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Ward nurses' perceptions of clinical trigger questions.

Martin Carberry1, Pauline Clements1, Elaine Headley1

  • 1NHS Lanarkshire.

Nursing Times
|March 7, 2014
PubMed
Summary

Ward nurses found clinical trigger questions beneficial for identifying deteriorating patients and improving referrals. These questions enhance patient safety by providing a structured approach to recognizing and escalating care for at-risk individuals.

Area of Science:

  • Nursing
  • Patient Safety
  • Clinical Assessment

Background:

  • Early warning scoring systems are crucial for patient monitoring.
  • Identifying sick patients promptly is essential for effective healthcare.
  • Clinical trigger questions aim to enhance the early detection of patient deterioration.

Purpose of the Study:

  • To evaluate ward nurses' perceptions of clinical trigger questions.
  • To assess the utility of trigger questions in identifying sick patients.
  • To understand the impact of trigger questions on patient referral processes.

Main Methods:

  • A service evaluation was conducted in three acute hospitals.
  • Anonymous questionnaires were distributed to 633 ward nurses.
  • Descriptive statistics were used to analyze the collected data.

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Main Results:

  • A response rate of 61.4% (n=389) was achieved.
  • 56.9% of nurses felt trigger questions altered their perception of patient risk.
  • 85.7% believed the questions aided in identifying sick patients, and 87.5% found they improved referrals.

Conclusions:

  • Nurses perceived clinical trigger questions as valuable tools.
  • Trigger questions can serve as a framework for patient escalation and referral.
  • These questions support ward staff in recognizing deteriorating patients.