Jennifer McGaughey

Queen's University Belfast

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Co-Authors

Bronagh Blackwood

Queen's University Belfast

Peter O’Halloran

Queen's University Belfast

Samuel Porter

Science Systems and Applications (United States)

Donna Fitzsimons

Queen's University Belfast

Daniel F. McAuley

Royal Victoria Hospital

Ahmet Bütün

Mardin Artuklu University

Mark Linden

Queen's University Belfast

Fiona Alderdice

Queen's University Belfast

Louise Rose

King's College London

Fiona Lynn

Health & Life (Taiwan)

Cooperative Institutions

Inserm

112

Assistance Publique – Hôpitaux de Paris

University College London

University of Amsterdam

Academic Medical Center

Istituti di Ricovero e Cura a Carattere Scientifico

Universitat Autònoma de Barcelona

Cairo University

Amsterdam University Medical Centers

Université Paris Cité

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Early warning systems and rapid response to the deteriorating patient in hospital: A realist evaluation

Journal of Advanced Nursing (2017)

Jennifer McGaughey Peter O’Halloran Sam Porter John Trinder Bronagh Blackwood

Abstract Aim To test the Rapid Response Systems programme theory against actual practice components of the Rapid Response Systems implemented to identify those contexts and mechanisms which have an impact on the successful achievement of desired outcomes in practice. Background Rapid Response Systems allow deteriorating patients to be recognized using Early Warning Systems, referred early via escalation protocols and managed at the bedside by competent staff. Design Realist evaluation. Methods The research design was an embedded multiple case study approach of four wards in two hospitals in Northern Ireland which followed the principles of Realist Evaluation. We used various mixed methods including individual and focus group interviews, observation of nursing practice between June–November 2010 and document analysis of Early Warning Systems audit data between May–October 2010 and hospital acute care training records over 4.5 years from 2003–2008. Data were analysed using NiVivo8 and SPPS . Results A cross‐case analysis highlighted similar patterns of factors which enabled or constrained successful recognition, referral and response to deteriorating patients in practice. Key enabling factors were the use of clinical judgement by experienced nurses and the empowerment of nurses as a result of organizational change associated with implementation of Early Warning System protocols. Key constraining factors were low staffing and inappropriate skill mix levels, rigid implementation of protocols and culturally embedded suboptimal communication processes. Conclusion Successful implementation of Rapid Response Systems was dependent on adopting organizational and cultural changes that facilitated staff empowerment, flexible implementation of protocols and ongoing experiential learning.

Staffing

Judgement

Acute care

10.1111/jan.13367

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Citations (51)

The effectiveness of non-pharmacological interventions in reducing the incidence and duration of delirium in critically ill patients: a systematic review and meta-analysis

Intensive Care Medicine (2018)

Leona Bannon Jennifer McGaughey Rejina Verghis Mike Clarke Daniel F. McAuley

Emergence delirium

10.1007/s00134-018-5452-x

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Citations (87)

Realist Evaluation: a theory driven approach.

Jennifer McGaughey

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Respiratory alterations and management

Anastasia Hutchinson Jennifer McGaughey

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Cochrane Systematic Review of Critical Care Outreach services (CCOS) and Medical Emergency Teams (MET).

Jennifer McGaughey Fiona Alderdice Robert Fowler Atul Kapila Marriane Moutray

Outreach

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A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions.

General Medicine Open Access (2018)

Ahmet Bütün Mark Linden Fiona Lynn Jennifer McGaughey

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The effectiveness of peer mentoring in promoting a positive transition to higher education for first-year undergraduate students: a mixed methods systematic review protocol

Systematic Reviews (2016)

Jean Carragher Jennifer McGaughey

The global transfer of nursing and midwifery education to higher education institutes has led to student nurses and midwives experiencing challenges previously faced by traditional third-level students, including isolation, loneliness, financial difficulties and academic pressure. These challenges can contribute to increased stress and anxiety levels which may be detrimental to the successful transition to higher education, thus leading to an increase in attrition rates. Peer mentoring as an intervention has been suggested to be effective in supporting students in the transition to third-level education through enhancing a sense of belongingness and improving student satisfaction, engagement and retention rates. This proposed systematic review aims to determine the effectiveness of peer mentoring in enhancing levels of student engagement, sense of belonging and overall satisfaction of first-year undergraduate students following transition into higher education. MEDLINE, Web of Knowledge, ProQuest, Embase, CINAHL, ERIC, PsycINFO and CENTRAL databases will be searched for qualitative, quantitative and mixed methods studies on the implementation of peer assessment strategies in higher education institutes (HEIs) or universities for full-time, first-year adult students (>17 years). Included studies will be limited to the English language. The quality of included studies will be assessed using a validated Mixed Methods Appraisal Tool (MMAT). The findings will be presented as a narrative synthesis or meta-analysis as appropriate following sequential explanatory synthesis. The review will provide clear, non-biased evidence-based guidance to all third-level educators on the effectiveness of peer-mentoring programmes for first-year undergraduates. The review is necessary to help establish which type of peer mentoring is most effective. The evidence from qualitative and quantitative studies drawn from the international literature will be utilised to illustrate the best way to implement and evaluate peer mentoring as an effective intervention and will be useful in guiding future research and practice in this area. These findings may be applied internationally across all disciplines.

CINAHL

PsycINFO

Belongingness

Attrition

10.1186/s13643-016-0245-1

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Citations (55)

Co‐design of a patient and family‐initiated escalation of care intervention to detect and refer patient deterioration: Research protocol

Journal of Advanced Nursing (2020)

Aidín McKinney Donna Fitzsimons Bronagh Blackwood Mark White Jennifer McGaughey

Abstract Aim To co‐design a patient and family‐initiated intervention to improve the detection and escalation of patient deterioration on acute adult hospital wards in Northern Ireland and the Republic of Ireland. Design The design is a collective case study approach in an acute hospital in Northern Ireland and the Republic of Ireland using an adapted co‐design approach and Medical Research Council framework guidelines. Methods Data will be collected from key stakeholders (patients, relatives, and healthcare professionals) using individual and focus group interviews and a review of patients’ records. This will inform the development of a co‐designed intervention and implementation strategy. The developed prototype will be further refined and optimized following a feedback session with stakeholders from each hospital site. This study was funded in February 2018 and Research Ethics Committee approval was granted in March 2019. Discussion This study will contribute to the growing knowledge base in relation to the interventions that improve the escalation of patient deterioration. It will also contribute to the intelligence, evidence and understanding of the role of patient and family participation in the detection and referral of clinical deterioration in acute adult hospital settings. Impact There is an ongoing need to introduce systems or mechanisms in acute care hospital settings which allow patient or family members to have a greater role in escalating care when they are concerned about patient deterioration. To date there is limited evidence of rigorous studies examining this area and this study will use stakeholder engagement and involvement to co‐design an intervention which will provide patients and families with a mechanism to address concerns which can be tested in practice.

Acute care

10.1111/jan.14365

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Citations (7)

End-of-life care decision-making by Rapid Response System teams for hospital inpatients; a systematic review

Laura Creighton Deborah Coleman Jennifer McGaughey

Rapid response team

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Understanding the pre-operative information needs of patients and their relatives in intensive care units

Intensive and Critical Care Nursing (1994)