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"Transforming nursing assessment in acute hospitals: A cluster randomis" by Clint Douglas, Sergey Alexeev et al.

Background: Patient safety is threatened when early signs of clinical deterioration are missed or not acted upon. This research began as a clinical–academic partnership established around a shared concern of nursing physical assessment practices on general wards and delayed recognition of clinical deterioration. The outcome was the development of a complex intervention facilitated at the ward level for proactive nursing surveillance. Methods: The evidence-based nursing core assessment (ENCORE) trial was a pragmatic cluster-randomised controlled trial. We hypothesised that ward intervention would reduce the incidence of patient rescue events (medical emergency team activations) and serious adverse events. We randomised 29 general wards in a 1:2 allocation, across 5 Australian hospitals to intervention (n = 10) and usual care wards (n = 19). Skilled facilitation over 12 months enabled practitioner-led, ward-level practice change for proactive nursing surveillance. The primary outcome w ....

Clinical Deterioration , Nursing Assessment , Patient Safety , Pragmatic Clinical Trial ,

"The ACCELERATE Plus (assessment and communication excellence for safe " by Mark Liu, Susan Whittam et al.

Background: Nurses play an essential role in patient safety. Inadequate nursing physical assessment and communication in handover practices are associated with increased patient deterioration, falls and pressure injuries. Despite internationally implemented rapid response systems, falls and pressure injury reduction strategies, and recommendations to conduct clinical handovers at patients’ bedside, adverse events persist. This trial aims to evaluate the effectiveness, implementation, and cost–benefit of an externally facilitated, nurse-led intervention delivered at the ward level for core physical assessment, structured patient-centred bedside handover and improved multidisciplinary communication. We hypothesise the trial will reduce medical emergency team calls, unplanned intensive care unit admissions, falls and pressure injuries. Methods: A stepped-wedge cluster randomised trial will be conducted over 52 weeks. The intervention consists of a nursing core physical assessment, str ....

New Zealand , Code Blue , Australian New Zealand Clinical Trials Registry , Clinical Handover , Cost Benefit Analysis , Evidence Based Nursing , Implementation Science , Learning Health System , Ultidisciplinary Handover Communication , Nursing Assessment , Patient Safety , Process Evaluation , Randomised Controlled Trial ,

Registration | Substance abuse

Registration | Substance abuse
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Department Social Development , Department Of Health , Authority Certification , Department Of Social Development , Substance Abuse Act , Social Development , Local Authority , Nursing Assessment ,

Nursing Assessment Software: The Future of Patient Care

In this article, we will explore the benefits of nursing assessment software, discuss the features to look for when selecting a program, and examine the future of this technology. ....

Understanding Nursing Assessment Software , Nursing Assessment Software , Healthcare Staffing Hire , Nursing Assessment ,

"'REDI TO CHAT?' Evaluating the effect of two structured tools on the c" by Amy Montgomery, Mary Kearns et al.

Objective: The objective of the study was to evaluate the effect of two self-designed structured clinical tools on overall self-perceptions of confidence in the assessment, management and communication of acutely unwell residents in nursing and care staff of residential aged care facilities (RACFs). Methods: Quasi-experimental pre-post design using surveys in 22 RACFs in Metropolitan Sydney, Australia. A convenience sample of 254 nursing and care staff were recruited. Two structured tools were developed to enhance confidence: (1) RACF Emergency Decision Index (REDI) and (2) Clinical Handover Assessment Tool (CHAT). The REDI is a clinical decision guide for treatment implementation and escalation, and the CHAT is a structured communication aid. Surveys were administered to participating nursing and care staff working within the RACFs prior to the implementation of the two structured tools (T0) and 6 months later (T1). Results: There was a significant increase in reported overall confide ....

Metropolitan Sydney , Decision Index , Clinical Handover Assessment Tool , Baseline Confidence , Assessment Scale , Management Scale , Clinical Handover , Geriatric Nursing , Nursing Assessment , Nursing Homes , Self Efficacy ,