rapid response teams Archives

July Issue Highlights: Magnet vs. Non-Magnet Hospitals, Rapid-Response Team Activation Barriers, More

“Health care workers need a break. . . . a respite from trudging from room to room or house to house, donning and doffing gowns and masks and gloves . . .”—editor-in-chief Shawn Kennedy in her July editorial, “In the Aftermath”

The July issue of AJN is now live. Check out the highlights:

Original Research: How Magnet Hospital Status Affects Nurses, Patients, and Organizations: A Systematic Review

The authors analyze the current evidence comparing Magnet and non-Magnet hospitals to determine whether different outcomes exist between them—and provide new information regarding the economic impact of Magnet recognition.

The Effects of Smoking on Bone Health and Healing

A review of the effects of smoking on bone health, the importance of smoking cessation among patients scheduled for or recovering from orthopedic surgery, and the vital role nurses play in supporting patient efforts to quit.

Special Feature: Perceived Barriers to Rapid Response Team Activation Among Nurses

This literature review explores the major barriers many nurses face in calling the rapid response team—and how those barriers might be overcome.

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Diane Szulecki, editor2020-06-29T10:05:38-04:00June 29th, 2020|Nursing|0 Comments

AJN in March: Caring for Dying Prisoners, RRTs, Sexual Abuse and Survivorship, Anencephaly, More

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This month’s cover shows an elderly prisoner being handcuffed before transportation to a local hospital. Older inmates like this one represent the fastest growing age demographic in the U.S. prison population.

An important role in the care of prisoners is often filled by other inmates. The ambulance transporting the prisoner on our cover was staffed by inmates, for example, and inmates can be trained to care for sick prisoners, especially the terminally ill. For an in-depth look at the current state of care delivery for dying inmates, read “End-of-Life Care Behind Bars: A Systematic Review.”

Some other articles of note in the March issue:

Original Research: “The Benefits of Rapid Response Teams: Exploring Perceptions of Nurse Leaders, Team Members, and End Users.” It matters how a health care facility’s members regard its rapid response team (RRT). Subjective perceptions that the program has benefits—even in the absence of objective confirmation—tend to be associated with its continued use and long-term sustainability. This qualitative study investigates the perceptions of nurse leaders, RRT members, and RRT users concerning the benefits of RRTs. Its findings suggest several recommendations for practice, policy, and further research.

CE Feature: “Revisiting Child Sexual Abuse and Survivor Issues.” Child sexual abuse is a global issue that all nurses must be aware of as they care for children in various care settings. This article focuses on the prevalence, potential risk factors, and […]

Diane Szulecki, editor2016-11-21T13:01:25-05:00February 26th, 2016|Nursing, nursing perspective|0 Comments

System Barriers to RN Activation of Rapid Response Teams: New Evidence

By Sylvia Foley, AJN senior editor

Rapid response teams (RRTs) in acute care facilities are there to decrease mortality from preventable complications. But there is evidence that RRT systems “aren’t working as designed, particularly with regard to problems in the activation stage,” according to nurse researcher Jane Saucedo Braaten.

Figure 1. Five Domains of Cognitive Work Analysis and Corresponding Study Questions (click image to enlarge)

Interested in how hospital system factors influence RNs’ activation behavior, Braaten decided to investigate further. She reports on her findings in this month’s CE–Original Research feature, “Hospital System Barriers to Rapid Response Team Activation: A Cognitive Work Analysis.” Here’s a summary.

Purpose: To use cognitive work analysis to describe factors within the hospital system that shape medical–surgical nurses’ RRT activation behavior.
Methods: Cognitive work analysis offers a framework for the study of complex sociotechnical systems and was used as the organizing element of the study. Data were obtained from interviews with 12 medical–surgical nurses and document review.
Results: Many system factors affected participants’ activation decisions. Systemic constraints, especially in cases of subtle or gradual clinical changes, included a lack of adequate information, the availability of multiple strategies, the need to justify RRT activation, a scarcity of human resources, and informal hierarchical norms in the […]

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Guest Author2017-07-27T14:42:21-04:00February 6th, 2015|nursing perspective, nursing research|1 Comment

AJN in February: Rapid Response Teams, Complications of CHD Repair, Managing Type 2 Diabetes, More

AJN’s February issue is now available on our Web site. Here’s a selection of what not to miss.

Rapid response teams (RRTs) are teams of expert providers who can be called on in an emergency to treat patients before their condition deteriorates. The success of an RRT depends on whether it is activated properly, a task that often falls to staff nurses. The original research article, “Hospital System Barriers to Rapid Response Team Activation: A Cognitive Work Analysis,” describes the factors affecting nurses’ decisions to activate RRTs. This CE feature offers 3 CE credits to those who take the test that follows the article.

Further explore this topic by listening to a podcast interview with the author (this and other free podcasts are accessible via the Behind the Article podcasts page on our Web site, in our iPad app, or on iTunes).

Long-term complications after congenital heart defect (CHD) repair. Nurses often encounter patients with complications that occurred years after CHD repair. “Long-Term Outcomes After Repair of Congenital Heart Disease: Part 2” reviews four common CHDs, their repairs, common long-term outcomes, and implications for nurses in both cardiac and noncardiac settings. This article offers 2.5 CE credits to those who take the test that follows the article.

Making nurses full partners in reforming health care. The Institute of Medicine’s report, The […]

Amy M. Collins, managing editor2016-11-21T13:03:07-05:00January 29th, 2015|career, Nursing, nursing perspective|0 Comments

What Is the Role of the Staff Nurse on a Medical Emergency Team?

By Sylvia Foley, AJN senior editor

There is strong evidence that a hospital’s use of a medical emergency team (MET) helps to decrease the rates of in-hospital cardiac arrests, unplanned ICU admissions, and overall hospital mortality. (A MET is similar to a rapid response team, but is typically led by a physician rather than by a nurse.)

But our understanding of such teams is incomplete. Nurse researcher Margaret Pusateri and colleagues set out to explore, in particular, the role of non-ICU staff nurses during a MET call. They wanted to better understand such nurses’ familiarity with and perceptions of the MET, and possibly, to increase the team’s effectiveness. So they sent a survey to 388 non-ICU staff nurses at a large urban teaching hospital; 131 nurses (34%) responded.

The authors report on the results in May’s CE feature (for optimum reading, open the PDF version). Among their findings:

Nearly three-quarters of the respondents had participated in a MET call.
The most common actions they reported taking during the call included relaying patient history, initiating the call, and documenting MET data.
But fewer than half of the respondents agreed or strongly agreed with the statements “I feel comfortable with my role as a member of the MET” and “I know what my role as a member of the MET is.” […]

Guest Author2016-11-21T13:12:55-05:00May 25th, 2011|nursing perspective, nursing research|1 Comment