Medical School, Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.
Department of Emergency, Anaesthesia and Pain Medicine and Emergency Medical Service, Tampere University Hospital, Tampere, Finland.
Acta Anaesthesiol Scand. 2021 May;65(5):695-701. doi: 10.1111/aas.13779. Epub 2021 Jan 19.
Despite wide implementation of rapid response teams (RRTs), no published data exist on RRT nurses' attitudes and barriers to the rapid response system (RRS).
We piloted a 5-point Likert-type scale questionnaire among all Finnish university hospitals' RRT nurses with optional open-ended comments. The impact of more frequent RRT participation was further investigated.
The response rate was 46% (n = 176/379, 34%-93% between hospitals). The respondents median experience on a RRT was three years (0.8-5) and median participation was two (1-5) RRT activations per month. Over 90% of the RRT nurses felt that RRS prevented cardiac arrests and improved patient safety. Nurses with five or more RRT activations/month believed their critical care skills had improved through these duties (94% vs 71%, P = .001), considered their RRT work meaningful (94% vs 76%, P = .005) and wanted to continue as RRT nurses (91% vs 74%, P = .015) more often than nurses with less than five RRT activations/month. In addition to the infrequent RRT participation, further negative experiences with RRS among the RRT nurses included feeling overworked (68%) or undercompensated (94%) for the RRT duties and conflicts between RRT and ward doctors (25%).
RRT nurses consider their work important and believe it fosters improved critical care skills; these beliefs are emphasized among those with more frequent RRT participation. Infrequent RRT participation, feeling overworked and/or undercompensated and conflicts between RRT and ward doctors may present barriers for successful RRS among RRT nurses.
尽管快速反应团队（RRT）已经广泛实施，但关于 RRT 护士对快速反应系统（RRS）的态度和障碍，尚无已发表的数据。
我们对所有芬兰大学医院的 RRT 护士进行了 5 点李克特量表问卷调查，并附有可选的开放式评论。还进一步调查了更频繁地参与 RRT 的影响。
应答率为 46%（n=176/379，医院之间为 34%-93%）。受访者在 RRT 上的平均经验为 3 年（0.8-5），平均参与度为每月 2（1-5）次 RRT 激活。超过 90%的 RRT 护士认为 RRS 可以预防心脏骤停并提高患者安全性。每月有 5 次或更多 RRT 激活的护士认为，他们的重症护理技能通过这些职责得到了提高（94%比 71%，P=0.001），认为他们的 RRT 工作有意义（94%比 76%，P=0.005），并且更愿意继续担任 RRT 护士（91%比 74%，P=0.015），而每月参与 RRT 少于 5 次的护士则不然。除了 RRT 参与率低之外，RRT 护士对 RRS 的其他负面体验还包括对 RRT 职责感到过度劳累（68%）或报酬不足（94%）以及 RRT 与病房医生之间的冲突（25%）。
RRT 护士认为他们的工作很重要，并相信这有助于提高重症护理技能；这些信念在那些更频繁地参与 RRT 的人中更为突出。RRT 参与率低、工作过度劳累和/或报酬不足以及 RRT 与病房医生之间的冲突，可能会成为 RRT 护士成功实施 RRS 的障碍。
