Critical Care Nurses’ Perception of Time Spent at Rapid Responses

Wang, Janice; Laktičová, Viera; McCabe, Ann; Amitrano, Bernadette; Rosen, Lisa; Cohen, Rubin I.

doi:10.1513/annalsats.201211-092oc

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…In our study, RRT nurses' feelings of setting the ICU patient aside to fulfil RRT obligations, and of facing heavy workloads were also identified and supported by others. Wang et al ( 2013 ) reported that ICU nurses felt ICU care was compromised when a nurse attended a RRT call. In a study by Tirkkonen et al ( 2018 ), RRT nurses felt their workload to be heavier than that of their ICU colleagues who were not doing RRT.…”

Section: Discussionmentioning

confidence: 99%

Balancing responsibilities, rewards and challenges: A qualitative study illuminating the complexity of being a rapid response team nurse

Bunkenborg

O'Connell

Jensen

et al. 2022

Journal of Clinical Nursing

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Aim and Objective: To explore Rapid Response Team nurses' perceptions of what it means being a Rapid Response Team nurse including their perceptions of the collaborative and organisational aspects of the rapid response team (RRT).Background: For more than 20 years, RRT nurses have been on the frontline of critical situations in acute care hospitals. However, a few studies report nurses' perceptions of their role as RRT nurses, including collaboration with general ward nurses and physicians. This knowledge is important to guide development and adjustment of the RRT to benefit both patients' safety and team members' job satisfaction. Design: Qualitative focus group interviews.Methods: A qualitative approach was applied. Throughout 2018 and across three regions and three acute care settings in Denmark, eight focus group interviews were conducted in which 27 RRT nurses participated. Transcribed interviews were analysed using inductive content analysis. Reporting of this study followed the COREQ checklist.Results: One overarching theme 'Balancing responsibilities, rewards, and challenges' was derived, comprising six categories: 'Becoming, developing and fulfilling the RRT nurse role', 'Helping patients as the core function of RRT', 'The RRT-call at its best', 'The obvious and the subtle RRT tasks', 'Carrying the burden of the RRT', and 'Organisational benefits and barriers for an optimal RRT'. Conclusion:Being a RRT nurse is a complex task. Nurses experience professional satisfaction and find it meaningful helping deteriorating patients. The inadequate resources available to train general ward staff how to manage basic clinical tasks are an added stress to nurses.Relevance to clinical practice: Organisational managers need a better understanding of the necessary staffing requirements to attend patients' needs, train staff and handle the increasing acuity of ward patients. Failure to do so will be detrimental to patient outcomes and compromise RRT nurses' job satisfaction.

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Section: Discussionmentioning

confidence: 99%

Balancing responsibilities, rewards and challenges: A qualitative study illuminating the complexity of being a rapid response team nurse

Bunkenborg

O'Connell

Jensen

et al. 2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…Otherwise, adverse events may occur in ICU patients while critical care staff are on RRT calls [13]. Importantly, cost savings associated with preventing unplanned ICU admissions may in itself justify the funding of a hospital-wide RRS [14].…”

Section: Resource Considerationsmentioning

confidence: 99%

What’s new with rapid response systems?

et al. 2014

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“…Intensive Care Units (ICUs) are special departments of a hospital or healthcare facility that provide critically ill or critically injured patients with intensive medical treatment, under the close supervision of specially-trained medical staff. ICUs are distinguished from normal hospital wards by a higher staff-to-patient ratio (often a 2:1 nurse to patient ratio) [20], by access to advanced medical resources and equipment that is not routinely available elsewhere, and by access to staff with often complementary expertise. Because the ICU patients require continuous monitoring, multiple teams rotate responsibilities: each interdisciplinary team provides care for 12–18 hour shifts before they transfer the patient care responsibilities to the next critical care team.…”

Section: Introductionmentioning

confidence: 99%

Echo: A large display interactive visualization of ICU data for effective care handoffs

Thomas

Kannampallil

Abraham

et al. 2017

2017 IEEE Workshop on Visual Analytics in Healthcare (VAHC)

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One of the significant challenges of care transitions in Intensive Care Units (ICUs) is the lack of effective support tools for outgoing clinicians to find, filter, organize, and annotate information that can be effectively handed off to the incoming team. We present a large display interactive multivariate visual approach, aimed towards supporting clinicians during the transition of care. We first provide a characterization of the problem domain in terms of data and tasks, based on an observation session at the University of Illinois Hospital, and on interviews with several biomedical researchers and ICU clinicians. Informed by this experience, we design a scalable, interactive visual approach that supports both overview and detail views of ICU patient data, as well as anomaly detection, comparison, and annotation of the data. We demonstrate a large-display implementation of the visualization on an existing anonymized ICU dataset. Feedback from domain experts indicates this approach successfully meets the requirements of effective care transitions.

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Critical Care Nurses’ Perception of Time Spent at Rapid Responses

Abstract: In this study of one midsized academic medical center, about half of critical care nurse involvement in RRs takes them away from their ICU patients for less than 20 minutes. Nevertheless, nurses felt that ICU care was compromised when an ICU nurse responded to an RR.

Cited by 5 publications

References 15 publications

Balancing responsibilities, rewards and challenges: A qualitative study illuminating the complexity of being a rapid response team nurse

Balancing responsibilities, rewards and challenges: A qualitative study illuminating the complexity of being a rapid response team nurse

What’s new with rapid response systems?

Echo: A large display interactive visualization of ICU data for effective care handoffs

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