Abstract：
OBJECTIVE: To explore the published research related to nurses\' documentation and use of vital signs in recognising and responding to deteriorating patients.
METHODS: Scoping review of international, peer-reviewed research studies.
METHODS: Cumulative Index to Nursing and Allied Health Literature Complete, Medline Complete, American Psychological Association PsycInfo and Excerpta Medica were searched on 25 July 2023.
UNASSIGNED: Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews.
RESULTS: Of 3880 potentially eligible publications, 32 were included. There were 26 studies of nurses\' vital sign documentation: 21 adults and five paediatric. The most and least frequently documented vital signs were blood pressure and respiratory rate respectively. Seven studies focused on vital signs and rapid response activation or afferent limb failure. Five studies of vital signs used to trigger the rapid response system showed heart rate was the most frequent and respiratory rate and conscious state were the least frequent. Heart rate was least likely and oxygen saturation was most likely to be associated with afferent limb failure (n = 4 studies).
CONCLUSIONS: Despite high reliance on using vital signs to recognise clinical deterioration and activate a response to deteriorating patients in hospital settings, nurses\' documentation of vital signs and use of vital signs to activate rapid response systems is poorly understood. There were 21studies of nurses\' vital sign documentation in adult patients and five studies related to children.
UNASSIGNED: A deeper understanding of nurses\' decisions to assess (or not assess) specific vital signs, analysis of the value or importance nurses place (or not) on specific vital sign parameters is warranted. The influence of patient characteristics (such as age) or the clinical practice setting, and the impact of nurses\' workflows of vital sign assessment warrants further investigation.
UNASSIGNED: No Patient or Public Contribution.
METHODS: Scoping review of international, peer-reviewed research studies.
METHODS: Cumulative Index to Nursing and Allied Health Literature Complete, Medline Complete, American Psychological Association PsycInfo and Excerpta Medica were searched on 25 July 2023.
UNASSIGNED: Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews.
RESULTS: Of 3880 potentially eligible publications, 32 were included. There were 26 studies of nurses\' vital sign documentation: 21 adults and five paediatric. The most and least frequently documented vital signs were blood pressure and respiratory rate respectively. Seven studies focused on vital signs and rapid response activation or afferent limb failure. Five studies of vital signs used to trigger the rapid response system showed heart rate was the most frequent and respiratory rate and conscious state were the least frequent. Heart rate was least likely and oxygen saturation was most likely to be associated with afferent limb failure (n = 4 studies).
CONCLUSIONS: Despite high reliance on using vital signs to recognise clinical deterioration and activate a response to deteriorating patients in hospital settings, nurses\' documentation of vital signs and use of vital signs to activate rapid response systems is poorly understood. There were 21studies of nurses\' vital sign documentation in adult patients and five studies related to children.
UNASSIGNED: A deeper understanding of nurses\' decisions to assess (or not assess) specific vital signs, analysis of the value or importance nurses place (or not) on specific vital sign parameters is warranted. The influence of patient characteristics (such as age) or the clinical practice setting, and the impact of nurses\' workflows of vital sign assessment warrants further investigation.
UNASSIGNED: No Patient or Public Contribution.
摘要：
目的：探讨已发表的与护士记录和使用生命体征来识别和应对恶化患者有关的研究。
方法：国际范围审查，同行评审的研究。
方法：护理和相关健康文献的累积指数，MedlineComplete,2023年7月25日搜索了美国心理学会PsycInfo和ExcerptaMedica。
■用于范围审查的系统审查和荟萃分析扩展的首选报告项目。
结果：在3880份可能符合条件的出版物中，包括32个。有26项关于护士生命体征文件的研究：21名成人和5名儿科。记录最多和最少的生命体征分别是血压和呼吸频率。七项研究集中在生命体征和快速反应激活或传入肢体衰竭。对用于触发快速反应系统的生命体征的五项研究表明，心率最频繁，呼吸频率和意识状态最少。心率和氧饱和度最可能与传入肢体衰竭有关（n=4项研究）。
结论：尽管在医院环境中高度依赖使用生命体征来识别临床恶化并激活对恶化患者的反应，护士对生命体征的记录和使用生命体征来激活快速反应系统的了解很少。有21项关于成人患者护士生命体征记录的研究和5项与儿童有关的研究。
■更深入地了解护士评估（或不评估）特定生命体征的决定，有必要分析护士对特定生命体征参数的价值或重要性。患者特征（如年龄）或临床实践设置的影响，护士生命体征评估工作流程的影响值得进一步调查。
■没有患者或公共捐款。
方法：国际范围审查，同行评审的研究。
方法：护理和相关健康文献的累积指数，MedlineComplete,2023年7月25日搜索了美国心理学会PsycInfo和ExcerptaMedica。
■用于范围审查的系统审查和荟萃分析扩展的首选报告项目。
结果：在3880份可能符合条件的出版物中，包括32个。有26项关于护士生命体征文件的研究：21名成人和5名儿科。记录最多和最少的生命体征分别是血压和呼吸频率。七项研究集中在生命体征和快速反应激活或传入肢体衰竭。对用于触发快速反应系统的生命体征的五项研究表明，心率最频繁，呼吸频率和意识状态最少。心率和氧饱和度最可能与传入肢体衰竭有关（n=4项研究）。
结论：尽管在医院环境中高度依赖使用生命体征来识别临床恶化并激活对恶化患者的反应，护士对生命体征的记录和使用生命体征来激活快速反应系统的了解很少。有21项关于成人患者护士生命体征记录的研究和5项与儿童有关的研究。
■更深入地了解护士评估（或不评估）特定生命体征的决定，有必要分析护士对特定生命体征参数的价值或重要性。患者特征（如年龄）或临床实践设置的影响，护士生命体征评估工作流程的影响值得进一步调查。
■没有患者或公共捐款。
