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Patient Deterioration on General Care Units: A Concept Analysis.
Mary Rose Gaughan1, Carla R Jungquist
1School of Nursing, University at Buffalo (SUNY Buffalo), Buffalo, New York.
ANS. Advances in Nursing Science
|December 8, 2021
Summary
Recognizing patient deterioration is crucial for improving outcomes. This study clarifies the concept for nurses, developing an operational definition to aid in early identification and response to changes in patient condition.
Area of Science:
- Nursing
- Patient Safety
- Clinical Concepts
Background:
- Patient deterioration poses a significant risk to patient outcomes.
- A gap exists in nurses' ability to conceptualize and articulate patient deterioration.
- Existing literature on recognizing deterioration on general care floors is insufficient.
Purpose of the Study:
- To explore and clarify the meaning of patient deterioration.
- To identify the attributes, antecedents, and consequences of patient deterioration.
- To develop an operational definition of patient deterioration for nursing practice.
Main Methods:
- Walker and Avant's concept analysis approach was utilized.
- Defining attributes of patient deterioration were identified and analyzed.
- The identified attributes were compared with existing early warning scores.
Main Results:
- Key attributes, antecedents, and consequences of patient deterioration were elucidated.
- An operational definition of patient deterioration was successfully developed.
- The value of the operational definition for nursing practice was established.
Conclusions:
- A clear conceptualization of patient deterioration is vital for effective nursing care.
- The developed operational definition enhances nurses' ability to recognize and respond to deteriorating patients.
- Improved recognition and response to patient deterioration can positively impact patient outcomes.
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