Publications by authors named "T Bucknall"
Background: During the Covid-19 pandemic, family visitation to intensive care was severely restricted. In response, family communication moved to remote-only options. The effect on patients and families of this communication change is poorly understood.
View Article and Find Full Text PDFBackground: Mental state deterioration poses significant challenges in healthcare, impacting patients and providers. Symptoms like confusion and agitation can lead to prolonged hospital stays, increased costs, and the use of restrictive interventions. Despite its prevalence, there's a lack of consensus on effective practices for managing mental state deterioration in acute hospital settings.
View Article and Find Full Text PDFBackground: Strict patient isolation in hospital is associated with adverse health outcomes. However, there is a lack of high-quality evidence for effective interventions to improve safety and quality of care for these patients.
Aims: To identify patient reported areas for improvement in the care of patients in hospital isolation and to determine the feasibility of collecting patient reported outcomes using validated tools.
Article Synopsis
- Early recognition and response to clinical deterioration can lower the rates of cardiac arrests and ICU admissions; this study tested the effectiveness of a nursing intervention called PRONTO on hospital costs and patient length of stay (LOS).
- Data was collected from 6065 patients across four hospitals, revealing that the PRONTO intervention not only improved nurses' responses to patients but also led to cost savings and a reduced LOS for those receiving the intervention.
- Ultimately, the PRONTO intervention resulted in significant savings for hospitals and reduced patient stay by about two days after 12 months, making it a cost-effective strategy from the hospital's perspective.
Aim: To explore patient and family narratives about their recognition and response to clinical deterioration and their interactions with clinicians prior to and during Medical Emergency Team (MET) activations in hospital.
Background: Research on clinical deterioration has mostly focused on clinicians' roles. Although patients and families can identify subtle cues of early deterioration, little research has focused on their experience of recognising, speaking up and communicating with clinicians during this period of instability.