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 Maree; Chaboyer, Wendy
Journal Name Intensive and Critical Care Nursing
Year Published 2009
Place of publication United Kingdom
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
Alternative URI http://dx.doi.org/10.1016/j.iccn.2009.03.005
Copyright Statement Copyright 2009 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 25
Issue Number 4
Page from 169
Page to 180
ISSN 0964-3397
Date Accessioned 2010-01-29
Language en_AU
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/34742
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1d

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