The role of the ward nurse in recognition and response to clinical deterioration: a scoping review.

Contemp Nurse

School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW 2001, Australia.

Published: October 2024

AI Article Synopsis

  • * A scoping review was conducted, analyzing 46 studies focused on nurses' recognition and response to clinical issues in ward settings.
  • * The findings revealed inconsistent practices among nurses, outlining three major themes: recognizing deterioration, conducting nursing assessments, and facing challenges in responding effectively.

Article Abstract

Background: Nurses play a key role in the recognition and response to clinical deterioration.

Aim: The aim of this scoping review was to explore, map and synthesise existing research related to the ward nurses' role in recognising and responding to clinical deterioration.

Methods: A scoping review was undertaken to identify English only studies focused on the ward nurse's role in recognition and response to clinical deterioration of the hospitalised adult. Search terms included 'clinical deterioration', 'nurses', 'wards', 'general', 'hospital, units' and 'hospitals'. The Cumulative Index to Nursing and Allied Health Literature, EMBASE, Ovid MEDLINE, PubMed, ProQuest and Science Direct databases were searched for eligible studies.

Results: Forty-six studies met the inclusion criteria and three major themes were synthesised: (i) recognition of deterioration; (ii) nursing assessment; and, (iii) challenges responding to patient deterioration.

Conclusion: The review highlighted significant variability in the ward nurses' role, activities, and skills in assessing, monitoring, managing and escalating care for clinical deterioration.

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Source
http://dx.doi.org/10.1080/10376178.2024.2413125DOI Listing

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