Ward nurses' experiences and perceptions of the critical care outreach service: A qualitative study undertaken in a large teaching hospital in the West of Ireland

2021 ◽  
Author(s):  
Caroline Anne Hession ◽  
Teresa Meaney
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Teaching Hospital ◽  
The West ◽  
Outreach Service ◽  
Large Teaching Hospital ◽  
Critical Care Outreach ◽  
West Of Ireland

scholarly journals Evaluation of a critical care outreach service in a middle-income country: A stepped wedge cluster randomized trial and nested qualitative study

2016 ◽  
Vol 36 ◽  
pp. 212-217 ◽  
Author(s):  
Alireza Jeddian ◽  
Karla Hemming ◽  
Antje Lindenmeyer ◽  
Arash Rashidian ◽  
Leila Sayadi ◽  
...  
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Middle Income Country ◽  
Stepped Wedge ◽  
Middle Income ◽  
Outreach Service ◽  
Cluster Randomized ◽  
Critical Care Outreach

scholarly journals Implementation of a critical care outreach service: a qualitative study

2017 ◽  
Vol 64 (3) ◽  
pp. 353-362 ◽  
Author(s):  
A. Jeddian ◽  
A. Lindenmeyer ◽  
T. Marshall ◽  
A.F. Howard ◽  
L. Sayadi ◽  
...  
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Outreach Service ◽  
Critical Care Outreach

scholarly journals G211 Designing a critical care outreach service – an audit and national survey

2020 ◽  
Author(s):  
N Peshimam ◽  
S Stockinger ◽  
J Weber ◽  
R Mitting
Keyword(s):  
Critical Care ◽  
National Survey ◽  
Outreach Service ◽  
Critical Care Outreach

scholarly journals Self-Leadership in a Critical Care Outreach Service for Quality Patient Care

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Carine Prinsloo
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Private Hospital ◽  
Professional Staff ◽  
Research Approach ◽  
Serious Adverse Events ◽  
Outreach Service ◽  
Outreach Services ◽  
General Wards ◽  
Critical Care Outreach

The deterioration of patients in general wards could go unnoticed owing to the intermittent monitoring of vital data. The delayed or missed recognition of deteriorating patients results in serious adverse events in general wards. These challenges have resulted in the development of a critical care outreach service. Australia was the first country to establish critical care outreach services in 1990. In South Africa, critical care outreach services were implemented in 2005 at a private hospital in Pretoria. The researcher has noticed certain phenomena supported by literature such as the hesitancy of nurses working in general wards to escalate a patient to a critical care outreach service, and incorrect interpretation of modified early warning scores which could cause delays in patients being referred to outreach nurse experts. In this study, nurses’ (professional, staff and auxiliary nurses) experiences in respect of their self-leadership in critical care outreach services were explored. To this end, a qualitative phenomenological research approach was followed. Focus groups were held with the nurses (all nurse categories) working in a South African private hospital which provides critical care outreach services. It is recommended that nurses be granted access to training sessions, workshops and information to provide appropriate nursing care. Nurses should be encouraged to focus on the positive outcomes of providing nursing care and to “applaud themselves mentally” when they have successfully assisted or cared for their patients. Nurses also need to identify and correct negative assumptions about their competence.

The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards

Resuscitation ◽  
2007 ◽  
Vol 74 (3) ◽  
pp. 470-475 ◽  
Author(s):  
M. Odell ◽  
I.J. Rechner ◽  
A. Kapila ◽  
T. Even ◽  
D. Oliver ◽  
...  
Keyword(s):  
Critical Care ◽  
Respiratory Rate ◽  
Early Warning ◽  
Scoring System ◽  
Outreach Service ◽  
General Wards ◽  
Critical Care Outreach

scholarly journals P0199 / #2113: DESIGN AND IMPLEMENTATION OF A NURSE-LED CRITICAL CARE OUTREACH SERVICE IN A TERTIARY CARE PEDIATRIC HOSPITAL

2021 ◽  
Vol 22 (Supplement 1 3S) ◽  
pp. 123-123
Author(s):  
J. Scodellaro ◽  
S. Archambault ◽  
B. Sayson ◽  
A. Weir ◽  
L. Yarske ◽  
...  
Keyword(s):  
Critical Care ◽  
Tertiary Care ◽  
Pediatric Hospital ◽  
Design And Implementation ◽  
Outreach Service ◽  
Critical Care Outreach

scholarly journals The role of a critical care outreach service in the management of patients with haematological malignancy

2019 ◽  
Vol 20 (4) ◽  
pp. 327-334 ◽  
Author(s):  
Leila Taheri ◽  
Rathai Anandanadesan ◽  
Hugues de Lavallade ◽  
Eirini Pagkalidou ◽  
Antonio Pagliuca ◽  
...  
Keyword(s):  
Critical Care ◽  
Hospital Mortality ◽  
End Of Life ◽  
Haematological Malignancy ◽  
Performance Status ◽  
Icu Admission ◽  
Outreach Service ◽  
Increased Risk ◽  
Single Centre Study ◽  
Critical Care Outreach

Introduction Although improvement in survival from haematological malignancies has been reported, a substantial number of these patients develop life threatening complications. Critical care outreach services (CCOS) aim to avert inappropriate ICU admissions, while ensuring timely patient review. Methods We retrospectively analysed patients with haematological malignancy reviewed by an outreach service between January 2014 and December 2015 at a single institution. The aim of our study was to describe the patient population assessed by a well-established outreach team, identify predictors of ICU admission, as well as ICU and hospital mortality. Results Sixty of 126 patients reviewed (47.6%) were admitted to ICU. ICU and hospital mortality were 25.3% and 45.2%, respectively. The odds of being admitted to ICU was 13 times higher ( p = 0.013) if the patient was referred for hypoxia, 20 times higher ( p = 0.006) if they were referred for sepsis or 14 times higher ( p = 0.027) if they were referred to CCOS for hypotension, compared to when the team was automatically alerted. The odds of not surviving hospital admission increased 1.27 times for every extra day of CCOS review ( p = 0.02). When a patient was referred having a refractory or progressive haematological condition, the odds of not surviving to hospital discharge increased by four or 12 times, respectively, compared to when the referred patient was in remission. Receiving high flow nasal cannula oxygen (HFNCO) was associated with a reduction in ICU admission ( p = 0.03), irrespective of the underlying diagnosis, performance status or location of delivery. The CCOS participated in end-of-life discussions in 29% patients. Conclusions ICU and hospital mortality of patients with haemato-oncological malignancy continue to improve. CCOS are heavily involved in the recognition and management of these patients, as well as in the facilitation of end-of-life discussions. Sepsis was associated with increased risk of ICU admission and mortality. Initiation of HFNCO outside ICU appears to be feasible and safe and was not associated with increasing risk in this single centre study.

Evaluation of the clinical efficacy of a critical care outreach service for facilitated ICU discharge and ward-based care

2010 ◽  
Vol 23 (1) ◽  
pp. 34 ◽  
Author(s):  
G. Leslie ◽  
T. Williams ◽  
J. Finn ◽  
L. Brearley ◽  
M. Athifa ◽  
...  
Keyword(s):  
Critical Care ◽  
Clinical Efficacy ◽  
Outreach Service ◽  
Icu Discharge ◽  
Critical Care Outreach
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