Abstract

FREITAS, Catarina Moura; PRETO, Emídio Polónio  and  NASCIMENTO, Carla Alexandra Fernandes. Nursing interventions for the early detection of ward patients' clinical deterioration: an integrative review. Rev. Enf. Ref. [online]. 2017, vol.serIV, n.14, pp.121-132. ISSN 0874-0283.  https://doi.org/10.12707/RIV17025.

Background: Clinical deterioration is sometimes mishandled in hospital wards resulting in increased likelihood of cardiorespiratory arrest, unplanned intensive care admissions, and death. Objectives: To identify nursing interventions aimed at the early detection of the clinical deterioration of ward patients. Methodology: Integrative literature review through the search for published and gray literature in CINAHL, MEDLINE, and ScienceDirect databases. Results: A total of 534 documents were identified, of which 11 were selected for data extraction and analysis. Conclusion: The monitoring of vital signs, either individually or in combination or to obtain an early warning score, is the most widely performed nursing intervention identified in the literature.

Keywords : clinical deterioration; nursing care; monitoring; physiologic; patient safety.

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