Nurses' role in recognising and responding to clinical deterioration in surgical patients

Journal of Clinical Nursing
Suad Mohammmed IddrisuJulie Considine

Abstract

To explore nurse' role in recognising and responding to deteriorating post-operative patients. Clinical deterioration is a significant problem in acute care settings. Nurses play a vital role in post-operative patient monitoring; however, there is limited understanding of the nurses' role in recognising and responding to clinical deterioration in surgical patients. This qualitative exploratory study was conducted at a metropolitan teaching hospital in Melbourne, Australia. Data were collected through focus groups from 1 September to 31 October 2014. Four focus groups of 2-5 surgical nurses (n = 14) were conducted to explore the nurses' perception of their role in managing deterioration over the first 72 hr postoperatively. Qualitative data were recorded, transcribed and key themes identified. Nurses demonstrated a high level of awareness of their role in recognising and responding to early signs of deterioration. The themes that arose from the focus group interviews were "struggling with blood pressure," and "we know our patient is sick." The nurses were confident about the clinical indicators of deterioration and the appropriate channels to use to escalate care. Using track and trigger observation charts enabled nurses to iden...Continue Reading

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Citations

Jul 4, 2018·Journal of Clinical Nursing·Suad Mohammed IddrisuAnastasia Hutchinson
Jan 7, 2020·Anaesthesia·U NilssonP S Myles
Sep 25, 2020·Nursing & Health Sciences·Gabrielle BurdeuJulie Considine
Feb 28, 2021·BMJ Open Quality·Jody EdePeter J Watkinson

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