Impact of professionalism in nursing on in‐hospital bedside monitoring practice
- 27 August 2012
- journal article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 69 (7), 1466-1477
- https://doi.org/10.1111/jan.12003
Abstract
AIM: This article reports a study exploring nursing practice of monitoring in-hospital patients including intra- and interprofessional communication and collaboration. BACKGROUND: Sub-optimal care in general in-hospital wards may lead to admission for intensive care, cardiac arrest, or sudden death. Reasons may include infrequent measurements of vital parameters, insufficient knowledge of their predictive values, and/or sub-optimal use of Medical Emergency Teams. This study was designed to improve understanding of nursing practice and to identify changes required to support nursing staff in improving standards of clinical monitoring practice and patient safety in general in-hospital wards. DESIGN: The study was designed as a qualitative descriptive clinical study, based on method triangulation including structured individual observations and semi-structured individual interviews. METHODS: In the spring of 2009, structured observations and semi-structured interviews of 13 nurses were carried out at a university hospital in Copenhagen, Denmark. The observational notes and interview transcriptions were analysed using content analysis. RESULTS: One theme (Professionalism influences nursing monitoring practice) and two sub-themes (Knowledge and skills and Involvement in clinical practice through reflections) were identified. Three categories (Decision-making, Sharing of knowledge, and Intra- and interprofessional interaction) were found to be associated with the theme, the sub-themes, and with each other. CONCLUSION: Clinical monitoring practice varies considerably between nurses with different individual levels of professionalism. Future initiatives to improve patient safety by further developing professionalism among nurses need to embrace individual and organizational attributes to strengthen their practice of in-hospital patient monitoring and managementKeywords
Funding Information
- TrygFonden
This publication has 49 references indexed in Scilit:
- The Professionalism and Environmental Factors in the Workplace Questionnaire®: development and psychometric evaluationJournal of Advanced Nursing, 2009
- The impact of introducing medical emergency team system on the documentations of vital signsResuscitation, 2009
- Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?Health Affairs, 2009
- The rapid response team paradox: Why doesnʼt anyone call for help?*Critical Care Medicine, 2008
- Packaging: a grounded theory of how to report physiological deterioration effectivelyJournal of Advanced Nursing, 2005
- Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective studyResuscitation, 2004
- Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based studyBMJ, 2003
- A prospective before‐and‐after trial of a medical emergency teamThe Medical Journal of Australia, 2003
- Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary studyBMJ, 2002
- A concept analysis of autonomyJournal of Professional Nursing, 1998