Evidence map›Paper›PMID 40211551›Full record

ReviewJournal of advanced nursing2025

When Nurses Worry: A Concept Analysis of Intuition in Clinical Deterioration.

Amy-Louise Byrne, Deb Massey, Tracy Flenady, Justine Connor, Wei Ling Chua, Danielle Le Lagadec

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2025. 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

6 authors.

Amy-Louise ByrneSchool of Nursing, Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.ORCID https://orcid.org/0000-0002-8679-8310
Deb MasseyEdith Cowen University, Joondalup, Western Australia, Australia.ORCID https://orcid.org/0000-0002-0466-1960
Tracy FlenadySchool of Nursing, Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.ORCID https://orcid.org/0000-0002-5286-4789
Justine ConnorSchool of Nursing, Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.ORCID https://orcid.org/0000-0003-0684-3597
Wei Ling ChuaAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0002-4870-2728
Danielle Le LagadecSchool of Nursing, Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.ORCID https://orcid.org/0000-0003-0114-8552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurse worry is a criterion often included in early warning systems tools and used to escalate care when other clinical markers do not indicate deterioration. What it means to worry, however, is not always clear.

aimsTo generate a concept analysis of nurse worry in relation to clinical deterioration.

designRodgers's evolutionary method was used.

methodA review was first conducted in April 2024, searching the Cumulative Index for Nursing and Allied Health Literature, Pubmed, EmCare, and Embase databases. A total of 22 articles were subjected to analysis of the antecedents, attributes, and consequences of nurse worry in the context of clinical deterioration. The processes of nurse worry were subsequently mapped and conceptualised, leading to a descriptive statement of nurse worry.

resultsWorry captures a nurse's sense of knowing the patient and is embodied via assessing, sensing, recognising, and processing information, cues, and patterns.

conclusionNurse worry is a complex process, impacted by external and internal factors. Implications for the profession or patient care: Assured practice, driven by validation of a nurse's worry, leads to proactive care of the deteriorating patient, whereas apprehensive practice, driven by fear and trepidation, leads to reactive care of the deteriorating patient. IMPACT: Nurse worry is a criterion often included in early warning systems tools and used to escalate care when other clinical markers do not indicate clinical deterioration. What it means to worry, however, is not always clear. From the concept analysis, a descriptive statement of nurse worry emerged. Worry captures a nurse's sense of knowing the patient and is embodied via assessing, sensing, recognising, and processing information, cues, and patterns. IMPLICATIONS FOR THE PROFESSION OR PATIENT CARE: This research has implications for nurses, policymakers, and organisations, as nurse worry is an important element in detecting clinical deterioration. Nurse worry must be organisationally supported. REPORTING

methodsPRISMA Extension for Scoping Reviews (PRISMA-SCR). PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

AnxietyClinical DeteriorationIntuitionNursing Staff, HospitalAdultConcept FormationFemaleHumansMaleMiddle Agedclinical deteriorationconcept analysisescalationnurse worry

Identifiers

PMID40211551
PMCPMC12271650

What OpenQuestion holds

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LicenceCC BY
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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.