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Signs and symptoms that trigger nurses' concerns about deteriorating conditions in hospitalized pediatric patients: a

Claus Sixtus Jensen1, Marianne Lisby, Hans Kirkegaard

  • 11Research Centre for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark 2Department of Clinical Medicine, Aarhus University, Aarhus, Denmark 3Department of Paediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark 4Department of Neurology, Rigshospitalet, Glostrup, Denmark.

JBI Evidence Synthesis
|August 20, 2020
PubMed

Insights

Nurses' intuition is key for detecting deteriorating pediatric patients. This review maps signs and symptoms that trigger nurses' concern, even when vital signs appear stable, aiding early intervention.

Area of Science:

  • Pediatric Nursing
  • Patient Safety
  • Clinical Assessment

Background:

  • Standardized assessments like the Pediatric Early Warning Score (PEWS) rely on objective data.
  • Subjective nurse concerns are not integrated into current pediatric early warning systems.
  • Research suggests incorporating 'worry' indicators improves patient outcomes in adults.

Purpose of the Study:

  • To identify and map signs and symptoms that trigger nurses' concerns in hospitalized pediatric patients.
  • To explore subjective indicators of patient deterioration beyond objective vital signs.
  • To inform the development of enhanced early warning systems for pediatric care.

Main Methods:

  • Scoping review following JBI methodology.
  • Searches of major databases: MEDLINE, CINAHL, Embase, Scopus, Swemed.
  • Inclusion of studies on hospital-based nurses caring for pediatric patients (up to 18 years).

Main Results:

  • This section is to be filled once the review is completed.
  • The review will synthesize findings on specific signs and symptoms that raise nurse concern.
  • Results will highlight subjective cues indicative of potential pediatric patient deterioration.

Conclusions:

  • Understanding nurses' intuitive concerns is crucial for early detection of pediatric deterioration.
  • Integrating subjective assessments may improve patient safety and timely medical intervention.
  • Further research is needed to validate and implement these findings into clinical practice.
Abstract

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