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. 2022 Jan;9(1):57-65.
doi: 10.1002/nop2.1105. Epub 2021 Nov 10.

Signs and symptoms, apart from vital signs, that trigger nurses' concerns about deteriorating conditions in hospitalized paediatric patients: A scoping review

Claus Sixtus Jensen  1   2   3 , Marianne Lisby  1   2 , Hans Kirkegaard  1 , Mia Ingerslev Loft  4
Affiliations

Signs and symptoms, apart from vital signs, that trigger nurses' concerns about deteriorating conditions in hospitalized paediatric patients: A scoping review

Claus Sixtus Jensen et al. Nurs Open. 2022 Jan.

Abstract

Aim: This scoping review aimed to identify and map the signs and symptoms-apart from vital signs-that trigger nurses' concerns about the deteriorating conditions of hospitalized paediatric patients.

Design: A scoping review was conducted in accordance with the Joanna Briggs Institute methodology.

Methods: Six databases, including MEDLINE, CINAHL, Embase, Scopus, Swemed and ProQuest Dissertations and Theses databases, were searched systematically. Of 5795 citations, seven matched the inclusion criteria.

Results: Objective observations, such as the patient's colour, pain-level changes, and behavioural observations, were identified as signs that would trigger nurses' concerns. Nurse's intuitive feelings or gut feelings when seeing a patient was also identified as an important factor for identifying a deteriorating paediatric patient. A "gut feeling" was described as both a reaction to patient signs and a feeling based on the nurse's intuition gained through experience. The signs or symptoms that would trigger this "gut feeling" were not identified.

Keywords: clinical deterioration; early recognition; nurse intuition; nursing concern; pediatric nursing.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Search results and study selection and inclusion process
See this image and copyright information in PMC

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References

    1. Benner, P. , Hughes, R. G. , & Sutphen, M. (2008). Clinical reasoning, decisionmaking, and action: Thinking critically and clinically. In Hughes R. G. (Ed.), Patient safety and quality: An evidence‐based handbook for nurses Rockville. - PubMed
    1. Benner, P. , Tanner, C. A. , & Chesla, A. C. (2009). Clinical judgment. In Expertise in nursing practice caring, clinical judgment & ethics (2nd ed., pp. 199–232): Springer.
    1. Bonafide, C. P. , Roberts, K. E. , Weirich, C. M. , Paciotti, B. , Tibbetts, K. M. , Keren, R. , Barg, F. K. , & Holmes, J. H. (2013). Beyond statistical prediction: Qualitative evaluation of the mechanisms by which pediatric early warning scores impact patient safety. Journal of Hospital Medicine, 8(5), 248–253. - PubMed
    1. Bowen, L. , Shaw, A. , Lyttle, M. D. , & Purdy, S. (2017). The transition to clinical expert: Enhanced decision making for children aged less than 5 years attending the paediatric ED with acute respiratory conditions. Emergency Medicine Journal, 34(2), 76‐81. 10.1136/emermed-2015-205211 - DOI - PMC - PubMed
    1. Brady, P. W. , & Goldenhar, L. M. (2014). A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. BMJ Quality & Safety, 23(2), 153–161. 10.1136/bmjqs-2012-001747 - DOI - PMC - PubMed

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