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dc.contributor.authorMassey, Debbie
dc.contributor.authorChaboyer, Wendy
dc.contributor.authorAnderson, Vinah
dc.date.accessioned2017-08-30T05:00:58Z
dc.date.available2017-08-30T05:00:58Z
dc.date.issued2017
dc.identifier.issn2054-1058
dc.identifier.doi10.1002/nop2.53
dc.identifier.urihttp://hdl.handle.net/10072/339642
dc.description.abstractAim: 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.relation.ispartofpagefrom6
dc.relation.ispartofpageto23
dc.relation.ispartofissue1
dc.relation.ispartofjournalNursing Open
dc.relation.ispartofvolume4
dc.subject.fieldofresearchSub-acute care
dc.subject.fieldofresearchcode420506
dc.titleWhat factors influence ward nurses' recognition of and response to patient deterioration? An integrative review of the literature
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion of Record (VoR)
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.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.
gro.hasfulltextFull Text
gro.griffith.authorChaboyer, Wendy


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