ICU, Vaasa Central Hospital, Hietalahdenkatu 2-4, FIN- 65 130 Vaasa, Finland.
Research Unit of Nursing Science and Health Management, PL 5000, FIN- 90014 University of Oulu, Finland.
Intensive Crit Care Nurs. 2019 Aug;53:100-108. doi: 10.1016/j.iccn.2019.04.009. Epub 2019 May 7.
This study aims to understand the concerns of nurses when making MET calls which did not fulfil the vital sign criteria, and the MET nurses subsequent responses to these calls.
This was a retrospective report-based study. Research material included nursing reports and MET forms related to MET calls made due to nurses' concern. Inductive content analysis was used to identify observations, which were then quantified based on the research material.
From a total of 546 MET calls, 39 visits (7%) were due to nurses' concern. In these 39 visits, the vital sign criteria did not reach the alert threshold, but nurses made the call due to subjective worry. In 13% of visits, the alert concern was inadequate contact with the doctor. MET nurses responded to the alert by providing clinical and indirect nursing; more specifically, they performed examinations and nursing interventions and collaborated with other professionals.
A nurse's worry is influenced by subjective changes in the patient's condition or an inadequate doctor's response rather than objective physiological measurements. A MET nurse's ability to assess patient condition, respond to nurses' calls, and acknowledge justified alerts help MET nurses support concerned nurses and encourage them to contact the MET if necessary.
本研究旨在了解护士在拨打不符合生命体征标准的 MET 电话时的关注点，以及 MET 护士对这些电话的后续反应。
这是一项基于回顾性报告的研究。研究材料包括与护士因担忧而拨打的 MET 电话相关的护理报告和 MET 表格。采用归纳内容分析法识别观察结果，然后根据研究材料对其进行量化。
在总共 546 次 MET 电话中，有 39 次（7%）是由于护士的担忧而拨打的。在这 39 次访问中，生命体征标准未达到警戒阈值，但护士因主观担忧而拨打了电话。在 13%的访问中，警戒关注的是与医生的联系不足。MET 护士通过提供临床和间接护理来回应警报；更具体地说，他们进行了检查和护理干预，并与其他专业人员合作。
护士的担忧受到患者病情的主观变化或医生反应不足的影响，而不是客观的生理测量。MET 护士评估患者病情、对护士呼叫做出反应以及承认合理警报的能力有助于 MET 护士支持有担忧的护士，并鼓励他们在必要时联系 MET。
