What factors influence suboptimal ward care in the acutely ill ward patient?

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Title What factors influence suboptimal ward care in the acutely ill ward patient?
Author Massey, Debbie; Aitken, Leanne M.; Chaboyer, Wendy
Journal Name Australian Critical Care
Editor Gavin Leslie
Year Published 2008
Place of publication Australia
Publisher Elsevier
Abstract As technological developments continue to offer patients more health care choices patient acuity increases. Patients that traditionally would have been cared for in a critical care environment are increasingly located on general wards. This change impacts on the acute care sector in a number of ways. Patients who are inpatients have more complex problems and a greater number of co-morbidities and are therefore more likely to suffer physiological deterioration. Procedures requiring inpatient stays are often more complex and associated with higher rates of mortality and morbidity. As patient acuity has increased research has highlighted that the care of the acutely ill ward patient is suboptimal. Suboptimal care implies a lack of knowledge regarding the significance of clinical findings relating to dysfunction of airway, breathing and circulation. This paper analyses the literature on the factors that contribute to suboptimal ward care of the acutely ill patient. It uses the categories proposed by McQuillan et al. (1998) in relation to suboptimal ward care in an attempt to develop a conceptual analysis of the factors that influence suboptimal ward care and acutely ill ward patients. Thus it aims to develop and enhance practitioners' knowledge and understanding of this topic and therefore improve patient care outcomes.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.sciencedirect.com/science/journal/10367314
Alternative URI http://dx.doi.org/10.1016/j.aucc.2008.05.051
Copyright Statement Copyright 2008 Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 21
Issue Number 3
Page from 127
Page to 140
ISSN 1036-7314
Date Accessioned 2008-09-09
Date Available 2009-11-18T05:35:19Z
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject PRE2009-Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/20636
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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