Intensive and Critical Care Nursing
Volume 25, Issue 4 , Pages 169-180 , August 2009

What factors influence suboptimal ward care in the acutely ill ward patient?

  • Debbie Massey

      Affiliations

    • Griffith University, Kessels Road, Nathan, Qld 4111, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 7 3735 5221; fax: +61 7 3735 7984.
  • ,
  • Leanne M. Aitken

      Affiliations

    • Research Centre for Clinical and Community Practice Innovation, Griffith University and Princess Alexandra Hospital, Brisbane, Qld, Australia
  • ,
  • Wendy Chaboyer

      Affiliations

    • Research Centre for Clinical and Community Practice Innovation (RCCCPI), Gold Coast Campus, Griffith University, Qld 4222, Australia
    • Tel.: +61 7 5552 8518; fax: +61 7 5552 8526.

References 

  1. Aiken LH, Clarke SP, Sloane DM, Sochalski J. Cause for concern: nurses reports of hospital care in five countries. LDI Issue Brief. 2001;6(8):1–4
  2. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987–1993
  3. Andrews T, Waterman H. Packaging: a grounded theory of how to report physiological deterioration effectively. J Adv Nurs. 2005;52(5):473–481
  4. Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678–1686
  5. Ball C. Registered nurses, in acute hospital settings, have a positive impact on patient outcome—its official!. Intens Crit Care Nurs. 2004;20(5):243–244
  6. Ball C. Sick hospitals—is there a cure?. Intens Crit Care Nurs. 2006;22(5):251–252
  7. Benner P, Tanner C, Chesla C. From beginner to expert: gaining a differentiated clinical world in critical care nursing. Adv Nurs Sci. 1992;14(3):13–28
  8. Brennan TA, Hebert LE, Laird NM, Lawthers A, Thorpe KE, Leape LL, et al. Hospital characteristics associated with adverse events and substandard care. JAMA. 1991;265(24):3265–3269
  9. Bristow PJ, Hillman KM, Chey T, Daffurn K, Jacques TC, Norman SL, et al. Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust. 2000;173(5):236–240
  10. Buist M, Bellomo R. MET: the emergency medical team or the medical education team?. Crit Care Resusc. 2004;6(2):88–91
  11. Buist MD, Jarmolowski E, Burton PR, Bernard SA, Waxman BP, Anderson J. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. A pilot study in a tertiary-care hospital. Med J Aust. 1999;171(1):22–25
  12. Buist M, Bernard S, Anderson J. Epidemiology and prevention of unexpected in-hospital deaths. Surgeon. 2003;1(5):265–268
  13. Cioffi J. Nurses’ experiences of making decisions to call emergency assistance to their patients. J Adv Nurs. 2000;32(1):108–114
  14. Cioffi J. Recognition of patients who require emergency assistance: a descriptive study. Heart Lung: J Acute Crit Care. 2000;29(4):262–268
  15. Clancy J, McVicar A, Bird D. Getting it right? An exploration of issues relating to the biological sciences in nurse education and nursing practice. J Adv Nurs. 2000;32(6):1522–1532
  16. Clarke SP. Failure to rescue: lessons from missed opportunities in care. Nurs Inq. 2004;11(2):67–71
  17. Clarke SP, Aiken LH. Failure to rescue. Am J Nurs. 2003;103(1):42–47
  18. Considine J, Botti M. Who, when and where? Identification of patients at risk of an in-hospital adverse event: implications for nursing practice. Int J Nurs Pract. 2004;10(1):21–31
  19. Coombs M, Dillon A. Crossing boundaries, re-defining care: the role of the critical care outreach team. J Clin Nurs. 2002;11(3):387–393
  20. Cox H, James J, Hunt J. The experiences of trained nurses caring for critically ill patients within a general ward setting. Intens Crit Care Nurs. 2006;22(5):283–293
  21. Cretikos M, Hillman K. The medical emergency team: does it really make a difference?. Intern Med J. 2003;33(11):511–514
  22. Cullinane M, Findlay G, Hargraves C, Lucas S. An acute problem. In: Death NECEPOD London; 2005.
  23. Cutler LR. From ward-based critical care to educational curriculum 2: a focussed ethnographic case study. Intens Crit Care Nurs. 2002;18(5):280–291
  24. Daffurn K, Lee A, Hillman KM, Bishop GF, Bauman A. Do nurses know when to summon emergency assistance?. Intens Crit Care Nurs. 1994;10(2):115–120
  25. Franklin C, Mathew J. Developing strategies to prevent in hospital cardiac arrest: analysing responses of physicians and nurses in the hours before the event. Crit Care Med. 1994;22(2):244–247
  26. Garrard C, Young D. Suboptimal care of patients before admission to intensive care is caused by a failure to appreciate or apply the ABCs of life support. BMJ. 1998;316(7148):1841–1842
  27. Goldhill DR, Sumner A. Outcome of intensive care patients in a group of British intensive care units. Crit Care Med. 1998;26(8):1337–1345
  28. Goldhill DR, Worthington L, Mulcahy A, Tarling M, Sumner A. The patient-at-risk team: identifying and managing seriously ill ward patients. Anaesthesia. 1999;54(9):853–860
  29. Gorard D, Walshe K, Wood J, Smith A, Youngs PJ, Ringrose T, et al. Suboptimal ward care of critically ill patients. BMJ. 1999;318(7175):51
  30. Hodgetts TJ, Kenward G, Vlackonikolis I, Payne S, Castle N, Crouch R, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002;54(2):115–123
  31. Jacques T, Harrison GA, McLaws ML, Kilborn G. Signs of critical conditions and emergency responses (SOCCER): a model for predicting adverse events in the inpatient setting. Resuscitation. 2006;69(2):175–183
  32. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An evaluation of outcome from intensive care in major medical centres. Ann Intern Med. 1986;104(3):410–418
  33. McGloin H, Adam SK, Singer M. Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable?. J R Coll Phys. 1999;33(3):255–259
  34. McQuillan P, Pilkington S, Allan A, Taylor B, Short A, Morgan G, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316(7148):1853–1858
  35. Neale G, Chapman EJ, Hoare J, Olsen S. Recognising adverse events and critical incidents in medical practice in a district general hospital. Clin Med. 2006;6(2):157–162
  36. Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715–1722
  37. Needleman J, Buerhaus PI, Stewart M, Zelevinsky K, Mattke S. Nurse staffing in hospitals: is there a business case for quality?. Health Aff (Millwood). 2006;25(1):204–211
  38. Polit D, Beck C. Essentials of nursing research: methods, appraisal and utilization. 6th ed.. Philadelphia: Lippincott; 2006;
  39. Robson WP. An evaluation of the evidence base related to critical care outreach teams—2 years on from comprehensive critical care. Intens Crit Care Nurs. 2002;18(4):211–218
  40. Sloan G, Watson H. Clinical supervision models for nursing: structure, research and limitations. Nurs Stand. 2002;17(4):41
  41. Smith GB, Poplett N. Knowledge of aspects of acute care in trainee doctors. Postgrad Med J. 2002;78(920):335–338
  42. Smith GB, Poplett N. Impact of attending a 1-day multiprofessional course (ALERT) on the knowledge of acute care in trainee doctors. Resuscitation. 2004;61(2):117–122
  43. Smith GB, Osgood VM, Crane S. ALERT—a multiprofessional training course in the care of the acutely ill adult patient. Resuscitation. 2002;52(3):281–286
  44. Story DA, Shelton AC, Poustie SJ, Colin-Thome NJ, McNicol PL. The effect of critical care outreach on postoperative serious adverse events. Anaesthesia. 2004;59(8):762–766[see comment]
  45. Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified Early Warning Score in medical admissions. BMJ. 2001;94(10):521–526
  46. Subbe CP, Parker MR, Ball C, Kirkby M, Williams S. Critical care outreach team's effect on patient outcome. BMJ. 2004;328(7435):347
  47. Subbe CP, Slater A, Menon D, Gemmell L. Validation of physiological scoring systems in the accident and emergency department. Emerg Med J. 2006;23(11):841–845
  48. Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(1):4–8
  49. Tourangeau AE, Doran DM, Hall LM, O’Brien Pallas L, Pringle D, Tu JV, et al. Impact of hospital nursing care on 30-day mortality for acute medical patients. J Adv Nurs. 2007;57(1):32–44
  50. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001;322(7285):517–519
  51. West SL. Physical assessment: whose role is it anyway?. Nurs Crit Care. 2006;11(4):161–167
  52. Wilson RM, Harrison BT, Gibberd RW, Hamilton JD. An analysis of the causes of adverse events from the Quality in Australian Health Care Study. Med J Aust. 1995;170(9):411–415
  53. Wood J. Clinical supervision. Br J Perioper Nurs. 2004;14(4):151

PII: S0964-3397(09)00025-1

doi: 10.1016/j.iccn.2009.03.005

Intensive and Critical Care Nursing
Volume 25, Issue 4 , Pages 169-180 , August 2009