Nurses' decision-making, practices and perceptions of patient involvement in medication administration in an acute hospital setting.
To describe nurses' decision-making, practices and perceptions of patient involvement in medication administration in acute hospital settings.Medication errors cause unintended harm to patients. Nurses have a major role in ensuring patient safety in medication administration practices in hospital settings. Investigating nurses' medication administration decision-making and practices and their perceptions of patient involvement, may assist in developing interventions by revealing how and when to involve patients during medication administration in hospital.A descriptive exploratory study design.Twenty nurses were recruited from two surgical and two medical wards of a major metropolitan hospi…
Providing timely quality care after-hours: Perceptions of a hospital model of care
Abstract Background Nurses working night shift are key-players in the acute care team, however, their work environment has been characterised by suboptimal leadership, communication inadequacies, limited resources, and a lack of adequate support. Aim The aim of this study was to investigate nurses' perceptions of the Hospital at Night Team, a nursing model of care implemented to provide timely quality nursing care after-hours. Methods The study used a descriptive design. Five focus groups were conducted, with a total of 34 nurses from 14 wards across a 600+ bed tertiary referral teaching hospital in Melbourne, Australia, one year after the Hospital at Night Team implementation. Focus group …
The pre-Medical Emergency Team response: Nurses' decision-making escalating deterioration to treating teams using urgent review criteria.
Aim To describe nurses' decision-making, experiences and perceptions of escalating deteriorating patients to the treating medical team using urgent clinical review criteria. Design A qualitative design comprising individual in-depth interviews with nurses from a major Australian metropolitan tertiary teaching hospital. Method A purposive sample of 30 Registered Nurses from nine surgical and medical wards were interviewed in April 2018 using semi-structured interviews. An inductive thematic analysis was conducted. Results Identified themes included: detecting the deterioration; countering the problem; getting a response; and challenges faced in the process of escalation. Nurses reported an i…