Affiliation:
1. Central Queensland University Australia Rockhampton North Queensland Australia
2. Central Queensland University Australia Townsville City Queensland Australia
3. Central Queensland University Australia Brisbane Queensland Australia
Abstract
AbstractAimIdentify and analyse literature investigating nurses' and midwives' use of early warning tools during the care of adult inpatients.DesignAn integrative literature review.MethodsWhittemore and Knafl's (2005) framework guided this integrative review. PubMed, CINAHL, EMCARE and Google Scholar were systematically searched. The authors assessed the methodological quality of 21 papers meeting inclusion criteria and thematically analysed key data.ResultsThree main themes were identified, each with further sub‐themes.ConclusionEarly warning tools operate within various systems and cultural contexts. However, their potential for improved patient safety may be hindered. Protocols influencing tool usage may make nurses and midwives distanced from patients and their expertise. For early warning tools to enhance patient safety, assessing their integration into practice is crucial to maximizing effectiveness.ImpactThis review emphasizes the importance of integrating human relationships with early warning tools for patient safety.Patient or Public ContributionThis integrative literature review does not include patient or public input.Implications for Practice/PolicyAdapting early warning tools to balance standardization for safety and efficiency and promoting nurses' and midwives' expertise and autonomy is required to optimize delivery of quality care and uphold patient safety.Reporting MethodThe Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines were used.