Item request has been placed!
×
Item request cannot be made.
×
Processing Request
Clinical indicators of acute deterioration in persons who reside in residential aged care facilities: A rapid review.
Item request has been placed!
×
Item request cannot be made.
×
Processing Request
- Additional Information
- Source:
Publisher: Wiley Country of Publication: United States NLM ID: 100911591 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1547-5069 (Electronic) Linking ISSN: 15276546 NLM ISO Abbreviation: J Nurs Scholarsh Subsets: MEDLINE
- Publication Information:
Publication: Hoboken, NJ : Wiley
Original Publication: Indianapolis, IN : Sigma Theta Tau International, 2000-
- Subject Terms:
- Abstract:
Purpose: To identify the clinical indicators of acute deterioration in residents and the factors that influence residential aged care facility staff's identification of these.
Design: Rapid review and narrative synthesis.
Methods: The WHO and Cochrane Rapid Review Methods Group recommendations guided the review processes. CINAHL, Medline, PubMed, and the Cochrane Library were searched from 2000 to January 2022. Data related to clinical indicators of deterioration were categorized using the Airway, Breathing, Circulation, Disability, Exposure assessment framework, and factors influencing detection were grouped as consumer (resident and family), aged care workforce, and organization factors.
Results: Twenty publications were included of which 14 informed clinical indicators; nine highlighted factors that influence staff's identification of these and three informed both. Included article were collectively below moderate quality. Most clinical indicators were grouped into the 'Disability' category with altered level of consciousness, behavior, and pain identified most frequently. Few studies reported more traditional indicators of deterioration used in the general population - changes in vital signs. The most common factors influencing the detection of acute deterioration were organizational and workforce-related including resource, knowledge, and confidence deficits.
Conclusion: Findings suggest subtle changes in resident's health status, rather than focusing primarily on physiologic parameters used in early warning tools for acute care settings, should be recognized and considered in the design of early warning tools for residential aged care facilities.
Clinical Relevance: Early warning tools sensitive to the unique needs of residents and support for aged care facility staff are recommended to improve the capacity of aged care facility care staff to identify and manage acute deterioration early to avoid hospitalization.
(© 2022 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.)
- References:
Behav Med. 2006 Summer;32(2):64-70. (PMID: 16903616)
J Am Med Dir Assoc. 2016 Mar 1;17(3):256-62. (PMID: 26777066)
J Am Med Dir Assoc. 2004 Mar-Apr;5(2 Suppl):S4-10. (PMID: 14984604)
J Nurs Scholarsh. 2023 Jan;55(1):365-377. (PMID: 36264005)
Age Ageing. 2019 Dec 1;49(1):5-6. (PMID: 31838509)
J Clin Epidemiol. 2021 Feb;130:13-22. (PMID: 33068715)
JBI Evid Synth. 2020 Nov 20;19(2):447-453. (PMID: 33230017)
Resuscitation. 2020 Aug;153:28-34. (PMID: 32504769)
Ann Am Thorac Soc. 2014 Nov;11(9):1454-65. (PMID: 25296111)
Resuscitation. 2010 Jun;81(6):658-66. (PMID: 20378235)
J Eval Clin Pract. 2012 Aug;18(4):746-52. (PMID: 21410846)
Geriatr Nurs. 2014 Jul-Aug;35(4):316-20. (PMID: 25034223)
Med J Aust. 2020 Jun;212(11):507-508.e1. (PMID: 32474934)
Age Ageing. 2019 Dec 1;49(1):141-145. (PMID: 31813952)
BMJ Open. 2021 Jul 27;11(7):e045469. (PMID: 34315790)
J Am Geriatr Soc. 2000 Sep;48(9):1086-91. (PMID: 10983908)
Br J Community Nurs. 2019 Feb 2;24(2):58-66. (PMID: 30698477)
J Clin Nurs. 2018 Mar;27(5-6):e992-e1003. (PMID: 29052282)
PLoS Med. 2009 Jul 21;6(7):e1000097. (PMID: 19621072)
J Am Geriatr Soc. 2003 Aug;51(8):1111-5. (PMID: 12890074)
J Am Geriatr Soc. 2018 May;66(5):895-901. (PMID: 29437221)
Scand J Caring Sci. 2017 Jun;31(2):312-322. (PMID: 27327142)
J Clin Nurs. 2018 Apr;27(7-8):1452-1463. (PMID: 29396884)
Int J Nurs Stud. 2017 Nov;76:106-119. (PMID: 28950188)
Int J Older People Nurs. 2020 Sep;15(3):e12315. (PMID: 32207886)
J Am Geriatr Soc. 2018 Dec;66(12):2259-2266. (PMID: 30451275)
J Adv Nurs. 2015 Oct;71(10):2224-36. (PMID: 25818343)
Nurs Res Pract. 2012;2012:495103. (PMID: 23091714)
J Am Med Dir Assoc. 2016 Sep 1;17(9):839-45. (PMID: 27349621)
Scand J Caring Sci. 2010 Mar;24(1):24-31. (PMID: 19954493)
BMC Geriatr. 2020 Dec 7;20(1):527. (PMID: 33287716)
- Contributed Indexing:
Keywords: aged specific care; clinical assessment tools; clinical deterioration; clinical indicator; early warning score; rapid review; residential care
- Publication Date:
Date Created: 20221020 Date Completed: 20230103 Latest Revision: 20230415
- Publication Date:
20231215
- Accession Number:
PMC10092821
- Accession Number:
10.1111/jnu.12819
- Accession Number:
36264005
No Comments.