Patel, R. (2022). Nurse expertise saves lives through early recognition of patient deterioration. Master's thesis, University of Auckland, Auckland. Retrieved May 3, 2024, from https://hdl.handle.net/2292/62214
Abstract: Explores and identifies factors associated with nurse concern when patient deterioration is recognised in the absence of an emergency activation score such as early warning scoring (EWS) or the physiologically-unstable patient (PUP) tool. Describes the two phases of the multi-site and mixed-methods study: retrospective chart review of 19,326 referrals for emergency assistance; and seven focus group discussions with 29 nurses about what they do when concerned about patient deterioration in the absence of an EWS. Highlights the role of nurse expertise, knowledge and skill in identifying patient deterioration prior to the activation score on an EWS.
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Marshall, D., & Finlayson, M. (2022). Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved May 3, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.04
Abstract: Aims to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient, and to elicit insight into the potential errors in decision-making inexperienced nurses commonly make in the same situation. Conducts three sequential in-depth interviews with six experienced surgical nurses to identify five cognitive demands required of nurses to ascertain deterioration and the cognitive skills necessary to respond to these cognitive demands: the task diagram interview, the knowledge audit interview and the simulation interview.
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