Department of Nursing, Health Sciences and Integrated Care, ATU Mayohttps://research.thea.ie/handle/20.500.12065/1552024-03-29T06:32:37Z2024-03-29T06:32:37ZDynamics and impacts of changing reference points with a focus on recruitment productivitySilvar Viladomiu, Paulahttps://research.thea.ie/handle/20.500.12065/46272023-10-24T03:02:22Z2022-10-01T00:00:00ZDynamics and impacts of changing reference points with a focus on recruitment productivity
Silvar Viladomiu, Paula
Managing fish stocks in the context of changing ecosystems and productivity is an ongoing challenge for fisheries science. Reference points are key tools for enabling effective management, defining management goals, guiding management actions and providing advice on sustainable catches. Measuring productivity is crucial for estimating reference points. For many fish stocks, there is evidence that productivity has changed over time in a non-stationary manner. While understanding why these changes have occurred is important, in the more immediate term, understanding how productivity is changing and accounting for those changes is crucial for tactical management. The objectives of this thesis were to (i) explore reference point estimation and retrospective changes, (ii) highlight a method developed by Randall Peterman and colleagues (Peterman’s Productivity Method) as a method to track temporal changes in recruitment productivity of fish stocks, and (iii) apply this method to the Celtic Seas ecoregion.
2022-10-01T00:00:00ZFactors that influence hospital nurses’ escalation of patient care in response to their early warning score: A qualitative evidence synthesisBurke, CatherineConway, Yvonnehttps://research.thea.ie/handle/20.500.12065/39452022-05-20T16:51:11Z2022-03-25T00:00:00ZFactors that influence hospital nurses’ escalation of patient care in response to their early warning score: A qualitative evidence synthesis
Burke, Catherine; Conway, Yvonne
BACKGROUND: The Early Warning Score (EWS) is a validated tool that has improved patient outcomes internationally. This scoring system is used within the hospital setting to identify potentially deteriorating patients, thus expediting referral to appropriate medical personnel. It is increasingly recognised that there are other influencing factors along with EWS, which impact on nurses’ decisions to escalate care. AIM: The aim of this review was to identify and synthesise data from qualitative studies, which examined factors influencing nurses’ escalation of care in response to patients’ EWS. METHODS: The systematic search strategy and eligibility criteria were guided by the SPIDER (Sample Phenomenon of Interest Design Evaluation Type of Research) framework. Eleven databases and five grey literature databases were searched. Titles and abstracts were independently screened in line with pre-established inclusion and exclusion criteria using the cloud-based platform, Rayyan. The selected studies underwent quality appraisal using CASP (Critical Appraisal Skills Programme, 2017, https://www.casp-uk.net/casp-toolschecklists) and subsequently synthesised using Thomas and Harden's thematic analysis approach. GRADE–CERQual (Grading of Recommendations Assessment Development and Evaluation–Confidence in the Evidence from Reviews of Qualitative research) was used to assess confidence in results. The EQUATOR listed guideline ENTREQ (Tong et al., 2012, BMC Medical Research Methodology, 12) was used to synthesise and report findings. RESULTS: Eighteen studies from seven countries including 235 nurses were identified. Following synthesis, four analytical themes were generated with eighteen derived consequent findings. The four themes identified were as follows: 1) Marrying nurses’ clinical judgement with EWS 2) SMART communication 3) EWS Protocol: Blessing and a Curse 5) Hospital Domain. CONCLUSION: Nurses strive to find balance by simultaneously navigating within the boundaries of both the EWS protocol and the hospital domain. They view the EWS as a valid essential component in the system but one that does not give a definitive answer and absolute direction. They value the protocols’ ability to identify deteriorating patients and convey the seriousness of a situation to their multidisciplinary colleagues but also find it somewhat restrictive and frustrating and wish to have credence given to their own intuition and clinical judgement.
2022-03-25T00:00:00Z