Kaljeh Hebah, Saghafi Farida, Greenwood Melanie
School of Nursing, College of Health and Medicine, University of Tasmania, Tasmania, Australia; Department of Critical Care Medicine, Royal Hobart Hospital, Tasmania, Australia.
School of Nursing, College of Health and Medicine, University of Tasmania, Tasmania, Australia.
Aust Crit Care. 2025 Jun 17;38(5):101268. doi: 10.1016/j.aucc.2025.101268.
The aim of this scoping review was to explore the existing literature to identify key existing concepts in relation to ward nurses' engagement and experience during rapid response team (RRT) activation for patient deterioration and highlight gaps in the research.
The Joanna Briggs Institute methodology was used. The Patterns, Advances, Gaps, Evidence for Practice and Research Recommendations framework was used in a reflective manner alongside the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines to guide data synthesis, charting, and reporting of the findings.
In September 2023, electronic databases-MEDLINE (Ovid), CINAHL Complete (via EBSCO), Embase, Scopus, PubMed, and Google Scholar, for published works, and Web of Science and Networked Digital Library of Theses and Dissertations-were searched. Searches were accompanied by hand-searching grey literature and reference lists.
Articles were selected according to inclusion and exclusion criteria. A full-text review was completed by two authors independently, with any disagreement resolved by consensus by the third author. A table was developed to extract key information from the eligible studies.
Twenty-seven articles were included in the review. Findings highlighted three main patterns: (i) ward nurses' experience; (ii) ward nurses' scope of practice; and (iii) mechanisms affecting ward nurses' engagement with the RRT.
This review identified that the roles and responsibilities of ward nurses during a joint rescue with the RRT are unclear. Multiple mechanisms that impacted the ward nurses' engagement within the RRT were highlighted in this review. Further education and training and specific guidelines on the ward nurses' role during RRT activation events may help the ward nurses feel more valued as a team member of the RRT and be better prepared and trained to provide nursing care during medical emergencies. Due to the limited data available on the topic, more research regarding the role of ward nurses is necessary.
本范围综述的目的是探索现有文献，以确定与病房护士在快速反应团队（RRT）启动以应对患者病情恶化期间的参与度和体验相关的关键现有概念，并突出研究中的差距。
采用了乔安娜·布里格斯研究所的方法。“模式、进展、差距、实践证据和研究建议”框架与《系统评价和Meta分析优先报告项目扩展版：范围综述指南》一起以反思的方式使用，以指导数据综合、图表绘制和研究结果报告。
2023年9月，检索了电子数据库——MEDLINE（Ovid）、CINAHL Complete（通过EBSCO）、Embase、Scopus、PubMed和Google Scholar，以获取已发表的作品，并检索了Web of Science和学位论文网络数字图书馆。检索过程中还进行了灰色文献和参考文献列表的手工检索。
根据纳入和排除标准选择文章。由两名作者独立完成全文综述，如有分歧则由第三位作者通过协商解决。制定了一个表格，从符合条件的研究中提取关键信息。
本综述纳入了27篇文章。研究结果突出了三个主要模式：（i）病房护士的体验；（ii）病房护士的实践范围；（iii）影响病房护士参与RRT的机制。
本综述确定，病房护士在与RRT联合救援期间的角色和职责尚不清楚。本综述强调了多种影响病房护士参与RRT的机制。进一步的教育和培训以及关于病房护士在RRT启动事件中的角色的具体指南，可能有助于病房护士作为RRT团队成员更有价值感，并更好地准备和接受培训，以便在医疗紧急情况期间提供护理。由于该主题的可用数据有限，有必要对病房护士的角色进行更多研究。
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