Student nurses’ recognition of early signs of abnormal vital sign recordings

Leonard, M; Kyriacos, Una

doi:10.1016/j.nedt.2015.04.013

Cited by 17 publications

(24 citation statements)

References 30 publications

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“…Moreover, the leaflets which contains the guidelines of effective documentation and distributed by the researchers at the end of the session may have a contribution to the success of the intervention and the improvement in the performance.The importance of such guidelines has been demonstrated by many studies (Dehghan et al, 2013, Abd Elwahab& Elsayed,2014,Saad,2014Scruth,2014) Similar finding was reported by Leonard & Kyriacos, (2015) who found that very low level of nurse performance related to documentation, in the pre-intervention period and there is highly statistically significant improvement as a result of application of training program compared to preintervention. However, in disagreement with this finding Ali, (2013) reported that there was no statistically significant difference of quality of recording among nursing personal after the implementation of an internal quality system .…”

Section: Discussionsupporting

confidence: 65%

The Effect of Implementing Evaluative Feedback on Staff Nurses’ Performance Regarding Documentation

Hassan

Badran

2016

Egyptian Journal of Health Care

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Background: Accurate documentation of nursing care is vital to protect patient from missed or unsafe care, periodic audit of the documents is crucial for assessing staff nurses' performance with provision of feedback to improve their performance. Aim: This study aimed to assess the effect of implementing evaluative feedback on staff nurses' performance regarding documentation. Research design: Quasi experimental design was used. Setting: El Demerdash University Hospital Subjects: 90 staff nurses were included in the study Data collection: An audit checklist of various nursing records in a patient file. Results: More than one quarter of staff nurses had adequate total performance regarding documentation at the pre intervention phase. However, it increased markedly after the intervention to reach 86.9% at the post intervention phase, and it decreased to 74.9% at the follow up phase which significantly higher than the pre intervention phase. Conclusion: There is a statistically significant improvement of staff nurses' performance regarding documentation after using evaluative feedback. Recommendations: Evaluative feedback has to be used as a mean for improving nurses' performance in different aspects of care. Current formats of nursing records should be revised and updated and expand using of an audit technique in different patient care areas.

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Section: Discussionsupporting

confidence: 65%

The Effect of Implementing Evaluative Feedback on Staff Nurses’ Performance Regarding Documentation

Hassan

Badran

2016

Egyptian Journal of Health Care

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“…The findings from this study indicated that environmental support such as ocialization, training, supervision, and adequate infrastructure were needed to activate the EWS. Smith et al (2008) in Leonard & Kyriacos (2015) stated that 'the Early Warning System is a Track & Triggers that aims to direct or guide patient care' (Leonard & Kyriacos, 2015;Smith et al, 2014). Algorithms for actions formulated to accompany the MEWS (Modified Early Warning System) assessment tool provide consistent plans for nursing orders and promote rapid communication between nurses and other care providers.…”

Section: Discussionmentioning

confidence: 99%

“…Pantazopoulos et al (2012) stated that nurses who have attended resuscitation techniques are more able to make decisions in the treatment of clinical deterioration correctly (Pantazopoulos et al, 2012). Leonard & Kyriacos (2015) stated that to limit incidences of 'failure to save', validated Track & Triggers such as MEWS, coupled with MET or other rapid response systems are recommended to provide uniform guidelines for national health care professionals and students for early identification of deterioration the patient and the appropriate response (Leonard & Kyriacos, 2015). The development of ongoing professional programs must include recognition of early signs of clinical deterioration and not only cardio-pulmonary resuscitation (CPR) skills.…”

Section: Discussionmentioning

confidence: 99%

Understanding Nurses Experiences and Perception about The Implemention of Emergency Monitoring : A Qualitative Study

Kholis¹,

Hidayah²,

Priyanti³

et al. 2020

JPKI

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Emergency monitoring in the hospital is very important to be carried out, as one form of responsibility for early detection of deterioration patients. The implementation of the Early Warning System in Hospital is still being evaluated by the quality of service to find out its effectiveness. The purpose of this study was to explore the experiences and perceptions of nurses about the implementation of emergency monitoring in hospital. This study was a qualitative design. Participants were 6 female team leader nurses, with average age 35.3 y.o, and average working experience 11.3 years, used purposive sampling. Data were collected by in-depth interviews and field notes. Data were analyzed using thematic analysis method by Flick. The findings of the study identified 3 themes: (1) personal themes; (2) environmental themes; (3) Patient themes. The results showed that the implementation of emergency monitoring in the inpatients units in hospital was still not optimal. The implementation of the Early Warning System is expected to be carried out on an ongoing basis so that its implementation is effective. Socialization, training, supervision, and adequate infrastructure are needed as well as consistency algorithms for early identification of the patient's condition and getting immediate assistance.ABSTRAK Pemantauan kedaruratan di rumah sakit sangat penting dilakukan, sebagai salah satu bentuk tanggung jawab untuk deteksi dini kemunduran pasien. Penerapan Sistem Peringatan Dini di Rumah Sakit masih terus dievaluasi kualitas pelayanannya untuk mengetahui efektivitasnya. Penelitian ini bertujuan untuk mengetahui pengalaman dan persepsi perawat tentang pelaksanaan pemantauan kegawatdaruratan di rumah sakit. Penelitian ini merupakan penelitian kualitatif. Peserta penelitian adalah 6 perawat ketua tim wanita, dengan usia rata-rata 35,3 tahun, dan pengalaman kerja rata-rata 11,3 tahun, menggunakan purposive sampling. Pengumpulan data dilakukan dengan wawancara mendalam dan catatan lapangan. Data dianalisis menggunakan metode analisis tematik oleh Flick. Temuan penelitian mengidentifikasi 3 tema: (1) tema pribadi; (2) tema lingkungan; (3) Tema pasien. Kesimpulan: Hasil penelitian menunjukkan bahwa pelaksanaan pemantauan kegawatdaruratan di unit rawat inap rumah sakit masih belum optimal. Penerapan Sistem Peringatan Dini diharapkan dapat dilakukan secara berkesinambungan agar pelaksanaannya efektif. Dibutuhkan sosialisasi, pelatihan, supervisi, dan infrastruktur yang memadai serta konsistensi algoritme untuk identifikasi awal kondisi pasien dan mendapatkan bantuan segera.

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“…Basic nursing care tasks such as feeding, ambulating and vital measurement are often the first tasks delegated to less‐trained healthcare providers (HCPs) such as nursing students or care team assistants (CTAs). These HCPs may not have the knowledge or skill to recognize the significance of “abnormal” or even subtle differences within “normal” vital sign ranges (Fasolina & Verdin, 2015; Leonard & Kyriacos, 2015; Rathburn & Ruth‐Sahd, 2009) By not seeing the significance, vital signs may not be reported to the primary RN and the opportunity to intervene early in the spiral of decline is lost. Novice RNs may also miss the cues of clinical deterioration due to lack of experiential knowledge and rely heavily on the objective truth of the vital sign measurements obtained from the ancillary staff and memory recall (Rathburn & Ruth‐Sahd, 2009).…”

Section: Truth In Vital Sign Methodologymentioning

confidence: 99%

“…The nurse needs to be knowledgeable in the signs of deterioration, and the vital signs need to be documented accurately and completely, to correctly identify the signs of decline (Hudson et al., 2015; Keene et al., 2017; Preece et al., 2012; Stewart et al., 2014). It has been suggested that the early warning systems should be taught in nursing school to improve the ability to recognize changes in the patient condition (Leonard & Kyriacos, 2015). The second challenge is education alone is not enough to improve documentation of the vital signs (Keene et al., 2017; Okaisu et al., 2014).…”

Section: Truth In Vital Sign Methodologymentioning

confidence: 99%

Reflections on vital sign measurement in nursing practice

2020

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Physiological observations or vital sign monitoring is a fundamental tenet of nursing care within an acute care setting. Surveillance of vital signs with algorithmic early warning frameworks aids the nurse in monitoring for early symptoms of clinical deterioration. The nurse must be cognizant of the factors that can influence the vital sign measurements because the framework score is only as reliable as the data inserted. Vital sign technology has made significant progress in its ability to objectify nursing subjective assessments. Early scientists have struggled with its relationship with subjectivity, claiming it has no relevance in true science. Quantitative measurements, regardless of how objectively they were created or obtained, need a subjective lens to interpret and act on the results. The skill of “making” the vital signs can be easily taught or done with technology, but it is the “taking” of the data for analysis of truth and action that requires a higher level of expertise. This paper will examine the truth of vital sign methodology and monitoring to explore the question, “Is true objectivity in the nursing practice of vital sign measurement possible?” The truth in vital sign recognition through a subjective lens will also be explored to challenge the philosophical scientific claims that objective data are the absolute truth.

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Student nurses’ recognition of early signs of abnormal vital sign recordings

Abstract: Non-recognition of deterioration in patients' clinical status and delayed intervention by nurses has implications for the development of serious adverse events. The MEWS is recommended as a track-and-trigger system for nursing curricula in South Africa and for implementation in practice.

Cited by 17 publications

References 30 publications

The Effect of Implementing Evaluative Feedback on Staff Nurses’ Performance Regarding Documentation

The Effect of Implementing Evaluative Feedback on Staff Nurses’ Performance Regarding Documentation

Understanding Nurses Experiences and Perception about The Implemention of Emergency Monitoring : A Qualitative Study

Reflections on vital sign measurement in nursing practice

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