Concerns have been well documented about deteriorating patients being missed and that care has not been of a sufficient standard to maintain their safety. This ‘failure to rescue’ remains despite changes in training and critical care experts working with ward staff. Little is known about what influences decision-making at the point a patient deteriorates and prior to referring on to an expert.
The aim of this study was to understand how nurses reach their clinical decisions while caring for a deteriorating patient and to identify the contextual factors that influence that decision-making process. Using grounded theory methodology the study comprised fieldwork, semi-structured interviews and a focus group; participants were 22 nurses and 2 physiotherapists working in general medical and surgical wards.
|Date of Award||Oct 2013|