Author : Marie Perry
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Book Synopsis Significance of Early Intervention in Activating the Rapid Response System by : Marie Perry
Download or read book Significance of Early Intervention in Activating the Rapid Response System written by Marie Perry and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rapid response systems (RRSs) have been proven to decrease cardiopulmonary arrests, mortality, and critical care admissions. The three main reasons discovered leading to failure of rescue are: breakdown in communication, failure to monitor patient's decline or deterioration, and failure to escalate and activate. It is imperative within a hospital, as an initial defense, that nurses have general knowledge of when, why, and how to activate the rapid response system and to recognize impending signs and symptoms of patient decline. Research has revealed that, a patient's baseline begins to deteriorate on average 6.5 hours prior to an unexpected event happens and seventy percent of such episodes are preventable (Thomas, Vanoyen, Rasmussen, Dodd, and Whilden, 2007). Nurses do not always act on patient's decline even though decline is noticed. Nurses require training regarding the specific RRS programs in place at the organizations they work. Improvement of knowledge, building on skills, and expanding critical thinking for bedside nurses is desirable for positive patient outcomes. Therefore, the organizational culture and structural leadership between managers, supervisors, and subordinates plays a huge deal in nurses activating the RRS in a timely manner. If this is factual, then it would rationally follow that by executing a leadership driven educational initiative, it will be conceivable to improve structural culture and philosophy, and therefore improve patient outcomes and care delivery. The PICOT question for the present project is: In hospitalized patients (P) how does a well-educated knowledgeable trained staff (I) compared to a newer less educated trained staff (C) affect the number of rapid responses activated in a timely manner and in adversely cardiopulmonary arrests and unplanned admissions to the icu (O) in a small new community hospital over a year (T)? Based on the nurse's intuition, as demonstrated through qualitative and quantitative studies, the reasoning behind activation delay will be determined in this paper. This paper will explain how using the transformational leadership approach and Roy's Adaptation Model nurses can be guided to make intuitive decisions and become more knowledgeable with proper training, simulation, and guidance. This proposal will start with an implementation plan, including approval methods from key stakeholders involved, description and explanation of the issue and proposed solutions, rationale for the solution using evidence based literature, description of implementation logistics, and resources required for implementation. Using a mixed methods approach, the evaluation will consist of qualitative methods, being focus groups and simulation, and the quantitative method will involve statistical analysis. It has been implied that the key qualitative variable will entail nurse perception, and that the key quantitative variable will be positive clinical patient outcomes. The ultimate aspiration of this project is to foster and advance an educational intervention in a new organization, related to rapid response systems and teams, by increasing the knowledge base of floor nurses and determining learned perceptions and attitudes of skilled registered nurses. By implementing this evaluation plan, the researcher should be able to obtain a holistic picture of the effectiveness of this proposal.
