Self-leadership in a Critical Care Outreach Service to obtain Quality Patient Care

Unified Nursing Research, Midwifery & Women’s Health Journal
Volume 1, Issue 1, June 2020, Pages: 12-20
Received: Mar. 17, 2020; Accepted: Apr. 17, 2020; Published: Apr. 27, 2020

Authors: C. Prinsloo, University of South Africa.


Introduction: Hospital patients located in general wards tend to have more complex problems and a higher number of co-morbidities than in the past, increasing the probability that patients’ general ward will show signs of deterioration. Delayed or missed recognition of deteriorating patients contributes to serious adverse events in general wards, with abnormal vital signs observable up to 48 hours before an adverse event [1]. These challenges resulted in the development of the Critical Care Outreach Service (CCOS). Nurses should take the lead in recognizing the deterioration in patient and utilize behavior and cognitive strategies in managing deteriorating patients. The ability to respond and initiate health interventions confirms the role of self-leadership in CCOS

Keywords: Nurses, Patients, Critical Care, Patients` Safety.

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To citation of this article: C. Prinsloo, Self-leadership in a Critical Care Outreach Service to obtain Quality Patient Care, Unified Nursing Research, Midwifery & Women’s Health Journal

References: [1] Preece, M.H.W., A. Hill, M.S. Horswill, and M.O. Watson. 2012. “Supporting the detection of patient deterioration: Observation chart design affects the recognition of abnormal vital signs.” Resuscitation 83: 1111-1118.
[2] Van Wart, M. 2015. Dynamics of Leadership in Public Service Theory and Practice 2nd edition. New York: M. E. Sharoe Inc.

Purpose: Nurse’s experiences on their self-leadership in CCOS were explored to obtain insight into their self-leadership in CCOS.

Research design: A qualitative phenomenology research approach were followed. Focus groups were held with nurses working in a private hospital providing the CCOS in South Africa. It became clear that self-leadership intended to develop personal efficiency through three categories of individual-level approaches; namely (i) behavioral focused actions, (ii) natural reward (motivational) actions, and (iii) constructive thought (cognitive) patterns[2]. The findings showed that these approaches came to the fore in the data analyzed in this study

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