Identifying teamwork‐related needs of the medical emergency team: Nurses' perspectives

Azimirad, Mina; Magnusson, Carin; Wiseman, Allison; Selander, Tuomas; Parviainen, Ilkka; Turunen, Hannele

doi:10.1111/nicc.12676

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…Of the 28 included studies, 25 were quantitative, 4,13–36 two were qualitative, 37,38 and one was a mixed‐methods study 39 . Studies with a quantitative design included nine cohort, six case–control, four secondary analyses, three descriptive, two feasibility, and one cross‐sectional study.…”

Section: Results/findingsmentioning

confidence: 99%

“…Studies relevant to the night‐time MET/RRT response showed that this category was either referred to as a MET or an RRT 13–26 . All these studies had been designed using quantitative methodologies that only included observational studies.…”

Section: Results/findingsmentioning

confidence: 99%

“…Studies relevant to the night-time MET/RRT response showed that this category was either referred to as a MET or an RRT. [13][14][15][16][17][18][19][20][21][22][23][24][25][26] All these studies had been designed using quantitative methodologies that only included observational studies. In these studies, most reports were related to variations in MET/RRT activations throughout the day, with some studies reporting on the relationships with patient outcomes.…”

Section: Night-time Met/rrt Responsementioning

confidence: 99%

“…Many findings on interventional measures in usual care settings have demonstrated that the performance of MET/RRT activations [13][14][15][16][17][18][19][20][21][22][23][24][25][26] and use of the EWS are less effective at night. 4,[27][28][29] We found that MET/RRT and the EWS were applied to usual care settings as the main night-time interventional measures, which could be related to the widespread use of RRS.…”

Section: Interventional Measures and Findings In Usual Care Settingsmentioning

confidence: 99%

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Night‐time detection and response in relation to deteriorating inpatients: A scoping review

Hotta

Ashida

Tanaka

2023

Nursing in Critical Care

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BackgroundAlthough detection and response to clinical deterioration have been studied, the range and nature of studies focused on night‐time clinical setting remain unclear.AimThis study aimed to identify and map existing research and findings concerning night‐time detection and response to deteriorating inpatients in usual care or research settings.Study Design and MethodsA scoping review method was used. PubMed, CINAHL, Web of Science, and Ichushi‐Web databases were systematically searched. We included studies focusing on night‐time detection and response to clinical deterioration.ResultsTwenty‐eight studies were included. These studies were organized into five categories: night‐time medical emergency team or rapid response team (MET/RRT) response, night‐time observation using the early warning score (EWS), available resources for physicians' practice, continuous monitoring of specific parameters, and screening for night‐time clinical deterioration. The first three categories were related to interventional measures in usual care settings, and relevant findings mainly demonstrated the actual situation and challenges of night‐time practice. The final two categories were related to the interventions in the research settings and included innovative interventions to identify at‐risk or deteriorating patients.ConclusionsSystematic interventional measures, such as MET/RRT and EWS, could have been sub‐optimally performed at night. Innovations in monitoring technologies or implementation of predictive models could be helpful in improving the detection of night‐time deterioration.Relevance to Clinical PracticeThis review provides a compilation of current evidence regarding night‐time practice concerning patient deterioration. However, a lack of understanding exists on specific and effective practices regarding timely action for deteriorating patients at night.

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Section: Results/findingsmentioning

confidence: 99%

Section: Results/findingsmentioning

confidence: 99%

Section: Night-time Met/rrt Responsementioning

confidence: 99%

Section: Interventional Measures and Findings In Usual Care Settingsmentioning

confidence: 99%

See 2 more Smart Citations

Night‐time detection and response in relation to deteriorating inpatients: A scoping review

Hotta

Ashida

Tanaka

2023

Nursing in Critical Care

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“…The other papers in this issue employ a range of methodologies to address various clinically relevant topics, namely delirium in critically ill adults 10 and children 11 ; nurse–nurse 12 and nurse‐doctor collaboration 13 and teamwork 14 ; sleep quality 15,16 ; sedation and pressure injuries 17 and ABCDE bundle implementation 18 …”

mentioning

confidence: 99%

Spotlight on literature reviews

Tume

Trapani

2022

Nursing in Critical Care

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Welcome to the final issue of what has been a busy year for the journal! This issue has a special focus on literature reviews.Literature reviews are often the most read and best-cited papers in our journal 1 and in general 2 because, when done well, they provide an up-to-date summary of the state of the science on a topic and may or may not provide a statistical summary of the evidence. This makes it easier for busy clinicians to find current evidence quickly and from one source. To further underscore the value of reviews, this issue opens with an interesting editorial, 3 written by our associate editors, which advocates for and provides guidance on the co-authorship of literature reviews and their publication in academic journals. Furthermore, at the first joint conference of the British and Irish Associations of Critical Care Nurses held in Belfast last October, the editors delivered a well-received literature review workshop to describe the different types of reviews and their indications and to provide tips on their planning and implementation. This issue features six reviews that showcase some different review types: two systematic reviews with a meta-analysis 4,5 ; two systematic reviews without a meta-analysis 6,7 and two scoping reviews. 8,9 These investigate the prevalence of depressive symptoms among intensive care nurses and the effect of enteral immunomodulatory nutrition formula on the outcomes of critically ill patients; targeted temperature management in acute liver failure and the compatibility of prolonged antibiotic infusion administration; and the use of virtual reality in intensive care units and educational interventions to reduce the use of physical restraints, respectively.The other papers in this issue employ a range of methodologies to address various clinically relevant topics, namely delirium in critically ill adults 10 and children 11 ; nurse-nurse 12 and nurse-doctor collaboration 13 and teamwork 14 ; sleep quality 15,16 ; sedation and pressure injuries 17 and ABCDE bundle implementation. 18 We hope you will enjoy this issue and gain a greater understanding of literature reviews.

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Perception of Personal Participation in Resuscitation Procedures: A Qualitative Study

Koželj,

Strauss,

Poštuvan

et al. 2023

Preprint

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Resuscitation is one of the most stressful tasks in emergency medicine. The participation of medical professionals in this procedure can have specific effects on them. In the research, we wanted to find out what these effects are. A qualitative approach by conducting semi-structured interviews was used, and thematic data analysis of the recorded interviews was done. The collected data were transcribed verbatim with no corrections to the audio recordings. The computer program ATLAS.ti 22 was used for qualitative data analysis. Eleven male registered nurses were interviewed, with an average of 18.5 years of experience working in a prehospital environment (max. 32/min. 9). A total of 404 minutes of recordings were analyzed and 789 codes were found, which were combined into 36 patterns, and 11 themes. As the most stressful situa-tions, the interviewees pointed out the resuscitation of a child, familiar persons, conflicts with the environment, conflicts within the resuscitation team, non-functioning or insufficient equipment, complications during resuscitation, and resuscitating a person only for exercise. As positive effects, the interviewees cited successful resuscitations or their awareness that, despite the unsuccessful resuscitation, they did everything they could. Participation in these interven-tions has a specific positive or negative impact on the performers. The interviewees shared the opinion that they can cope effectively with resuscitation's adverse or stressful effects. Yet, de-spite everything, they allow the possibility of subconscious influences of this intervention on them.

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Identifying teamwork‐related needs of the medical emergency team: Nurses' perspectives

Cited by 4 publications

References 24 publications

Night‐time detection and response in relation to deteriorating inpatients: A scoping review

Night‐time detection and response in relation to deteriorating inpatients: A scoping review

Spotlight on literature reviews

Perception of Personal Participation in Resuscitation Procedures: A Qualitative Study

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