病房护士在识别和应对临床病情恶化中的作用：一项范围综述

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

作者信息

Donnelly Nikita, Fry Margaret, Elliott Rosalind, Merrick Eamon

机构信息

Nurse Education Workforce and Research Unit, Prince of Wales Hospital, Randwick, NSW 2031, Australia.

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

出版信息

Contemp Nurse. 2024 Oct 9:1-30. doi: 10.1080/10376178.2024.2413125.

DOI:10.1080/10376178.2024.2413125

PMID:39383317

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.

摘要

背景

护士在识别和应对临床病情恶化方面发挥着关键作用。

目的

本综述的目的是探索、梳理并综合现有的与病房护士在识别和应对临床病情恶化方面的作用相关的研究。

方法

进行了一项综述，以识别仅聚焦于病房护士在识别和应对住院成年人临床病情恶化方面作用的英文研究。检索词包括“临床病情恶化”“护士”“病房”“综合医院”“医院”“科室”和“医院”。在护理及相关健康文献累积索引、EMBASE、Ovid MEDLINE、PubMed、ProQuest和科学Direct数据库中检索符合条件的研究。