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Related Concept Videos

Obedience01:08

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Related Experiment Video

Updated: Jan 17, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Intrinsic Influences on Medical Emergency Team Call Stand-Down Decision-Making: An Observational Study.

Natalie A Kondos1,2, Jo McDonall1, Jonathan Barrett2

  • 1School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.

Journal of Advanced Nursing
|September 16, 2025
PubMed
Summary
This summary is machine-generated.

Intensive Care Unit liaison nurses

Keywords:
ICU liaison nurseclinical decision‐makingcritical care outreachintrinsic influencesmedical emergency team (MET)nursingrapid response systems (RRS)

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Area of Science:

  • Clinical Nursing
  • Patient Safety
  • Healthcare Systems

Background:

  • Intensive Care Unit (ICU) liaison nurses, also known as critical care outreach nurses, make crucial decisions regarding medical emergency team (MET) call responses.
  • The factors influencing these 'MET call stand-down' decisions are not well-documented in existing literature.
  • These decisions occur in complex clinical environments where patient deterioration requires timely intervention.

Purpose of the Study:

  • To describe the factors influencing ICU liaison nurses' decisions to stand down a MET call.
  • To explore the intrinsic influences on individual nurses' decision-making processes.
  • To identify potential areas for educational development and support for MET responders.

Main Methods:

  • An exploratory descriptive qualitative study was conducted.
  • Seven ICU liaison nurses were observed during 50 MET call responses and interviewed post-call.
  • Data were collected between March and August 2022 and analyzed using inductive content analysis.

Main Results:

  • ICU liaison nurses' decisions to stand down MET calls were influenced by three intrinsic factors: propositional knowledge, experiential knowledge, and situational knowledge.
  • Information processing styles also played a significant role in these decisions.
  • Nurses utilized these intrinsic factors to support their decision to terminate a MET call response.

Conclusions:

  • Understanding the intrinsic factors influencing ICU liaison nurses' MET call stand-down decisions is vital.
  • Findings can inform educational strategies for MET responders, addressing potential biases and heuristics in clinical decision-making.
  • The study's implications are applicable internationally to various rapid response systems and critical care outreach teams.