SynthesisCritical care (London, England)2015
Nurses' worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review.
Synthesis in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.
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Who cites it
52 citing papers in PubMed.
- A Concept Analysis of Expertise Associated With Practicing Clinical Nurses in Hospital Settings.Journal of advanced nursing · 2026Review
- Mapping ICU nursing intervention notes to clinical care classification using a large language model: an evaluation study.BMC nursing · 2026Article
- Enhancing prediction of inpatient deterioration by combining clinical and nurse concern features, with or without temporal clustering.JAMIA open · 2026Article
- Article
- Turkish version of the Nurse Intuition Patient Deterioration Scale: cross-cultural adaptation and validation study.BMC nursing · 2026Article
- Inter-rater agreement of respiratory distress observation scale measurement between physicians and nurses in the emergency department.BMC emergency medicine · 2025Observational
- Promoting User Involvement to Foster Technological Citizenship in the Digitizing Healthcare Domain.Science and engineering ethics · 2025Article
- Conceptual framework for prediction models of patient deterioration based on nursing documentation patterns: reproducibility and generalizability with a large number of hospitals across the United States.Journal of biomedical informatics · 2025Article
- When Nurses Worry: A Concept Analysis of Intuition in Clinical Deterioration.Journal of advanced nursing · 2025Review
- Nurses' experiences with inhospital continuous monitoring of vital signs in general wards: A systematic review.PLOS digital health · 2025Article
- Acute Care Nurses' Partnership With Patients to Recognise and Respond to Changes in Patients' Clinical States: A Qualitative Study.Journal of advanced nursing · 2025Article
- Quantification of facial cues for acute illness: a systematic scoping review.Intensive care medicine experimental · 2025Review
- Nurse worry as a trigger for rapid response team activation improving outcomes: a retrospective cohort study in non-critical units.BMC nursing · 2025Article
- A pilot observational study of the association of 24-hour mortality with the subjective assessment of the forearm skin temperature and moisture compared to other bedside indicators of illness severity.Resuscitation plus · 2025Article
- Indicators of clinical deterioration in adult general ward patients from nurses' perspectives: a mixed-methods systematic review.BMC nursing · 2024Article
- Survey on nurse-physician communication gaps focusing on diagnostic concerns and reasons for silence.Scientific reports · 2024Article
- Exploiting the Features of Clinical Judgment to Improve Assessment of Disease Severity in the Emergency Department: An Acutelines Study.Journal of clinical medicine · 2024Article
- Perception of Personal Participation of the Nurses in Resuscitation Procedures: A Qualitative Study.Medicina (Kaunas, Lithuania) · 2024Article
- Commentary: Predicting patient deterioration by nurse intuition: the development and validation of the Nurse Intuition Patient Deterioration Scale.Frontiers in medicine · 2024Article
- Nurses' and Physicians' Experiences After Implementation of a Quality Improvement Project to Improve Sepsis Awareness in Hospitals.Journal of multidisciplinary healthcare · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNurses often recognize deterioration in patients through intuition rather than through routine measurement of vital signs. Adding the 'worry or concern' sign to the Rapid Response System provides opportunities for nurses to act upon their intuitive feelings. Identifying what triggers nurses to be worried or concerned might help to put intuition into words, and potentially empower nurses to act upon their intuitive feelings and obtain medical assistance in an early stage of deterioration. The aim of this systematic review is to identify the signs and symptoms that trigger nurses' worry or concern about a patient's condition.
methodsWe searched the databases PubMed, CINAHL, Psychinfo and Cochrane Library (Clinical Trials) using synonyms related to the three concepts: 'nurses', 'worry/concern' and 'deterioration'. We included studies concerning adult patients on general wards in acute care hospitals. The search was performed from the start of the databases until 14 February 2014.
resultsThe search resulted in 4,006 records, and 18 studies (five quantitative, nine qualitative and four mixed-methods designs) were included in the review. A total of 37 signs and symptoms reflecting the nature of the criterion worry or concern emerged from the data and were summarized in 10 general indicators. The results showed that worry or concern can be present with or without change in vital signs.
conclusionsThe signs and symptoms we found in the literature reflect the nature of nurses' worry or concern, and nurses may incorporate these signs in their assessment of the patient and their decision to call for assistance. The fact that it is present before changes in vital signs suggests potential for improving care in an early stage of deterioration.
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