To identify the factors that influence the recognizing and responding to adult patient deterioration in acute hospitals

Treacy, Michelle ORCID: https://orcid.org/0000-0001-8219-3376 and Stayt, Louise, Caroline (2019) To identify the factors that influence the recognizing and responding to adult patient deterioration in acute hospitals. Journal Of Advanced Nursing, 75 (12). pp. 3272-3285. ISSN 0309-2402

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Abstract

Aims
To identify factors that influence recognition and response to adult patient deterioration in acute hospitals.

Design
A Mixed‐Studies Systematic Review.

Data sources
CINAHL, Medline and Web of Science were searched for relevant literature published between; 2007‐2018.

Review Methods: Studies were critically appraised, data extracted and thematically analyzed.

Results
Thirteen papers met the inclusion criteria. Three main themes were identified: (1) Knowledge and understanding of clinical deterioration; (2) Organizational factors; managing deterioration and staffing levels; and (3) Communication; inter‐professional relationships and professional‐patient communication.

Conclusion
Despite national guidelines, the review findings suggest that the recognition and response to adult patient deterioration in acute hospital settings is sub‐optimal. A multitude of factors influencing the recognition and response to adult patient deterioration emerged from the findings.

Impact
Patients are receiving sub‐optimal care due to failure in recognizing and responding to patient deterioration in an appropriate and timely manner. Nurses lack knowledge and understanding of deterioration. Organizational factors contribute to inadequate care and communication among professionals was highlighted as challenging. The factors that influence the recognizing and responding to patient deterioration in acute hospitals are multi‐faceted, however this review highlights immediate recommendations for professionals in the acute care setting.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: [Treacy, M. and Stayt, L. C. (2019), To identify the factors that influence the recognizing and responding to adult patient deterioration in acute hospitals. J Adv Nurs. Accepted Author Manuscript. doi:10.1111/jan.14138], which has been published in final form at https://doi.org/10.1111/jan.14138. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Uncontrolled Keywords: patient deterioration, clinical deterioration, rapid response teams, early warning score, acutely ill patient, vital signs, acute care, nurses, critical care, recognizing and responding to patient deterioration.
Subjects: Medicine and health > Nursing
Related URLs:
Depositing User: Michelle Treacy
Date Deposited: 27 Jun 2019 09:12
Last Modified: 29 Jul 2020 02:45
URI: http://repository.uwl.ac.uk/id/eprint/6195

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