Róin Tóra, Axelsen Matilde S, Bunkenborg Gitte
Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.
Research Support Unit, Zealand University Hospital, Roskilde, Denmark.
Scand J Caring Sci. 2025 Sep;39(3):e70064. doi: 10.1111/scs.70064.
Rapid Response Teams (RRTs) are crucial for patient safety, yet their effectiveness hinges on organisational factors, clinical culture, inter-professional collaboration and ward nurse attitudes. Understanding ward nurses' perceptions is vital for optimising RRT impact on patient care and safety culture.
This study aimed to explore general ward registered nurses' perceptions of nurse-led RRTs, focusing on their collaborative experiences and reasons for team activation.
A qualitative exploratory design was employed. Focus group interviews were conducted with 22 general ward nurses across three Danish hospitals, recruited via purposive sampling. A semi-structured interview guide facilitated discussions. Interpretive content analysis with a hermeneutical approach was used to identify key themes.
Participants expressed a predominantly positive perception of RRTs, encapsulated in the core theme: 'A vital and dynamic resource, benefitting patient care and nursing practice'. Key categories included: 'Perceiving patient safety as the main purpose of RRT', 'Supporting nurses' sense of security', 'Delivering practical assistance and teaching', 'Providing patient-centred care' and 'Fostering constructive communication and collaboration'. Nurses found experienced physicians supportive but expressed greater confidence in RRT-nurses compared to junior physicians. Frustration with a lack of physician involvement in treatment limitation and end-of-life care discussions was also noted.
Nurse-led RRTs are valued by ward nurses, providing essential support and bridging multidisciplinary collaboration and communication. However, limitations in the RRT's teaching role suggest a need for supplementary educational strategies. Shared decision-making regarding treatment limitation and end-of-life care is crucial for maximising RRT benefits.
Findings may have limited transferability due to the study's specific healthcare context.
快速反应小组（RRTs）对患者安全至关重要，但其有效性取决于组织因素、临床文化、跨专业协作和病房护士的态度。了解病房护士的看法对于优化RRT对患者护理和安全文化的影响至关重要。
本研究旨在探讨普通病房注册护士对护士主导的RRT的看法，重点关注他们的协作经验和团队启动的原因。
采用定性探索性设计。通过目的抽样法，对丹麦三家医院的22名普通病房护士进行了焦点小组访谈。使用半结构化访谈指南促进讨论。采用诠释学方法进行解释性内容分析，以确定关键主题。
参与者对RRTs表达了主要为积极的看法，核心主题为：“一项至关重要且充满活力的资源，有益于患者护理和护理实践”。关键类别包括：“将患者安全视为RRT的主要目的”、“增强护士的安全感”、“提供实际帮助和教学”、“提供以患者为中心的护理”以及“促进建设性的沟通与协作”。护士们发现经验丰富的医生很支持，但与初级医生相比，他们对RRT护士更有信心。还指出了对医生在治疗限制和临终关怀讨论中缺乏参与感到沮丧。
护士主导的RRTs受到病房护士的重视，提供了重要支持，并架起了多学科协作与沟通的桥梁。然而，RRT教学角色的局限性表明需要补充教育策略。在治疗限制和临终关怀方面进行共同决策对于最大化RRT的益处至关重要。
由于该研究特定的医疗背景，研究结果的可转移性可能有限。
