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Qualitative exploration of nurses' decisions to activate rapid response teams

Author

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  • Kim S Astroth
  • Wendy M Woith
  • Stephen J Stapleton
  • R Joseph Degitz
  • Sheryl H Jenkins

Abstract

Aims and objectives To identify barriers and facilitators to nurses' decisions regarding activation of rapid response teams (RRTs) in hospitals. Background Hospitalised patients in the United States who experience cardiopulmonary arrest seldom recover. Most of these patients show signs of clinical deterioration prior to cardiopulmonary arrest. RRTs have been shown to decrease the incidence of cardiopulmonary arrest by bringing needed resources to unstable patients. Despite the evidence in support of the activation of RRTs, nurses do not always use this resource. Nurses' decisions to activate or not to activate the RRT are not clearly understood. Design We used a qualitative design for this study. Methods A purposive sample of 15 medical/surgical nurses was recruited from a small medical centre in the Midwest. Researchers used semistructured, open‐ended questions to elicit subject responses regarding facilitators and barriers to activating RRTs. Results Themes emerged and were categorised as facilitators and barriers to calling the RRT. Facilitators and barriers were then subdivided into distinct subthemes: RRT characteristics and unit culture. The expertise of the RRT members and support and encouragement from nursing unit colleagues and leaders emerged as two potential facilitators. Communication of the RRT members and calling the physician first emerged as two potential barriers. We also identified educational factors that were not clearly facilitators or barriers to calling the RRT. Conclusions Further study is needed using quantitative designs with larger sample sizes. Relevance to clinical practice Nurses can build upon knowledge of facilitators and barriers related to RRT characteristics and nursing unit culture.

Suggested Citation

  • Kim S Astroth & Wendy M Woith & Stephen J Stapleton & R Joseph Degitz & Sheryl H Jenkins, 2013. "Qualitative exploration of nurses' decisions to activate rapid response teams," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(19-20), pages 2876-2882, October.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:19-20:p:2876-2882
    DOI: 10.1111/jocn.12067
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    Cited by:

    1. Gooske Douw & Getty Huisman‐de Waal & Arthur R H van Zanten & Johannes G van der Hoeven & Lisette Schoonhoven, 2017. "Capturing early signs of deterioration: the dutch‐early‐nurse‐worry‐indicator‐score and its value in the Rapid Response System," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(17-18), pages 2605-2613, September.
    2. Jørghild Karlotte Jensen & Randi Skår & Bodil Tveit, 2018. "The impact of Early Warning Score and Rapid Response Systems on nurses’ competence: An integrative literature review and synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1256-1274, April.
    3. Doug Elliott & Emily Allen & Sharon McKinley & Lin Perry & Christine Duffield & Margaret Fry & Robyn Gallagher & Rick Iedema & Michael Roche, 2016. "User acceptance of observation and response charts with a track and trigger system: a multisite staff survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2211-2222, August.
    4. Emily Allen & Doug Elliott & Debra Jackson, 2017. "Recognising and responding to in‐hospital clinical deterioration: An integrative review of interprofessional practice issues," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 3990-4012, December.

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