Deteriorating patients and risk assessment among nurses and junior doctors: a review
The presence of nurses and junior doctors in the ward environment are crucial, especially in detecting deteriorating patients. However, there is consistent evidence that warning signs may not always be identified or acted upon. This paper aimed to analyse the incidence of deteriorating patients, a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English English English |
| Published: |
Kulliyyah of Medicine, International Islamic University Malaysia
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/63273/ http://irep.iium.edu.my/63273/ http://irep.iium.edu.my/63273/1/63273_Deteriorating%20Patients%20and%20Risk%20Assessment.pdf http://irep.iium.edu.my/63273/7/63273_Deteriorating%20patients%20and%20risk%20assessment.scopus.pdf http://irep.iium.edu.my/63273/13/63273_Deteriorating%20patients%20and%20risk%20assessment_WoS.pdf |
| Summary: | The presence of nurses and junior doctors in the ward environment are crucial, especially in detecting
deteriorating patients. However, there is consistent evidence that warning signs may not always be
identified or acted upon. This paper aimed to analyse the incidence of deteriorating patients, and the
concept of risk assessment of these patients by nurses and junior doctors in general ward, through a review
on relevant literature. An extensive literature search was conducted through online research databases, i.e.
CINAHL, MEDLINE (Ovid), Science Direct and ProQuest. Professional journals were hand searched for
relevant literature based on reference lists and citations made in key publications, and attempts were also
made to obtain any relevant grey literature (unpublished materials). A total of eleven papers which focused
on patient’s assessment, response to deteriorating patients and knowledge in medication, and a guideline
were reviewed. Most of the studies were carried out in the United Kingdom (n=4), followed by Australia
(n=2), Sweden (n=2), the Netherlands (n=1) and Taiwan (n=1). Meanwhile, among these studies, the chosen
research designs include, qualitative (n=6), quantitative (n=3) and systematic review (n=1). This review
concluded that nurses and junior doctors in general ward have a lack of knowledge in risk assessment of
deteriorating patients. |
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