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Factors Influencing Registered Nurses' Decision to Activate an Adult Rapid Response Team in a Community Hospital.
Dimens Crit Care Nurs
March 2018
Shirley Jackson, DNP, RN, CCRN, CCNS, is a clinical nurse specialist at Elliot Health System, Manchester, NH. Her clinical specialty is adult acute and critical care nursing. Barbara Penprase, PhD, RN, CNE, ANEF, is a professor at the School of Nursing, Oakland University Rochester; and endowed professor, Oakland University School of Nursing/Crittenton Hospital Medical Center, MI. Her research interests include alarm fatigue, empathy vs systemizing traits in nurses and frequent users of the Emergency Department. Claudia Grobbel, DNP, RN, is an assistant professor at Oakland University, Rochester, MI. Her expertise is in the area of cardiac care, leadership and administration. Her research interest is caring practice and the impact on quality care.
Background: One factor impacting patient outcomes in the acutely deteriorating patient is a delay by nursing staff to activate a rapid response team (RRT); however, a gap in knowledge exists concerning factors influencing activation of an RRT by nursing staff working in adult areas outside the medical-surgical and telemetry setting.
Objectives: The purpose of this study was to examine beliefs and behaviors that influence registered nurses' decision to activate an adult rapid response team in a community hospital that includes 3 specialties: medical-surgical and telemetry, peripartum, and psychiatric areas.
Methods: One hundred sixty-three nurses were surveyed using a 17-item Likert-style instrument to assess registered nurses' beliefs and attitudes on and barriers to utilizing an RRT.