Nurses’ Perceptions of Escalation Practices for the Deteriorating Patient - Nursing Assignment Help

Assignment Task

INTRODUCTION - A high level of care is required when managing unwell patients to prevent deterioration. Escalation of care for deteriorating patients must be adhered to without delay. Medical Emergency Teams (METs) and observation and response charts (ORC) have been implemented throughout Australia to reduce negative patient outcomes. However, research shows that nurses are still not escalating care for patients who show signs of deterioration, leading to adverse events like unplanned ICU admissions and death (King, Belan, & Wilson, 2019).

Literature Review - A comprehensive search of the literature was performed across relevant databases. A total of 18 articles were identified that were relevant to the research aim. Six themes were identified from the literature that identified the perceived barriers or facilitators for escalating practices. These included the perceived benefits of MET for managing deteriorating patients, perceptions of the MET team, ward culture, confidence in own decision-making, escalation protocols and tools and perceived obstacles in using the MET service. These themes guided the objectives of the research.

Research aim: To explore nurses’ perceptions of the barriers and facilitators of escalation practices across three wards at Sir Charles Gairdner Hospital (SCGH) in Western Australia.

Objectives: 1) To explore nurses’ perceptions on the benefit of the MET for managing deterioratingpatients

2) To explore nurses’ perceptions of the MET team

3) To explore nurses’ perception of ward culture and its relationship to management of the deteriorating patient Visual representation of demographic data: 

4) To explore nurses’ confidence in their own decision-making in relation to escalation practices of the deteriorating patient

5) To explore nurses’ perception of the obstacles to using the METservice

6) To explore nurses’ perception of escalation protocols and tools

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