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Improving Nursing Response to Deterioration

   

Added on  2020-02-05

18 Pages4461 Words54 Views
Professional DevelopmentHigher EducationHealthcare and Research
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Nurses Responses to Deteriorating Patients 1Nurses Responses to Deteriorating PatientsStudent’s nameInstitutionCourseDate
Improving Nursing Response to Deterioration_1

Nurses Responses to Deteriorating Patients 2ContentsAim..............................................................................................................................................................2Methods......................................................................................................................................................3Background..................................................................................................................................................3Literature Review........................................................................................................................................4Nurses Responses to Emergencies..............................................................................................................4Nurses Calling in the Medical Emergency Team......................................................................................4Summoning the Medical Emergency Teams............................................................................................6Do Nurses Respond Swiftly Enough?.......................................................................................................7The National Early Warning Score or NEWS............................................................................................9Survey to Understand Responding to Emergencies...............................................................................10Nurse and Simulation Programs................................................................................................................12Simulation of Deterioration of a Patient and Nurse Responses.............................................................12Graduate Nurses Making Decisions in Emergencies..............................................................................13The FIRST2 ACT Program.......................................................................................................................15RAPIDS or “Rescuing A Patient in Deteriorating Situations”..................................................................16Patient Deterioration Simulation Experiences.......................................................................................17Discussion..................................................................................................................................................19Conclusion.................................................................................................................................................22Appendix A: Tabulation of research studies that analyzed responses of nurses to the deteriorating patient.......................................................................................................................................................23Bibliography...............................................................................................................................................29
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Nurses Responses to Deteriorating Patients 3Nurses Responses to Deteriorating PatientsAimIn this review paper, I have aimed to identify first the studies published in academic journals regarding nurses’ responses to deteriorating patients. I have provided the summaries of the articles selected from the web, relevant to my search, in simple language, yet capturing the main essence of the articles. The gaps have been identified in the literature reviewed and a discussion of the common themes is given at the end of the paper. The main question that is analyzed is whether nurses are competent enough to handle emergencies in which a patient is deteriorating. The methods to enhance such skills required by nurses and nursing students alike have also been discussed.MethodsThe terms “nurse’s response to patient’s deterioration” were used, as I searched Google Scholar for peer-reviewed papers. From the search, I obtained 10 peer-reviewed articles, which I have attempted to give in simple terms, while maintaining the main points articulated in the original research article.BackgroundIn the last decade, a lot of attention was paid to recognizing and responding to patients who weredeteriorating in the hospital. Observations by many scholars revealed that patient’s deterioration was often not recognized and responded to, leading to the manifestation of several adverse patient outcomes. These adverse outcomes could have been avoided, if the nurse in-charge had had the confidence and surety about summoning help while confronting emergencies such as rapidly deteriorating patients in the ward or the intensive care unit.
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Nurses Responses to Deteriorating Patients 4The ability of nurses to appropriately recognize and respond to clinical scenarios that present with deteriorating patients determines the patient outcomes. There has not been much research done on why and how nurses falter and fail to save the deteriorating patient. Thus, there is the essential need for a literature review delving into the factors that undermine nurses’ reactions to emergencies and the factors that prevent them from acting swiftly in such conditions. This is indeed a clinical problem of great complexity.A deteriorating parent is defined as “A patient who moves from one clinical state to a worse clinical state which increases their individual risk of morbidity, including organ dysfunction, protracted hospital stay, disability or death (Jones etal. 2013).”Literature ReviewNurses Responses to EmergenciesNurses Calling in the Medical Emergency TeamThe authors (Cioffi, 2000) of this study aimed at collecting the responses and descriptions of nurses, who were providing emergency care to patients deteriorating, by calling in the medical emergency team. The interviews were held with nurses belonging to 3 wards in a peripheral hospital and 4 wards in a teaching hospital in Australia. The institutional ethical committee of thehospital approved of the study. About 32 nurses of the seven wards comprised the study popriution. They had had experience of calling in the MET for at least five years.Unstructured interviews were held with the participating nurses who audiotaped their responses. Their anonymity was maintained as they were assigned codes. The nurses recorded their experiences in calling in the MET.
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