Clinical decision‐making process for early nonspecific signs of infection in institutionalised elderly persons: experience of nursing assistants

Abstract

AIM: To illuminate nursing assistant's experiences of the clinical decision-making process when they suspect that a resident has an infection and how their process relates to other professions.

Managing the deteriorating nursing home resident after the introduction of a hospital avoidance programme: a nursing perspective

“…Collaboration amongst the staff and healthcare providers further supported gaining this knowledge. Positive inter‐professional collaboration encourages early detection and reporting . Access to a clinical nurse specialist was found to support nurses in their efforts to follow a clinical pathway to avoid hospitalisation of residents with pneumonia .…”

Fever or not fever – that’s the question: A cohort study of simultaneously measured rectal and ear temperatures in febrile patients with suspected infection

“…Still, the results are of great significance for clinical decision-making. [26] Now is the time to change the paradigm for body temperature measurement into evidencebased practice based on science, rather than tradition and non-reflected assumptions. That is, make no adjustments between sites for body temperature measurements.…”

“…• C. [26] This indicates that the assumed norm is not always sufficient for professional judgement of patients' symptoms.…”

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

“…Unmistakably, evidence within the literature suggests that routine nursing tasks could be delegated, decreasing costs without reducing the quality of care received (Carlisle et al, 2007, Ingleton et al, 2011, AnnerstonGershater et al, 2013, and Sund-Levander, 2013). This could enable registered nursing staff to carry out the more complex delivery aspects of care.…”

“…Undeniably, the literature focuses primarily on quantifying the tasks HSWs undertake, and their competency to accept duties. However, these studies do not measure patient outcomes relative to role development (Carlisle et al, 2007, Ingleton et al, 2011, Annerston-Gershater et al, 2013, and Sund-Levander, 2013 to delegate tasks to a HSW appropriately and safely, they need to have an understanding of the HSW role, and their competency to fulfil it. Annear et al (2014) stated that HSWs helped student nurses appreciate the importance of direct care, and recognise complex health issues, such as skin assessment.…”