Ferguson Bridget, Baldwin Adele, Henderson Amanda
Central Queensland University Australia, Rockhampton, North Queensland, Australia.
Central Queensland University Australia, Townsville City, Queensland, Australia.
J Adv Nurs. 2024 Jun 11. doi: 10.1111/jan.16260.
Identify and analyse literature investigating nurses' and midwives' use of early warning tools during the care of adult inpatients.
An integrative literature review.
Whittemore and Knafl's (2005) framework guided this integrative review. PubMed, CINAHL, EMCARE and Google Scholar were systematically searched. The authors assessed the methodological quality of 21 papers meeting inclusion criteria and thematically analysed key data.
Three main themes were identified, each with further sub-themes.
Early warning tools operate within various systems and cultural contexts. However, their potential for improved patient safety may be hindered. Protocols influencing tool usage may make nurses and midwives distanced from patients and their expertise. For early warning tools to enhance patient safety, assessing their integration into practice is crucial to maximizing effectiveness.
This review emphasizes the importance of integrating human relationships with early warning tools for patient safety.
This integrative literature review does not include patient or public input.
IMPLICATIONS FOR PRACTICE/POLICY: Adapting early warning tools to balance standardization for safety and efficiency and promoting nurses' and midwives' expertise and autonomy is required to optimize delivery of quality care and uphold patient safety.
The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were used.
识别并分析有关护士和助产士在成年住院患者护理过程中使用早期预警工具的文献。
综合文献综述。
惠特莫尔和克纳夫（2005年）的框架指导了本次综合综述。对PubMed、CINAHL、EMCARE和谷歌学术进行了系统检索。作者评估了21篇符合纳入标准的论文的方法学质量，并对关键数据进行了主题分析。
确定了三个主要主题，每个主题还有进一步的子主题。
早期预警工具在各种系统和文化背景中发挥作用。然而，其改善患者安全的潜力可能受到阻碍。影响工具使用的方案可能会使护士和助产士与患者及其专业知识脱节。为了使早期预警工具提高患者安全，评估其在实践中的整合情况对于最大限度地提高有效性至关重要。
本综述强调了将人际关系与早期预警工具相结合以保障患者安全的重要性。
本综合文献综述未纳入患者或公众的意见。
对实践/政策的启示：需要调整早期预警工具，以平衡安全和效率方面的标准化，并促进护士和助产士的专业知识及自主性，从而优化优质护理的提供并维护患者安全。
采用了系统评价和荟萃分析的首选报告项目指南。
