University of Oulu

Jaana Kalliokoski, Helvi Kyngäs, Tero Ala-Kokko, Merja Meriläinen, Insight into hospital ward nurses’ concerns about patient health and the corresponding Medical Emergency Team nurse response, Intensive and Critical Care Nursing, Volume 53, 2019, Pages 100-108, ISSN 0964-3397,

Insight into hospital ward nurses’ concerns about patient health and the corresponding Medical Emergency Team nurse response

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Author: Kalliokoski, Jaana1; Kyngäs, Helvi2; Ala-Kokko, Tero3;
Organizations: 1ICU, Vaasa Central Hospital, Hietalahdenkatu 2–4, FIN- 65 130 Vaasa, Finland
2Research Unit of Nursing Science and Health Management, PL 5000, FIN- 90014 University of Oulu, Finland
3Division of Intensive Care Medicine, Department of Anesthesiology, PL 10, FIN- 90029 Oulu University Hospital, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
Persistent link:
Language: English
Published: Elsevier, 2019
Publish Date: 2020-05-07


Aim: This study aims to understand the concerns of nurses when making MET calls which did not fulfil the vital sign criteria, and the MET nurses subsequent responses to these calls.

Methods: This was a retrospective report-based study. Research material included nursing reports and MET forms related to MET calls made due to nurses’ concern. Inductive content analysis was used to identify observations, which were then quantified based on the research material.

Findings: From a total of 546 MET calls, 39 visits (7%) were due to nurses’ concern. In these 39 visits, the vital sign criteria did not reach the alert threshold, but nurses made the call due to subjective worry. In 13% of visits, the alert concern was inadequate contact with the doctor. MET nurses responded to the alert by providing clinical and indirect nursing; more specifically, they performed examinations and nursing interventions and collaborated with other professionals.

Conclusion: A nurse’s worry is influenced by subjective changes in the patient’s condition or an inadequate doctor’s response rather than objective physiological measurements. A MET nurse’s ability to assess patient condition, respond to nurses’ calls, and acknowledge justified alerts help MET nurses support concerned nurses and encourage them to contact the MET if necessary.

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Series: Intensive and critical care nursing
ISSN: 0964-3397
ISSN-E: 1532-4036
ISSN-L: 0964-3397
Volume: 53
Pages: 100 - 108
DOI: 10.1016/j.iccn.2019.04.009
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
3126 Surgery, anesthesiology, intensive care, radiology
Copyright information: © 2019 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license