Factors Inhibiting Staff Nurses from Activation of Rapid Response Team in Private Tertiary Care Hospital Islamabad, Pakistan
DOI:
https://doi.org/10.37762/jfinph.35Keywords:
Challenges, Nurses, Rapid response team, Cardiopulmonary ArrestAbstract
OBJECTIVES
This study aimed to explore the contributing factors which inhibit the role of nurses in the activation of a rapid response team system in a tertiary care hospital.
METHODOLOGY
A qualitative exploratory study was carried out using focused group discussion in a private tertiary care hospital. The nurse’s viewpoint was determined regarding the increased frequency of Cardiopulmonary Arrests in 2018 as compared to 2017 in the hospital setting. Data were thematically analyzed.
RESULTS
Nurses described rapid response teams as “the team comprising of different healthcare professionals equipped with lifesaving resources to patients who need immediate medical care to prevent health deteriorations or the need of intensive care. There is a “Red Flags” criteria established in the hospital setting to activate the RRT system resulting in the quick arrival of a skilled ICU team with needed resources.
CONCLUSION
Many factors hinder the activation of the Rapid Response Team such as Knowledge about the Rapid Response team, role and responsibility confusion about RRT activation, peer pressure, lack of management support.
References
Hillman KM, Bristow PJ, Chey T, et al. Antecedents to hospital deaths. Intern Med J. 2001;31(6):343-348. doi:10.1046/j.1445-5994.2001. 00077.x
Shapiro SE, Donaldson NE, Scott MB. Rapid response teams seen through the eyes of the nurse. Am J Nurs. 2010;110(6):28-36. doi:10.1097/01.NAJ.0000377686.64479.84
Galhotra S, Scholle CC, Dew MA, Mininni NC, Clermont G, DeVita MA. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-187. doi:10.1111/j.1365-2648.2006.03901.x
Jones L, King L, Wilson C. A literature review: factors that impact on nurses' effective use of the Medical Emergency Team (MET). J Clin Nurs. 2009;18(24):3379-3390. doi:10.1111/j.1365-2702.2009.02944
Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-181. doi:10.1097/NNA.0b013e31819c9ce9
Salamonson Y, van Heere B, Everett B, Davidson P. Voices from the floor: nurses’ perceptions of the medical emergency team. Nurs Crit Care. 2006 ;22(3):138-43.
Douw G, Schoonhoven L, Holwerda T, et al. Nurses' worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review. Crit Care. 2015;19(1):230. Published 2015 May 20.
Shehzad S. Emergency Response Services in Peshawar. Journal of Gandhara Medical and Dental Science. 2015 Oct 20;1(2):1-2
Chua WL, See MTA, Legio-Quigley H, Jones D, Tee A, Liaw SY. Factors influencing the activation of the rapid response system for clinically deteriorating patients by frontline ward clinicians: a systematic review. Int J Qual Health Care. 2018 ;30(6):49
Jackson S, Penprase B, Grobbel C. Factors Influencing Registered Nurses' Decision to Activate an Adult Rapid Response Team in a Community Hospital. Dimens Crit Care Nurs. 2016;35(2):99-107. doi:10.1097/DCC.0000000000000162
Kolluru, Singh, Kanwar, Szpunar, & Saravolatz. Demographic and clinical characteristics of responders and nonresponders to rapid response team interventions. J. Clin. Outcomes Manag., 2010;17(9), (407-412)
Jäderling G, Calzavacca P, Bell M, Martling CR, Jones D, Bellomo R, Konrad D. The deteriorating ward patient: a Swedish–Australian comparison. Intensive Care Med. 2011 ;37(6):1000-5
Beitler JR, Link N, Bails DB, Hurdle K, Chong DH. Reduction in hospital-wide mortality after implementation of a rapid response team: a long-term cohort study. Crit Care. 2011;15(6):R269. doi:10.1186/cc10547
Sandroni C, D'Arrigo S, Antonelli M. Rapid response systems: are they really effective?. Crit Care. 2015;19(1):104. Published 2015 Mar 16. doi:10.1186/s13054-015-0807-y
Gonçales PD, Polessi JA, Bass LM, Santos GD, Yokota PK, Laselva CR, Fernandes Junior C, Cendoroglo Neto M, Estanislao M, Teich V, Sardenberg C. Reduced frequency of cardiopulmonary arrests by rapid response teams. Einstein. 2012 ;10(4):442-8
Ko BS, Lim TH, Oh J, Lee Y, Yun I, Yang MS, Ahn C, Kang H. The effectiveness of a focused rapid response team on reducing the incidence of cardiac arrest in the general ward. Medicine. 2020 Mar;99(10).
Lee BY, Hong SB. Rapid response systems in Korea. Acute and Critical Care. 2019 May;34(2):108
Rocha HA, Alcântara AC, Rocha SG, Toscano CM. Effectiveness of rapid response teams in reducing intrahospital cardiac arrests and deaths: a systematic review and meta-analysis. Revista Brasileira de terapia intensiva. 2018 Jul;30:366-75
