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Nurses' Perceptions of Barriers to Rapid Response System Activation: A Systematic Review
Ricardo M Padilla1, Linda D Urden, Kathleen M Stacy
1Ricardo M. Padilla, PhD(c), MSN, RN, CCRN, is an assistant clinical professor and PhD student at the University of San Diego, Hahn School of Nursing and Health Science, California. Linda D. Urden, DNSc, RN, CNS, NE-BC, FAAN, is a professor at the University of San Diego, Hahn School of Nursing and Health Science, California. Kathleen M. Stacy, PhD, RN, APRN-CNS, CCNS, is a clinical associate professor at the University of San Diego, Hahn School of Nursing and Health Science, California.
Nurses sometimes hesitate to activate the Rapid Response System (RRS), potentially harming patients. Understanding these barriers is key to improving patient safety and ensuring timely interventions for deteriorating patients.
Area of Science:
- Nursing
- Patient Safety
- Healthcare Systems
Background:
- The Rapid Response System (RRS) aims to address clinical deterioration in non-critical care settings.
- Nurses' underutilization of the RRS is linked to adverse patient outcomes.
Purpose of the Study:
- To systematically review and identify nurses' perceived barriers to RRS activation.
- Focus on the adult inpatient setting.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Searched six electronic databases (2007-present, full-text, peer-reviewed, English).
- Included quantitative studies in adult inpatient settings.
Main Results:
- Reviewed 8 articles from an initial 149.
- Identified key barriers: activator-responder interaction, physician influence, nurse education, and nurse experience.
Conclusions:
- Nurses are crucial for early detection and intervention.
- Inconsistent RRS activation negatively impacts patient outcomes.
- Addressing perceived barriers can improve RRS activation and patient safety.