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

Journal of Clinical Nursing
Duncan J Smith, Leanne M Aitken

Abstract

To investigate nurses' use of a single parameter track and trigger chart to inform implementation of the National Early Warning Scoring tool. To report the characteristics of patients with triggers, the frequency of different triggers, and the time taken to repeat observations. To explore the barriers and facilitators perceived by nursing staff relating to patient monitoring. Sub-optimal care of the deteriorating patient has been described for almost two decades. Organisations have responded by implementing strategies that improve monitoring and facilitate a timely response to patient deterioration. While these systems have been widely adopted the evidence-base to support their use is inconsistent. A mixed method service evaluation was carried out in an acute University hospital. Physiological triggers (n = 263) and characteristics of triggering patients (n = 74) were recorded from surgical and medical wards. Descriptive statistics were displayed. Questionnaires were distributed (n = 105) to student nurses, health care assistants and registered nurses. Themes and sub-themes were identified from content analysis. Hypotension was the most frequent abnormality. There was variability in the time to repeat observations following a t...Continue Reading

References

Jun 19, 1998·BMJ : British Medical Journal·P McQuillanC H Collins
Jan 22, 2000·BMJ : British Medical Journal·C PopeN Mays
Jan 3, 2001·Journal of Advanced Nursing·E Manias, A Street
Sep 1, 2001·Internal Medicine Journal·K M HillmanG Simmons
Mar 27, 2004·Lancet·J F Bion, J E Heffner
Aug 25, 2004·Resuscitation·Juliane KauseUNKNOWN Australian and New Zealand Intensive Care Society Clinical Trials Group
Sep 3, 2005·Critical Care : the Official Journal of the Critical Care Forum·Michael DeVita
Nov 5, 2005·Journal of Advanced Nursing·Tom Andrews, Heather Waterman
Mar 3, 2006·British Journal of Nursing : BJN·Nicola HeapsSusan Langley
May 26, 2006·British Journal of Nursing : BJN·Jacqueline Hogan
Aug 1, 2006·Critical Care Medicine·Michael A DevitaSanjay Galhotra
Nov 14, 2006·Applied Nursing Research : ANR·Kathryn Zeitz, Helen McCutcheon
Aug 19, 2007·Quality & Safety in Health Care·Sanjay GalhotraUNKNOWN Members of the Medical Emergency Response Improvement Team (MERIT) Committee
Sep 22, 2007·Nursing in Critical Care·Carolyn C JohnstoneLiz Myers
Feb 6, 2008·Resuscitation·Gary B SmithPeter I Featherstone
Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs
Jun 23, 2010·Journal of Advanced Nursing·Mandy OdellDavid Oliver
Jul 20, 2010·Resuscitation·David R PrytherchPeter I Featherstone
Apr 1, 2011·Journal of the American Medical Directors Association·Jennifer Gonik Chester, James L Rudolph
May 7, 2011·Journal of Advanced Nursing·Sara QuirkeRose McEldowney
Nov 6, 2012·British Journal of Nursing : BJN·David Pinnock
Dec 3, 2013·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Debbie MasseyLeanne Aitken

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Citations

Dec 22, 2017·Journal of Clinical Nursing·Ricardo M Padilla, Ann M Mayo
Jul 21, 2017·Journal of Advanced Nursing·Jennifer McGaugheyBronagh Blackwood
Dec 1, 2017·Nursing Standard·Duncan Smith, Tracey Bowden
Sep 19, 2018·Nursing Standard·Nicholas Woolfe Loftus, Duncan Smith
Nov 15, 2018·Journal of Clinical Nursing·Claire Foley, Maura Dowling
Feb 20, 2018·British Journal of Nursing : BJN·Mark DaltonConan Leavey
Aug 31, 2019·Nursing Standard·Nicholas Woolfe Loftus, Duncan Smith
Nov 30, 2018·Emergency Medicine Australasia : EMA·Aleksandra TrajkovskaDrew Richardson
Apr 3, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Stephanie K SprogisJulie Considine
Aug 12, 2021·Scientific Reports·Maja KopczynskaUNKNOWN Welsh Digital Data Collection Platform collaborators

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