How Fast Is My Patient Deteriorating? A Qualitative Description Study of A Concern Factor Tool to Support Nurses' Communication and Prioritization Decision Making: An Exemplar on A COVID-19 Unit.

IF 2.2 4区 医学 Q2 NURSING Advances in Nursing Science Pub Date : 2025-07-01 Epub Date: 2025-07-22 DOI:10.1097/ANS.0000000000000558
Christine W Nibbelink, Kristine Mendoza, Hannah Harding, Willa Fields
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Abstract

This study used qualitative description to describe factors influencing nurses' use of the Concern Factor tool to support decision making in acute care settings. Twenty-two nurses participated in interviews. Three main themes included: (1) The Concern Factor tool supported consistent and effective communication toward team understanding of patient status, (2) The Concern Factor tool supported nurses' identification of patterns and prioritization of patient care needs rooted in previous clinical experience, and (3) The flexible and intuitive design of the Concern Factor tool supported usability for nursing practice. Findings provide new information to support nurse communication and prioritization decision making.

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我的病人病情恶化有多快?支持护士沟通和优先级决策的关注因素工具的定性描述研究:以COVID-19病房为例
本研究采用定性描述来描述影响护士在急症护理环境中使用关注因素工具来支持决策的因素。22名护士参加了访谈。三个主要主题包括:(1)关注因子工具支持团队对患者状态的一致和有效的沟通;(2)关注因子工具支持护士根据以往的临床经验识别患者护理需求的模式和优先级;(3)关注因子工具灵活直观的设计支持护理实践的可用性。研究结果为支持护士沟通和优先决策提供了新的信息。
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来源期刊
CiteScore
2.80
自引率
6.20%
发文量
93
审稿时长
>12 weeks
期刊介绍: Consistently ranked as one of the most-read and most assigned journals by faculties of graduate programs in nursing, Advances in Nursing Science (ANS) is intellectually challenging, innovative and progressive, and features articles from a wide range of scholarly traditions. The journal particularly encourages works that speak to the need for global sustainability and that take an intersectional approach, recognizing class, color, sexual and gender identity, and other dimensions of human experience related to health. Articles in ANS are peer-reviewed and chosen for their pioneering perspectives and for their significance in contributing the evolution of the discipline of nursing.
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