The dimensions of nursing surveillance

A concept analysis

Lesly Kelly, Deborah Vincent

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Aim. This paper is a report of an analysis of the concept of nursing surveillance. Background. Nursing surveillance, a primary function of acute care nurses, is critical to patient safety and outcomes. Although it has been associated with patient outcomes and organizational context of care, little knowledge has been generated about the conceptual and operational process of surveillance. Data sources. A search using the CINAHL, Medline and PubMed databases was used to compile an international data set of 18 papers and 4 book chapters published from 1985 to 2009. Review methods. Rodger's evolutionary concept analysis techniques were used to analyse surveillance in a systems framework. This method focused the search to nursing surveillance (as opposed to other medical uses of the term) and used a theoretical framework to guide the analysis. Results. The examination of the literature clarifies the multifaceted nature of nursing surveillance in the acute care setting. Surveillance involves purposeful and ongoing acquisition, interpretation and synthesis of patient data for clinical decision-making. Behavioural activities and multiple cognitive processes are used in surveillance in order for the nurse to make decisions for patient safety and health maintenance. A systems approach to the analysis also demonstrates how organizational characteristics and contextual factors influence the process in the acute care environment. Conclusion. This conceptual analysis describes the nature of the surveillance process and clarifies the concept for effective communication and future use in health services research.

Original languageEnglish (US)
Pages (from-to)652-661
Number of pages10
JournalJournal of Advanced Nursing
Volume67
Issue number3
DOIs
StatePublished - Mar 2011
Externally publishedYes

Fingerprint

Nursing
Patient Safety
Nurses
Information Storage and Retrieval
Health Services Research
Systems Analysis
PubMed
Communication
Databases
Health

Keywords

  • Acute care
  • Concept analysis
  • Nurse
  • Patient safety
  • Surveillance
  • Work environment

ASJC Scopus subject areas

  • Nursing(all)

Cite this

The dimensions of nursing surveillance : A concept analysis. / Kelly, Lesly; Vincent, Deborah.

In: Journal of Advanced Nursing, Vol. 67, No. 3, 03.2011, p. 652-661.

Research output: Contribution to journalArticle

Kelly, Lesly ; Vincent, Deborah. / The dimensions of nursing surveillance : A concept analysis. In: Journal of Advanced Nursing. 2011 ; Vol. 67, No. 3. pp. 652-661.
@article{49bc533f60a54bd5a376b28e38019931,
title = "The dimensions of nursing surveillance: A concept analysis",
abstract = "Aim. This paper is a report of an analysis of the concept of nursing surveillance. Background. Nursing surveillance, a primary function of acute care nurses, is critical to patient safety and outcomes. Although it has been associated with patient outcomes and organizational context of care, little knowledge has been generated about the conceptual and operational process of surveillance. Data sources. A search using the CINAHL, Medline and PubMed databases was used to compile an international data set of 18 papers and 4 book chapters published from 1985 to 2009. Review methods. Rodger's evolutionary concept analysis techniques were used to analyse surveillance in a systems framework. This method focused the search to nursing surveillance (as opposed to other medical uses of the term) and used a theoretical framework to guide the analysis. Results. The examination of the literature clarifies the multifaceted nature of nursing surveillance in the acute care setting. Surveillance involves purposeful and ongoing acquisition, interpretation and synthesis of patient data for clinical decision-making. Behavioural activities and multiple cognitive processes are used in surveillance in order for the nurse to make decisions for patient safety and health maintenance. A systems approach to the analysis also demonstrates how organizational characteristics and contextual factors influence the process in the acute care environment. Conclusion. This conceptual analysis describes the nature of the surveillance process and clarifies the concept for effective communication and future use in health services research.",
keywords = "Acute care, Concept analysis, Nurse, Patient safety, Surveillance, Work environment",
author = "Lesly Kelly and Deborah Vincent",
year = "2011",
month = "3",
doi = "10.1111/j.1365-2648.2010.05525.x",
language = "English (US)",
volume = "67",
pages = "652--661",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - The dimensions of nursing surveillance

T2 - A concept analysis

AU - Kelly, Lesly

AU - Vincent, Deborah

PY - 2011/3

Y1 - 2011/3

N2 - Aim. This paper is a report of an analysis of the concept of nursing surveillance. Background. Nursing surveillance, a primary function of acute care nurses, is critical to patient safety and outcomes. Although it has been associated with patient outcomes and organizational context of care, little knowledge has been generated about the conceptual and operational process of surveillance. Data sources. A search using the CINAHL, Medline and PubMed databases was used to compile an international data set of 18 papers and 4 book chapters published from 1985 to 2009. Review methods. Rodger's evolutionary concept analysis techniques were used to analyse surveillance in a systems framework. This method focused the search to nursing surveillance (as opposed to other medical uses of the term) and used a theoretical framework to guide the analysis. Results. The examination of the literature clarifies the multifaceted nature of nursing surveillance in the acute care setting. Surveillance involves purposeful and ongoing acquisition, interpretation and synthesis of patient data for clinical decision-making. Behavioural activities and multiple cognitive processes are used in surveillance in order for the nurse to make decisions for patient safety and health maintenance. A systems approach to the analysis also demonstrates how organizational characteristics and contextual factors influence the process in the acute care environment. Conclusion. This conceptual analysis describes the nature of the surveillance process and clarifies the concept for effective communication and future use in health services research.

AB - Aim. This paper is a report of an analysis of the concept of nursing surveillance. Background. Nursing surveillance, a primary function of acute care nurses, is critical to patient safety and outcomes. Although it has been associated with patient outcomes and organizational context of care, little knowledge has been generated about the conceptual and operational process of surveillance. Data sources. A search using the CINAHL, Medline and PubMed databases was used to compile an international data set of 18 papers and 4 book chapters published from 1985 to 2009. Review methods. Rodger's evolutionary concept analysis techniques were used to analyse surveillance in a systems framework. This method focused the search to nursing surveillance (as opposed to other medical uses of the term) and used a theoretical framework to guide the analysis. Results. The examination of the literature clarifies the multifaceted nature of nursing surveillance in the acute care setting. Surveillance involves purposeful and ongoing acquisition, interpretation and synthesis of patient data for clinical decision-making. Behavioural activities and multiple cognitive processes are used in surveillance in order for the nurse to make decisions for patient safety and health maintenance. A systems approach to the analysis also demonstrates how organizational characteristics and contextual factors influence the process in the acute care environment. Conclusion. This conceptual analysis describes the nature of the surveillance process and clarifies the concept for effective communication and future use in health services research.

KW - Acute care

KW - Concept analysis

KW - Nurse

KW - Patient safety

KW - Surveillance

KW - Work environment

UR - http://www.scopus.com/inward/record.url?scp=79951533735&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951533735&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2648.2010.05525.x

DO - 10.1111/j.1365-2648.2010.05525.x

M3 - Article

VL - 67

SP - 652

EP - 661

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 3

ER -