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Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review

Overview of attention for article published in Critical Care, December 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (93rd percentile)
  • High Attention Score compared to outputs of the same age and source (80th percentile)

Mentioned by

news
1 news outlet
twitter
19 X users
wikipedia
2 Wikipedia pages

Citations

dimensions_citation
131 Dimensions

Readers on

mendeley
259 Mendeley
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Title
Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review
Published in
Critical Care, December 2015
DOI 10.1186/s13054-015-0950-5
Pubmed ID
Authors

Gooske Douw, Lisette Schoonhoven, Tineke Holwerda, Getty Huisman-de Waal, Arthur R H van Zanten, Theo van Achterberg, Johannes G van der Hoeven

Abstract

Nurses often recognize deterioration in patients through intuition rather than through routine vital signs measurement. Adding the 'worry/concern' sign to the Rapid Response System provides opportunities for nurses to act upon their intuitive feelings. Identifying what triggers nurses to be 'worried/concerned' might help to put intuition into words and potentially empower nurses to act upon their intuitive feelings and obtain medical assistance in an early stage of deterioration. The aim of this systematic review is to identify the signs and symptoms that trigger nurses' 'worry/concern' about a patients' condition. We searched the databases Pubmed, CINAHL, Psychinfo and Cochrane Library (Clinical Trials) using synonyms related to the three concepts:"nurses", "worry/concern" and "deterioration". We included studies concerning adult patients on general wards in acute care hospitals. The search was performed from start of the databases until February 14, 2014. The search resulted in 4006 references, 18 studies (5 quantitative, 9 qualitative and 4 mixed-methods designs) were included in the review. Thirty-seven signs and symptoms reflecting the nature of 'worry/concern', emerged from the data and were summarized in 10 general indicators. 'Worry/concern' can be present both with or without change in vital signs. The signs and symptoms we found in the literature reflect the nature of nurses' 'worry/concern' and nurses may incorporate these signs in their assessment of the patient and the decision to call for assistance. Its presence before vital signs have changed, suggests potential for improving care in an early stage of deterioration.

X Demographics

X Demographics

The data shown below were collected from the profiles of 19 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 259 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 <1%
Brazil 1 <1%
Egypt 1 <1%
Unknown 255 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 35 14%
Student > Ph. D. Student 31 12%
Researcher 24 9%
Student > Doctoral Student 21 8%
Other 20 8%
Other 65 25%
Unknown 63 24%
Readers by discipline Count As %
Nursing and Health Professions 81 31%
Medicine and Dentistry 55 21%
Business, Management and Accounting 9 3%
Computer Science 7 3%
Social Sciences 7 3%
Other 29 11%
Unknown 71 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 26. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 April 2023.
All research outputs
#1,495,816
of 25,373,627 outputs
Outputs from Critical Care
#1,322
of 6,554 outputs
Outputs of similar age
#24,693
of 395,408 outputs
Outputs of similar age from Critical Care
#90
of 466 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,408 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 466 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 80% of its contemporaries.