Evidence map›Paper›PMID 35799461›Full record

ArticleJournal of advanced nursing2022

Nurses' harm prevention practices during admission of an older person to the hospital: A multi-method qualitative study.

Bernice Redley, Tracy Douglas, Leonard Hoon, Barbora de Courten, Alison M Hutchinson

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bernice RedleyCentre for Quality and Patient Safety Research - Monash Health Partnership, School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0002-2376-3989
Tracy DouglasCentre for Quality and Patient Safety Research - Monash Health Partnership, School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0003-1392-7692
Leonard HoonApplied Artificial Intelligence Institute, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0003-0428-7240
Barbora de CourtenDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
Alison M HutchinsonCentre for Quality and Patient Safety Research - Monash Health Partnership, School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0001-5065-2726

Funding

National Health and Medical Research Council APP1168018Nurses Board of Victoria Legacy Limited Mona Menzies Research Grant 2019Royal Australasian College of Physicians Fellows Career Development Fellowship
6 · The paper itself

Abstract

backgroundNurses' harm prevention practices during the admission of older persons to hospital have important consequences for patient safety, preventable patient harm and length of hospital stay. Novel solutions are needed to assist nurses to balance complexity, high workload burden and patient safety during admission processes.

aimExplore the nurses' experiences of harm prevention practices during the admission of an older person to the hospital.

designA multi-method qualitative study informed by frameworks of behaviour change and human-centred co-design.

methodsThe purposive sample included 44 nurses, 5 clinicians from other disciplines and 3 consumers recruited from five general medicine wards across three hospitals of a large public health service in metropolitan Melbourne, Australia. Data were collected over 12 h of naturalistic observations of nurses during eight patient admissions, and during four participatory human-centred co-design workshops between August 2019 and January 2020. Observation, field notes and workshop artefact data were integrated for qualitative content and thematic analysis.

resultsAnalysis revealed a 5-step journey map, with a temporal logic, that captured nurses' experiences, as well as the enablers and barriers to harm prevention practices when admitting an older person to the hospital. The consensus was reached on three priority features to assist nurses to implement harm prevention practices when they admit an older person to the hospital: (1) prioritize important care; (2) tailor care to the individual and (3) see the big picture for the patient.

conclusionThe novel research approach identified five steps in nurses' activities and harm prevention practices during admission of an older person to the hospital, and key features for a solution to assist nurses to keep patients safe. The findings provide the foundation for further research to develop interventions to assist nurses to manage high workloads during this complex activity.

Indexed as

NursesNursing Staff, HospitalAgedAged, 80 and overHospitalizationHospitalsHumansQualitative Researchacute careco-designdocumentationolder peopleparticipatorywork organization

Identifiers

PMID35799461
PMCPMC9796868

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.