ArticleJournal of clinical nursing2025
The Scope of Nurses' Assessment of Deteriorating Patients in Coronary Care Units: A Mixed Methods Study.
Article in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Effect of a Structured Supportive and Palliative Caring Approach on the Incidence of Arrhythmia, Chest Pain, and Anxiety in CAD Patients Admitted to the Cardiac Care Unit.Patient related outcome measures · 2025Article
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Authors and funding
3 authors.
Funding
Abstract
backgroundDespite the high acuity of coronary care unit (CCU) patients and their risk of deterioration, little is known about how nurses assess them.
aimIncrease understanding of the scope of nurses' assessments of deteriorating CCU patients.
designOnline mixed methods survey.
methodsThe mRAPIDS (modified Rescuing a Patient in Deteriorating Situations) tool was used to measure assessment scope in responses to a patient vignette with a higher mRAPID score signalling broader scope (maximum score 24). Reflections on day-to-day practice were collected concurrently and thematically analysed. Themes were integrated with scores using a joint display table and organised into domains. Comparing 'fit' between data showed expansion (overlap with broader nonoverlapping findings) and disconcordance (contradictory findings).
resultsThirty-four nurses responded, and scope of assessment was found to be narrow (median mRAPIDS 5). Two domains were identified that helped explain this finding 'the act of assessment' and 'education and experience'. Participants emphasised the importance of education and experience, neither increased assessment scope.
conclusionThis study showed that participant assessments were generally narrower than widely accepted best practice (ABCDE assessment). IMPLICATIONS: Participant assessments did not reflect gold standard A-E assessment, which may partly reflect a need for assessment frameworks that are more compatible with real-world practice. Further research is required to understand the role of healthcare assistants in the care of deteriorating CCU patients. Clinical judgement is important, but not yet well understood in rapid response systems. IMPACT: This study offers preliminary understanding of nurses' assessments of deteriorating patients in CCUs. REPORTING
methodAmerican Psychological Association, Mixed Methods Standards. PATIENT OR PUBLIC CONTRIBUTION: Reviewed protocol, aided result interpretation and shared ideas for future research.
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