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Failure to rescue as a nurse‐sensitive indicator

机译：未能作为护士敏感的指标抢救

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Abstract Problem The aim of this concept analysis was to clarify failure to rescure as a nurse‐sensitive indicator. Although the concept of failure to rescue as a nurse‐sensitive outcome has appeared in the nursing literature for over a decade, conceptual clarity is needed to address its variable and ambiguous use in health care. Methods Walker and Avant's eight‐stage method of concept analysis was used to explore the concept of failure to rescue in nursing practice. Twenty‐one papers were retrieved from Cumulative Index of Nursing and Allied Health Literature (CINAHL) and MEDLINE databases and selected for review and synthesis. Results Failure to rescue as a nurse‐sensitive indicator was found to be a “failing to rescue” process characterized by a cascade of events, including four key attributes: (1) errors of omission in care, (2) failure to recognize changes in patient condition, (3) failure to communicate changes, and (4) failures in clinical decision making. Conclusions Nurses have a pivotal role in “failing to rescue” through early recognition, escalation, and intervention of subtle changes signaling complications. Upstream strategies, such as the use of early warning sign indicators, structured communication, and teamwork, shift the discourse from failure to rescue, to processes in nursing practice of good catch events.
机译：摘要问题这一概念分析的目的是澄清未能作为护士敏感指标救留。虽然未经护士敏感的结果未能拯救的概念已经出现在几十多年上，但需要概念清晰度来解决其在医疗保健方面的可变和含糊不清。方法采用Walker和Avant的八级概念分析方法来探讨未能救助护理实践的概念。从护理和盟国健康文献（CINAHL）和MEDLINE数据库的累积指数中检索二十一篇论文，并选择审查和综合。结果未救出作为护士敏感的指标未救出的过程是一个“未能救援”的过程，其特征在于事件的级联，包括四个关键属性：（1）省略遗漏的误差，（2）未能识别更改患者状况，（3）未能沟通变更，（4）临床决策中的失败。结论护士在“未能拯救”通过早期识别，升级和细微变化的干预中的“未能拯救”的关键作用。上游策略，如使用预警标志指标，结构性通信和团队合作，将话语转移到未能救援，以便在良好捕获事件的护理实践中进行处理。

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