Vital signs monitoring and nurse-patient interaction: A qualitative observational study of hospital practice

International Journal of Nursing Studies
M Cardona-MorrellK Hillman

Abstract

High profile safety failures have demonstrated that recognising early warning signs of clinical and physiological deterioration can prevent or reduce harm resulting from serious adverse events. Early warning scoring systems are now routinely used in many places to detect and escalate deteriorating patients. Timely and accurate vital signs monitoring are critical for ensuring patient safety through providing data for early warning scoring systems, but little is known about current monitoring practices. To establish a profile of nurses' vital signs monitoring practices, related dialogue, and adherence to health service protocol in New South Wales, Australia. Direct observations of nurses' working practices were conducted in two wards. The observations focused on times of the day when vital signs were generally measured. Patient interactions were recorded if occurring any time during the observation periods. Participants (n=42) included nursing staff on one chronic disease medical and one acute surgical ward in a large urban teaching hospital in New South Wales. We observed 441 patient interactions. Measurement of vital signs occurred in 52% of interactions. The minimum five vital signs measures required by New South Wales Health ...Continue Reading

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Citations

Jun 19, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Mirela PrgometKen Hillman
Apr 25, 2019·Journal of Clinical Nursing·Jacqueline PeetClint Douglas
Feb 20, 2018·British Journal of Nursing : BJN·Mark DaltonConan Leavey
Nov 24, 2019·Der Anaesthesist·B PreckelM W Hollmann
Jul 31, 2019·Anesthesia and Analgesia·Linda Maria PosthumaBenedikt Preckel
Aug 8, 2019·Internal Medicine Journal·Alice O'ConnellCampbell H Thompson
Jan 17, 2020·Scientific Reports·Areen Allataifeh, Mahmoud Al Ahmad
Jan 1, 2017·Revista da Escola de Enfermagem da U S P·Maria-Eulàlia Juvé-UdinaPilar Delgado-Hito
Aug 12, 2020·Journal of Nursing Management·Qing Qiu FanJing Fen Jin
Oct 7, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Siân RussellBarbara Hanratty
Oct 11, 2020·Journal of Advanced Nursing·Noa KallioinenMarcus O Watson
Sep 25, 2020·Nursing & Health Sciences·Gabrielle BurdeuJulie Considine
Jan 8, 2021·Disaster Medicine and Public Health Preparedness·Loai Abu SharourOmor Al Omari
Nov 30, 2021·Journal of Advanced Nursing·Rikke R MølgaardSiri L Voldbjerg

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