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Merja Merilainen - One of the best experts on this subject based on the ideXlab platform.

  • insight into hospital ward nurses concerns about patient health and the corresponding medical emergency team nurse response
    Intensive and Critical Care Nursing, 2019
    Co-Authors: Jaana Kalliokoski, Helvi Kyngas, Tero Alakokko, Merja Merilainen
    Abstract:

    Abstract 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.

  • insight into hospital ward nurses concerns about patient health and the corresponding medical emergency team nurse response
    Intensive and Critical Care Nursing, 2019
    Co-Authors: Jaana Kalliokoski, Helvi Kyngas, Tero Alakokko, Merja Merilainen
    Abstract:

    Abstract 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.

Jaana Kalliokoski - One of the best experts on this subject based on the ideXlab platform.

  • insight into hospital ward nurses concerns about patient health and the corresponding medical emergency team nurse response
    Intensive and Critical Care Nursing, 2019
    Co-Authors: Jaana Kalliokoski, Helvi Kyngas, Tero Alakokko, Merja Merilainen
    Abstract:

    Abstract 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.

  • insight into hospital ward nurses concerns about patient health and the corresponding medical emergency team nurse response
    Intensive and Critical Care Nursing, 2019
    Co-Authors: Jaana Kalliokoski, Helvi Kyngas, Tero Alakokko, Merja Merilainen
    Abstract:

    Abstract 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.

Sara Harrison - One of the best experts on this subject based on the ideXlab platform.

  • characterization of lone pine california tremolite asbestos and preparation of Research Material
    Annals of Occupational Hygiene, 2015
    Co-Authors: Martin Harper, Owen S. Crankshaw, Stacy S. Doorn, Todd J. Ennis, Bradley S Van Gosen, Sara Harrison
    Abstract:

    Well-characterized amphibole asbestos mineral samples are required for use as analytical standards and in future Research projects. Currently, the National Institute for Standards and Technology Standard Reference Material samples of asbestos are listed as 'Discontinued'. The National Institute for Occupational Safety and Health (NIOSH) has a goal under the Asbestos Roadmap of locating and characterizing Research Materials for future use. Where an initial characterization analysis determines that a collected Material is appropriate for use as a Research Material in terms of composition and asbestiform habit, sufficient amounts of the Material will be collected to make it publicly available. An abandoned mine near Lone Pine, California, contains a vein of tremolite asbestos, which was the probable source of a reference Material that has been available for the past 17 years from the Health and Safety Laboratory (HSL) in the UK. Newly collected fibrous vein Material from this mine was analyzed at Research Triangle Institute (RTI International) with some additional analysis by the US Geological Survey's Denver Microbeam Laboratory. The analysis at RTI International included: (i) polarized light microscopy (PLM) with a determination of principal optical properties; (ii) X-ray diffraction; (iii) transmission electron microscopy, including energy dispersive X-ray spectroscopy and selected-area electron diffraction; and (iv) spindle stage analysis using PLM to determine whether individual fibers and bundles of the samples were polycrystalline or single-crystal cleavage fragments. The overall findings of the study indicated that the Material is tremolite asbestos with characteristics substantially similar to the earlier distributed HSL reference Material. A larger quantity of Material was prepared by sorting, acid-washing and mixing for sub-division into vials of ~10g each. These vials have been transferred from NIOSH to RTI International, from where they can be obtained on request.

Owen S. Crankshaw - One of the best experts on this subject based on the ideXlab platform.

  • Published by Oxford University Press on behalf of the British Occupational Hygiene Society 2014. •  1 Characterization of Lone Pine, California, Tremolite Asbestos and Preparation of Research Material
    2016
    Co-Authors: Owen S. Crankshaw, Stacy S. Doorn, Todd J. Ennis, Sara E. Harrison
    Abstract:

    Well-characterized amphibole asbestos mineral samples are required for use as analytical stand-ards and in future Research projects. Currently, the National Institute for Standards and Technology Standard Reference Material samples of asbestos are listed as ‘Discontinued’. The National Institute for Occupational Safety and Health (NIOSH) has a goal under the Asbestos Roadmap of locating and characterizing Research Materials for future use. Where an initial characterization analysis deter-mines that a collected Material is appropriate for use as a Research Material in terms of composition and asbestiform habit, sufficient amounts of the Material will be collected to make it publicly available. An abandoned mine near Lone Pine, California, contains a vein of tremolite asbestos, which was the probable source of a reference Material that has been available for the past 17 years from the Health and Safety Laboratory (HSL) in the UK. Newly collected fibrous vein Material from this mine was analyzed at Research Triangle Institute (RTI International) with some additional analysis by the US Geological Survey’s Denver Microbeam Laboratory. The analysis at RTI International included: (i) polarized light microscopy (PLM) with a determination of principal optical properties; (ii) X-ray diffraction; (iii) transmission electron microscopy, including energy dispersive X-ray spectroscopy and selected-area electron diffraction; and (iv) spindle stage analysis using PLM to determine whether individual fib

  • Published by Oxford University Press on behalf of the British Occupational Hygiene Society 2014. •  91 Characterization of Lone Pine, California, Tremolite Asbestos and Preparation of Research Material
    2016
    Co-Authors: Owen S. Crankshaw, Stacy S. Doorn, Todd J. Ennis, Sara E. Harrison
    Abstract:

    Well-characterized amphibole asbestos mineral samples are required for use as analytical stand-ards and in future Research projects. Currently, the National Institute for Standards and Technology Standard Reference Material samples of asbestos are listed as ‘Discontinued’. The National Institute for Occupational Safety and Health (NIOSH) has a goal under the Asbestos Roadmap of locating and characterizing Research Materials for future use. Where an initial characterization analysis deter-mines that a collected Material is appropriate for use as a Research Material in terms of composition and asbestiform habit, sufficient amounts of the Material will be collected to make it publicly available. An abandoned mine near Lone Pine, California, contains a vein of tremolite asbestos, which was the probable source of a reference Material that has been available for the past 17 years from the Health and Safety Laboratory (HSL) in the UK. Newly collected fibrous vein Material from this mine was analyzed at Research Triangle Institute (RTI International) with some additional analysis by the US Geological Survey’s Denver Microbeam Laboratory. The analysis at RTI International included: (i) polarized light microscopy (PLM) with a determination of principal optical properties; (ii) X-ray diffraction; (iii) transmission electron microscopy, including energy dispersive X-ray spectroscopy and selected-area electron diffraction; and (iv) spindle stage analysis using PLM to determine whether individual fib

  • characterization of lone pine california tremolite asbestos and preparation of Research Material
    Annals of Occupational Hygiene, 2015
    Co-Authors: Martin Harper, Owen S. Crankshaw, Stacy S. Doorn, Todd J. Ennis, Bradley S Van Gosen, Sara Harrison
    Abstract:

    Well-characterized amphibole asbestos mineral samples are required for use as analytical standards and in future Research projects. Currently, the National Institute for Standards and Technology Standard Reference Material samples of asbestos are listed as 'Discontinued'. The National Institute for Occupational Safety and Health (NIOSH) has a goal under the Asbestos Roadmap of locating and characterizing Research Materials for future use. Where an initial characterization analysis determines that a collected Material is appropriate for use as a Research Material in terms of composition and asbestiform habit, sufficient amounts of the Material will be collected to make it publicly available. An abandoned mine near Lone Pine, California, contains a vein of tremolite asbestos, which was the probable source of a reference Material that has been available for the past 17 years from the Health and Safety Laboratory (HSL) in the UK. Newly collected fibrous vein Material from this mine was analyzed at Research Triangle Institute (RTI International) with some additional analysis by the US Geological Survey's Denver Microbeam Laboratory. The analysis at RTI International included: (i) polarized light microscopy (PLM) with a determination of principal optical properties; (ii) X-ray diffraction; (iii) transmission electron microscopy, including energy dispersive X-ray spectroscopy and selected-area electron diffraction; and (iv) spindle stage analysis using PLM to determine whether individual fibers and bundles of the samples were polycrystalline or single-crystal cleavage fragments. The overall findings of the study indicated that the Material is tremolite asbestos with characteristics substantially similar to the earlier distributed HSL reference Material. A larger quantity of Material was prepared by sorting, acid-washing and mixing for sub-division into vials of ~10g each. These vials have been transferred from NIOSH to RTI International, from where they can be obtained on request.

Tero Alakokko - One of the best experts on this subject based on the ideXlab platform.

  • insight into hospital ward nurses concerns about patient health and the corresponding medical emergency team nurse response
    Intensive and Critical Care Nursing, 2019
    Co-Authors: Jaana Kalliokoski, Helvi Kyngas, Tero Alakokko, Merja Merilainen
    Abstract:

    Abstract 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.

  • insight into hospital ward nurses concerns about patient health and the corresponding medical emergency team nurse response
    Intensive and Critical Care Nursing, 2019
    Co-Authors: Jaana Kalliokoski, Helvi Kyngas, Tero Alakokko, Merja Merilainen
    Abstract:

    Abstract 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.