247024 Failure to rescue: A potential measure of school nursing practice

Tuesday, November 1, 2011: 4:50 PM

Susan Kohl Malone, RN MSN NCSN , School of Nursing, University of Pennsylvania, Philadelphia, PA
Martha Dewey Bergren, DNS RN NCSN FNASN FASHA , School Nursing Consultant, Appleton, WI
Erin Maughan, RN, PhD, APHN-BC , College of Nursing, Brigham Young University, Provo, UT
Vigilance has been central to nursing practice since Florence Nightingale, but measuring vigilance has become increasingly significant in our outcomes driven health care delivery system. “Failure to rescue” (FTR) has emerged as an outcomes measure that is sensitive to the measuring nursing vigilance in acute care settings. Interest in this concept has result in its evolution to other practice settings. Critical components of vigilance (anticipation of impending problems; knowing when immediate action is necessary; mounting an effective response) have been identified in the literature. This project analyzed anecdotal stories and media accounts to identify critical components of vigilance in school nursing practice and to describe the relationship of school nurse vigilance to school deaths and school rescues. These findings provided an initial description of concept of vigilance unique to school nursing practice and provided evidence for the critical role that school nurses play in determining the outcome (life or death) when a catastrophic event happens at school. Accurate definitions of the FTR term and sound evidence into predictors of FTR may provide the data to demonstrate that school nurses are a reasonable and cost-effective investment for meeting the obligations of schools and communities to keep children safe in school. The results of this work indicate that there is potential to use FTR in areas of nursing practice outside of acute care. Future studies are needed to explore the concept of vigilance and the FTR measure in other public health nursing specialties.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
1. Describe the evolution of the “failure to rescue” (FTR) concept as a nurse sensitive outcomes measure in various practice settings 2. Define the key elements of the failure to rescue concept 3. Formulate an idea about how the FTR outcomes measure may be applied to school nursing practice

Keywords: Outcome Measures, Outcomes Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I conducted this work as a research intern with Dr. Martha Dewey Bergren, Director of Research, National Association of School Nurses. This work has been published in a peer reviewed journal and received recognition as the third best First Publication by a school nurse in 2010. I have presented this work at national conferences for the American School Health Association and the National Association of School Nurses.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.