Nurses’ perceptions of accessing a Medical Emergency Team: A qualitative study

Making Administrative Systems Adaptive to Emerging Climate Change-Related Health Effects: Case of Estonia

“…However, up until the initiation of baseline studies for a climate adaptation strategy pursuant to the EU Directive [15], there had been no studies on climate change and related health systems functioning. Our analyses confirm the findings by Massey et al [23] that external drivers, primarily, the centrality of EU is required for the diffusion of adaptation policies across Europe. EU institutions are important driving forces for gathering information, especially in improving monitoring and early warning systems.…”

“…The occurrence of extreme weather events, coupled with research projecting that these are likely to increase in frequency and severity, resulting in increasing costs in the future, motivates richer states [23]. In the case of Estonia, an upper-middle income country, the lack of public and political salience means research of climate change-related health effects is less of a priority.…”

“…Administrative capacity is the health system's economic aptitude, technical preparedness, and competence and sufficiency of human resources; these factors may influence the development and application of adaptation policy [23]. At lower level administrative units, larger municipalities are likely to have more human and financial resources to direct to adaptation [24,25].…”

Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review

“…The underutilisation or delays in activation were found to be due to failure to recognise deterioration (Azzopardi et al 2011), lack of understanding regarding role of RRT (Massey et al 2014), escalation protocol not clear to junior nurses (Johnston et al 2014, Braaten 2015, fear of criticism (Azzopardi et al 2011;Johnston et al 2014;Massey et al 2014), staff attempting to deal with the situation by conventional ward care (Shearer et al 2012, Braaten 2015, waiting for further investigations (Shearer et al 2012), preference to rely on own clinical judgement when deciding to call RRT (Shearer et al 2012;Radeschi et al 2015), consulting peers (Donohue & Endacott 2010;Massey et al 2014;Braaten 2015) or seeking ward medical review before calling the RRT (Azzopardi et al 2011, Oglesby et al 2011, Braaten 2015, Radeschi et al 2015.…”

The effects Of cognitive aids On formation and functioning Of teams in medical emergencies

“…Junior nurses in our study however, also noted that their first course of action when concerned about a patient was to draw on the resources and expertise of senior nurses and that activating the RRS rarely occurred without some kind of nursing consensus. This reliance on more senior staff may help to lessen junior nurses' concern over clinical inexperience and uncertainty associated with recognizing a deteriorating patient (Massey, Chaboyer, & Aitken, 2013 (Piquette, Reeves, & Leblanc, 2009). Interestingly though, there was a perception that nurses tend to overcall the RRS.…”