The clinical surveillance process as carried out by expert nurses in a critical care context: A theoretical explanation

Milhomme, Daniel; Gagnon, Johanne; Lechasseur, Kathleen

doi:10.1016/j.iccn.2017.07.010

Cited by 16 publications

(21 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nurse thinking patterns are critical in determining how they allocate their time (Patterson, Ebright, & Saleem, 2011; Swinny, 2010). Nurses prioritize their activities based on their knowledge of the patient’s medical history, information received from shift report and multidisciplinary rounds, consultation with other team members, and findings from patient observation and assessment (Gazarian et al, 2010; Milhomme et al, 2018). While patient observation is vital to nurse detection of early deterioration and deviation from the expected clinical trajectory, the nurses in this study engaged in multiple tasks while in the patient’s room in addition to direct patient care.…”

Section: Discussionmentioning

confidence: 99%

“…Nursing surveillance is the process whereby nurses systematically acquire, interpret, and synthesize patient data for the purpose of early patient risk identification and need for intervention (Dochterman & Bulechek, 2004; Henneman et al, 2012). Patient observation is a key behavior of expert nurses in the surveillance of the ICU patient and contributes to the nurse’s data collection (Milhomme, Gagnon, & Lechasseur, 2018). Observation occurs in two stages—when they perform an initial physical examination to determine a baseline that they will use to distinguish between normality and abnormality, and when they periodically observe the patient, watching for cues indicative of clinical change (Milhomme et al, 2018).…”

Section: Nursing Surveillance and Situation Awarenessmentioning

confidence: 99%

“…Patient observation is a key behavior of expert nurses in the surveillance of the ICU patient and contributes to the nurse’s data collection (Milhomme, Gagnon, & Lechasseur, 2018). Observation occurs in two stages—when they perform an initial physical examination to determine a baseline that they will use to distinguish between normality and abnormality, and when they periodically observe the patient, watching for cues indicative of clinical change (Milhomme et al, 2018). The nursing surveillance process and its effect on patient outcomes have not been studied.…”

Section: Nursing Surveillance and Situation Awarenessmentioning

confidence: 99%

“…and when they periodically observe the patient, watching for cues indicative of clinical change (Milhomme et al, 2018). The nursing surveillance process and its effect on patient outcomes have not been studied.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Factors Influencing How Intensive Care Unit Nurses Allocate Their Time

et al. 2019

View full text Add to dashboard Cite

Spending time with the patient is essential for intensive care unit (ICU) nurses to detect clinical change. This article reports on an examination of factors influencing nurses’ activity time allocation. Data were analyzed from a prospective time and motion study of medical ICU nurses. Nurse demographic data and observation, electronic locator technology, and electronic medical record log data were collected over 12 days from 11 registered nurses. Charlson Co-Morbidity Index and Sequential Organ Failure Assessment scores were calculated for patient assignments. Nurses averaged 78.04 ( SD = 47.85) min per patient on activities in the patient room. Years of ICU nursing experience and the patient’s Charlson Co-Morbidity Index was significantly associated with time spent in the patient’s room. Neither nursing education nor specialty certification was found to influence time spent in a patient’s room. Using technology can advance understanding of nurses’ time allocation leading to interventions optimizing time spent with the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Nursing Surveillance and Situation Awarenessmentioning

confidence: 99%

Section: Nursing Surveillance and Situation Awarenessmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Factors Influencing How Intensive Care Unit Nurses Allocate Their Time

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Patient observation skills are part of CCNs' competence (Ääri et al ., ; CC3N, ; European Federation of Critical Care Nursing Associations, ) and an essential factor in ensuring the safety (Lavoie et al ., ; Kvande et al ., ; Jones and Johnstone, ; Milhomme et al ., ) and well‐being (Randen et al ., ) of a critically ill patient. Skilled patient observation even contributes to lowering intensive care mortality (Kelly et al ., ).…”

Section: Introductionmentioning

confidence: 99%

Critical care nurses' self‐assessed patient observation skills: a cross‐sectional survey study

Alastalo

Salminen

Jeon

et al. 2019

Nursing in Critical Care

View full text Add to dashboard Cite

Background Observing a patient's clinical condition is an important responsibility of critical care nurses and an essential component of their competence. Critical care nurses' patient observation skills contribute to patient safety and quality of care. These observation skills have not been assessed or measured previously. Aim The aim of this study was to measure the self‐assessed level of critical care nurses' patient observation skills and to explore the factors associated with these skills. Study design This was a multicentre cross‐sectional survey conducted in Finland. Methods The sample consisted of critical care nurses working at Finnish university hospitals. The data were collected between September 2017 and January 2018 using an instrument developed for the study – Patient Observation Skills in Critical Care Nursing (visual analogue scale 0–100). Descriptive and inferential statistics were used to analyse the data. Results A total of 372 critical care nurses (49%) responded. Finnish critical care nurses assessed their patient observation skills overall as excellent. The bio‐physiological foundation was assessed as good, whereas skills in using observation methods and skills in recognizing changing clinical condition were assessed as excellent. Education for special tasks in intensive care units, information searching in scientific journals, working experience in critical care nursing and critical care nurses' perception of critical care as a preferred field of nursing were factors promoting patient observation skills. Conclusions and relevance to clinical practice The study provided a novel instrument for measuring critical care nurses' patient observation skills. The instrument may be used as an assessment tool in clinical practice and education. Developing orientation and on‐the‐job training in intensive care units are essential in assuring critical care nurses' adequate patient observation skills. Patient observation skills could be developed during nursing education by providing students with opportunities for clinical training and applying patient cases in virtual learning environments.

show abstract

A focused ethnography of the culture of inclusive caring practice in the intensive care unit

Al-Shamaly¹

2021

Nursing Open

View full text Add to dashboard Cite

The concept "caring" is complex. Numerous theoretical and operational perspectives of caring within the context of nursing have emerged. The ongoing discussion about what constitutes caring within nursing practice domains is nowhere more evident than in the adult ICU specialization, where humanistic caring is juxtaposed with advanced technology. Caring in ICU has been discussed in terms of one entity as the patient (Cutler et al., 2013), their family (Mackie et al., 2017), nurses (Hales et al., 2018), health professionals (Handberg & Voss, 2018) or a couple of entities such as patients and nurses (Happ et al., 2014). However, ICU is not limited to caring for patients, their families and nursing staff. This study examines the multidimensional inclusive nature of caring in ICU. | BACKG ROU N DSeveral authors discussed different caring ICU entities from various perspectives, including patients' perspectives and experiences of care (Cutler et al., 2013), patients' descriptions of the art of nursing (Gramling, 2004), and patients' perceptions of nursing care qual-

show abstract

The clinical surveillance process as carried out by expert nurses in a critical care context: A theoretical explanation

Cited by 16 publications

References 20 publications

Factors Influencing How Intensive Care Unit Nurses Allocate Their Time

Factors Influencing How Intensive Care Unit Nurses Allocate Their Time

Critical care nurses' self‐assessed patient observation skills: a cross‐sectional survey study

A focused ethnography of the culture of inclusive caring practice in the intensive care unit

Contact Info

Product

Resources

About