病房护士在识别和应对临床病情恶化中的作用:范围界定综述。

Nikita Donnelly, Margaret Fry, Rosalind Elliott, Eamon Merrick
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引用次数: 0

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: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:本范围综述旨在探索、绘制和综合与病房护士在识别和应对临床病情恶化方面的作用有关的现有研究:方法:我们进行了一次范围界定审查,以确定只有英文研究侧重于病房护士在识别和应对住院成人临床病情恶化方面的作用。检索词包括 "临床恶化"、"护士"、"病房"、"普通"、"医院、单位 "和 "医院"。在《护理及相关健康文献累积索引》、EMBASE、Ovid MEDLINE、PubMed、ProQuest 和 Science Direct 数据库中检索了符合条件的研究:结果:46 项研究符合纳入标准,并归纳出三大主题:(i) 识别病情恶化;(ii) 护理评估;(iii) 应对患者病情恶化的挑战:综述强调了病房护士在评估、监测、管理和升级临床病情恶化护理方面的角色、活动和技能存在很大差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of the ward nurse in recognition and response to clinical deterioration: a scoping review.

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.

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