Recognition Of Early Warning Signs Research Articles

A Study to Assess the Effectiveness of Training Program on Knowledge and Practices Regarding Advanced Cardiovascular Life Support (ACLS) among Staff Nurses in MMIMS & R Hospital

Advance cardiovascular life support is a level of medical care which is used for clients with life threatening illness. Death can occur at any time due to causes like stroke, poisoning, accidents, suicide, injury, medication error, shock and cardiac arrest. Among these, cardiac arrest deaths remain major cause of mortality. Therefore, one of the measures to improve survival is by introducing the concept of “chain of survival”. The elements of the chain of survival include recognition of early warning signs, activation of the emergency medical system, basic cardiopulmonary resuscitation, defibrillation, intubation and intravenous delivery of medications. Advance cardiac life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest and other life threatening medical emergencies. Extensive medical knowledge and rigorous hands-on training and practice are required to master ACLS. Only qualified health care providers, physicians, paramedics, nurses, respiratory therapists, pharmacists, and other specially trained health care providers can provide ACLS, as it requires the ability to manage the patient’s airway, initiate IV access, read and interpret electrocardiograms, and understand emergency pharmacology. Therefore, training program on ACLS is required for staff nurses, to gain knowledge and improve skill. Quantitative approach was selected with pre-test - post-test only design. 36 samples were chosen (working in ICU/ ICCU/ emergency/ medical wards / surgical wards) using random sampling technique. Training program was given to the study subjects and a structured questionnaire and structured checklist was used to collect data regarding Advanced cardiovascular life support of subjects before and after the administration of training program. Findings revealed that the mean post-test sore was greater than the mean pre-test score. Thus it is concluded that the training program on Advanced cardiovascular life support was effective for teaching and improving staff nurse’s knowledge and practices.

Recognizing Early Warning Signs for Patient Safety: Study in Pakistan’s Tertiary Care Hospital

It is not uncommon for hospitalized patients to exhibit early warning signs before deteriorating. Clinical deterioration can happen at any point in a patient’s illness, or care process. Nurses are expected to have skills to enable them to assess precisely the severity of deterioration, as nurses are the first to encounter the patients. In keeping views we as team have develop module on Recognition of Early Warning signs for Nurses to assess their knowledge, educate them and reassess their knowledge

Awareness of early warning signs and help‐seeking behaviours among patients with schizophrenia who utilize social rehabilitation facilities in Japan

The purpose of this study was to examine the relationship between early warning signs (EWS) and early help-seeking behaviours (HSB) and to identify the characteristics of patients with schizophrenia who sought early help. A cross-sectional study was carried out in 2004 using a self-reported questionnaire. Participants were recruited from social rehabilitation facilities for the mentally ill; 224 subjects participated, 170 of whom had schizophrenia. The survey included questions about demographic characteristics, self-care behaviours (HSB, recognition of EWS and others) and current service utilization and satisfaction. Fisher's exact test and Student's t-test were used to compare the characteristics of study participants. Logistic regression analyses were used to examine the association between recognition of EWS and early HSB.We found that 96 (56.5%) of 170 patients with schizophrenia reported at least one occasion of early HSB during their deterioration. Early HSB were related to the following factors: recognition of EWS, consultation with non-professional and professional support persons during deterioration, consulting with public mental health workers and living with family. Care and support should be offered to patients with schizophrenia to enable them to recognize their own mental deterioration.

Interventions for helping people recognise early signs of recurrence in depression

This is the protocol for a review and there is no abstract. The objectives are as follows: The overall aim is to conduct a systematic review of all intervention studies that include systematically teaching the recognition of early warning signs(EWS) of recurrence to people with recurrent depressive disorders and/or their carers.The objectives are: 1. To compare the effectiveness of an EWS intervention plus treatment as usual (TAU) versus TAU not involving a psychological therapy on time to next depressive episode. 2. To compare the effectiveness of an EWS intervention plus TAU versus TAU plus another psychological therapy on time to next depressive episode. 3. To compare the effectiveness of intermittent medication used on recognition of EWS without continuing antidepressant use versus TAU involving continued antidepressant use on time to next depressive episode.