کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2652044 1139577 2016 8 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Monitoring cardiorespiratory instability: Current approaches and implications for nursing practice
ترجمه فارسی عنوان
نظارت بر بی ثباتی قلبی تنفسی: روش های فعلی و مفاهیم برای پرستاری
کلمات کلیدی
علائم حیاتی. نظارت فیزیولوژیک؛ بی ثباتی قلبی تنفسی؛ نمرات هشدار دهنده؛ سیستم واکنش سریع؛ تیم اورژانس پزشکی؛ نظارت پرستاری
Vital signs; Physiologic monitoring; Cardiorespiratory instability; Early warning scores; Rapid response systems; Medical emergency team; Nursing surveillance
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryUnrecognised in-hospital cardiorespiratory instability (CRI) risks adverse patient outcomes. Although step down unit (SDU) patients have continuous non-invasive physiologic monitoring of vital signs and a ratio of one nurse to four to six patients, detection of CRI is still suboptimal. Telemedicine provides additional surveillance but, due to high costs and unclear investment returns, is not routinely used in SDUs. Rapid response teams have been tested as possible approaches to support CRI patients outside the intensive care unit with mixed outcomes. Technology-enabled early warning scores, though rigorously studied, may not detect subtle instability. Efforts to utilise nursing intuition as a means to promote early identification of CRI have been explored, but the problem still persists. Monitoring systems hold promise, but nursing surveillance remains the key to reliable early detection and recognition. Research directed towards improving nursing surveillance and facilitating decision-making is needed to ensure safe patient outcomes and prevent CRI.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 34, June 2016, Pages 12–19
نویسندگان
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