Theme 4: Nurse Reassessment & Escalation Protocols
Beggs-Yeager, C., Sharts-Hopko, N., & McDermott-Levy, R. (2021). The role of nurses in surveillance to enhance global health security: A delphi study. Nursing Outlook, 69(6), 1021–1029. https://doi.org/10.1016/j.outlook.2021.05.011
This Delphi study examines nurses' roles in global health security, focusing on surveillance, reassessment protocols, and escalating care when signs of deterioration are observed. It helps nurses enhance patient safety by reinforcing the importance of regular evaluations and early interventions. Nurses can apply this knowledge by utilizing reassessment protocols and advocating for improved surveillance training within their teams.
Guan, G., Lee, C. M., Begg, S., Crombie, A., & Mnatzaganian, G. (2022). The use of early warning system scores in prehospital and emergency department settings to predict clinical deterioration: A systematic review and meta-analysis. PLOS ONE, 17(3). https://doi.org/10.1371/journal.pone.0265559
This systematic review and meta-analysis assess the predictive accuracy of early warning system (EWS) scores in identifying patients at risk of deterioration in prehospital and emergency settings. It helps nurses implement structured, evidence-based monitoring during patient assessments to facilitate rapid interventions. Nurses can apply EWS tools to recognize early signs of clinical decline, ensuring timely escalation and improved patient outcomes in acute care.
Kolobe, Dr. L. E. (2025, March 24). Sustaining pain assessment and reassessment nursing care standards during COVID-19 Litaba Efraim Kolobe department of nursing pain management, king abdulaziz medical city, Riyadh, Kingdom of Saudi Arabia. http://www.sciencepublishinggroup.com/j/ajnhs. https://www.academia.edu/44908155/Sustaining_Pain_Assessment_and_Reassessment_Nursing_Care_Standards_During_COVID_19_Litaba_Efraim_Kolobe_Department_of_Nursing_Pain_Management_King_Abdulaziz_Medical_City_Riyadh_Kingdom_of_Saudi_Arabia
This source discusses how nurses sustained pain assessment and reassessment standards during the COVID-19 pandemic in a Saudi Arabian hospital. It highlights strategies for maintaining care quality despite resource constraints, emphasizing nursing judgment when tools were limited. Nurses can apply these insights by ensuring consistent pain reassessment, advocating for policy support, and adapting care practices during crisis situations to maintain patient-centered care.