The Front Line of Patient Safety
| Autor: | Joan D. Wynn, Melvin Swanson, Martha Keehner Engelke |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Safety Management Time Factors Health (social science) Critical Care Leadership and Management Cross-sectional study MEDLINE Emergency Nursing Nursing Staff Hospital Nurse's Role Young Adult Patient safety Nursing Health care Humans Medicine Rapid response team Care Planning Patient Care Team Medical Errors business.industry Health Policy Front line Middle Aged Cross-Sectional Studies Scale (social sciences) Female business Emergency nursing |
| Zdroj: | Quality Management in Health Care. 18:40-47 |
| ISSN: | 1063-8628 |
| DOI: | 10.1097/01.qmh.0000344592.63757.51 |
| Popis: | Background In response to growing concerns about patient safety, many hospitals are implementing rapid response teams (RRTs). Although the staff nurse plays a critical role in recognizing the need for the RRT and initiating the call, little is known about actions of staff nurses in relation to the RRT. Objective The purpose of this study was to examine relationships between nurse educational preparation, years of experience, degree of engagement, and the RRT call status (independent vs dependent). Nurse engagement was measured by the Manifestations of Early Recognition Scale. Methods A descriptive correlational design was used. The sample comprised 75 staff nurses at an academic medical center who cared for patients for whom the RRT was called. Educational level and nursing experience were independent predictors of call status, after controlling for effects of other independent variables. Results Independent callers were almost 5 times more likely to have a BSN degree, and almost 4 times more likely to have more than 3 years of experience, than did RNs who called because someone asked them to call. High levels of engagement were also significantly associated with call status, but after controlling for educational level and nursing experience, the relationship was not significant. Conclusions This study has implications for clinicians and managers in health care facilities that rely on RRTs. |
| Databáze: | OpenAIRE |
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