Voices from the floor: Nurses' perceptions of the medical emergency team

Intensive Crit Care Nurs. 2006 Jun;22(3):138-43. doi: 10.1016/j.iccn.2005.10.002. Epub 2005 Dec 1.

Abstract

Nurses are the main group of clinicians who activate the medical emergency team (MET), placing them in an excellent position to provide valuable insights regarding the effectiveness of this system. This descriptive study aimed to explore nurses' satisfaction with the MET, perceived benefits and suggestions for improvement. The study also sought to examine the characteristics of nurses who were more likely to activate the MET. Using a survey design, descriptive statistics as well as content analysis were used to analyse the data. Seventy-three nurses (79% response rate) returned their completed surveys. A positive and significant relationship was found between years of nursing experience and MET activation (p = 0.018). Overall, nurses were satisfied with the MET, with suggestions for improvement including more education on medical emergencies for both ward and MET staff. Whilst the MET system is meeting the expectations of the majority of ward nurses, there is room for improvement, which includes a more positive attitude of the MET when summoned for 'borderline' cases. Investment in ongoing education of clinicians and interdisciplinary communication is likely to encourage less experienced nurses to utilise this system, whilst decreasing the reticence of some nurses to call the MET.

MeSH terms

  • Attitude of Health Personnel*
  • Chi-Square Distribution
  • Clinical Competence / standards
  • Communication
  • Cooperative Behavior
  • Education, Nursing, Continuing
  • Emergencies / nursing*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Inservice Training
  • Interdisciplinary Communication
  • Interprofessional Relations
  • Needs Assessment
  • New South Wales
  • Nursing Methodology Research
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / psychology*
  • Patient Care Team / organization & administration*
  • Patient-Centered Care / organization & administration
  • Resuscitation / nursing
  • Surveys and Questionnaires
  • Trust