods A qualitative study with a hermeneutic design was conducted in autumn 2017; the study consisted of semi‐structured, in‐depth interviews with 14 hospital nurses. The data were analysed thematically to understand and interpret the nurses' experiences. Methods are reported using COREQ guidelines (see Appendix S1). Results The study examined nurses' experience with the National Early Warning Score and its perceived impact on their professionalism. Four themes were identified: (a) the National Early Warning Score and clinical judgement in patient assessment, (b) responding to the National Early Warning Score standard, (c) involving the professional community and (d) adjusting the tool. Conclusion The National Early Warning Score may impact nurses' professionalism in diverse ways. Nurses are aware of the importance of incorporating all of their professional competence, comprising clinical judgement, discretion and accountability, with the National Early Warning Score to accurately assess patients' conditions. Findings indicated that the National Early Warning Score was beneficial to nurses' professional practice; however, accountability to this standard alone does not ensure quality care and patient safety. Relevance to clinical practice A greater understanding of the role of nurses' professional accountability when using the National Early Warning Score is needed to improve practice and ensure patient safety.

show abstract

Section: Discussionmentioning

confidence: 99%

Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design

Jensen

Skår

Tveit

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Compliance and adherence to monitoring frequency and escalation recommendations are crucial to the functioning of NEWS. Previous studies have shown that adherence to recommended monitoring frequency may sometimes fall by the wayside during busy periods due to prioritization of other tasks, a lack of monitoring equipment and different understandings of how to apply escalation recommendations (Elliott et al, ; Smith & Aitken, ). Our findings indicate that the possible reasons for non‐compliance are more complex and are related to nurses’ beliefs regarding the role of their professional competence and judgement and their opinions on the reliability of NEWS.…”

Section: Discussionmentioning

confidence: 99%

Introducing the National Early Warning Score – A qualitative study of hospital nurses’ perceptions and reactions

2019

View full text Add to dashboard Cite

Aim The aim of this study was to explore hospital nurses’ perceptions and reactions to the National Early Warning Score during an introduction programme. Design A qualitative case study approach with participatory observations was used for this study. Methods In total, nine seminars and 23 simulation sessions attended by nurses were observed. An activity theory system analysis was applied to interpret the material. Results The findings revealed four tensions related to the working context: (a) tension between using a standardized tool and relying on clinical judgement (the tool could be either an aid or a barrier to patient assessment); (b) tension in the community of practice (the tool could be beneficial or increase stress and anxiety); (c) tension related to rules and compliance (the tool could be perceived as optional or compulsory); and (d) tension related to the division of labour (nurses feared more work).

show abstract

“…However, contextual factors of workload pressures and staffing resources mitigate against ward based education due to a resistance of releasing staff for training. This review and other studies highlight that ongoing multiprofessional courses with practical applicability and opportunities to implement learning in practice are required for successful learning transfer and to breakdown cultural and professional boundaries (Baker-McClearn & Carmel 2008, Campello et al 2009, Calzavacca et al 2010, Smith & Aitken 2015.…”

Section: Ept Twomentioning

confidence: 99%

Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review

McGaughey

O’Halloran

Porter

et al. 2017

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

Use of a single parameter track and trigger chart and the perceived barriers and facilitators to escalation of a deteriorating ward patient: a mixed methods study

Cited by 35 publications

References 30 publications

Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design

Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design

Introducing the National Early Warning Score – A qualitative study of hospital nurses’ perceptions and reactions

Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review

Contact Info

Product

Resources

About