{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:14:37Z","timestamp":1787015677674,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2014,1,7]],"date-time":"2014-01-07T00:00:00Z","timestamp":1389052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>To explore and understand medical\u2010surgical nurses' perceived self\u2010confidence and leadership abilities as first responders in recognising and responding to clinical deterioration prior to the arrival of an emergency response team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients are admitted to hospitals with multiple, complex health issues who are more likely to experience clinical deterioration. The majority of clinical deterioration events occur on medical\u2010surgical units, and medical\u2010surgical nurses are frequently the first healthcare professionals to identify signs and symptoms of clinical deterioration and initiate life\u2010saving interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A prospective, cross\u2010sectional, descriptive quantitative design using a survey method was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nurses were recruited from an integrated healthcare system located in the south\u2010east United States. Nurses completed a demographic, a self\u2010confidence and a leadership ability questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and forty\u2010eight nurses participated in the study. Nurses felt moderately self\u2010confident in recognising, assessing and intervening during clinical deterioration events. In addition, nurses felt moderately comfortable performing leadership skills prior to the arrival of an emergency response team. A significant, positive relationship was found between perceived self\u2010confidence and leadership abilities. Age and certification status were significant predictors of nurses' leadership ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although nurses felt moderately self\u2010confident and comfortable with executing leadership abilities, improvement is needed to ensure nurses are competent in recognising patients' deterioration cues and making sound decisions in taking appropriate, timely actions to rescue patients. Further strategies need to be developed to increase nurses' self\u2010confidence and execution of leadership abilities in handling deterioration events for positive patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Educational provisions should focus on various clinical deterioration events to build nurses' self\u2010confidence and leadership abilities in handling clinical deterioration. Nurses should obtain national certification to increase their knowledge and clinical reasoning skills.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.12523","type":"journal-article","created":{"date-parts":[[2014,1,7]],"date-time":"2014-01-07T05:34:44Z","timestamp":1389072884000},"page":"2769-2778","source":"Crossref","is-referenced-by-count":26,"title":["Medical\u2010surgical nurses' perceived self\u2010confidence and leadership abilities as first responders in acute patient deterioration events"],"prefix":"10.1111","volume":"23","author":[{"given":"Patricia L","family":"Hart","sequence":"first","affiliation":[{"name":"Kennesaw State University Kennesaw GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LeeAnna","family":"Spiva","sequence":"additional","affiliation":[{"name":"WellStar Development Center Center for Nursing Excellence Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Baio","sequence":"additional","affiliation":[{"name":"WellStar Kennestone Hospital Marietta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Huff","sequence":"additional","affiliation":[{"name":"WellStar Paulding Hospital Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denice","family":"Whitfield","sequence":"additional","affiliation":[{"name":"WellStar Cobb Hospital Austell GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Law","sequence":"additional","affiliation":[{"name":"WellStar Douglas Hospital Douglasville GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Wells","sequence":"additional","affiliation":[{"name":"WellStar Douglas Hospital Douglasville GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inocenica G","family":"Mendoza","sequence":"additional","affiliation":[{"name":"WellStar Windy Hill Hospital Marietta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,7]]},"reference":[{"key":"e_1_2_15_2_1","volume-title":"TeamSTEPPS Instructor Guide","author":"Agency for Healthcare Research and Quality","year":"2006"},{"key":"e_1_2_15_3_1","unstructured":"ALERT(2013)Acute Life\u2010Threatening Events: Recognition & Treatment. 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