Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: A multi-centre survey

Giulio Radeschi, Felice Urso, Sara Campagna, Paola Berchialla, Sara Borga, Andrea Mina, Roberto Penso, Carlo Di Pietrantonj, Claudio Sandroni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

35 Citazioni (Scopus)


Aim: To identify factors underlying attitudes towards the medical emergency team (MET) and barriers to its utilisation among ward nurses and physicians. Methods: Multicentre survey using an anonymous questionnaire in hospitals with a fully operational MET system in the Piedmont Region, Italy. Response to questions was scored on a 5-point Likert-type agreement scale. Dichotomised results were included in a logistic regression model. Results: Among 2279 staff members who were contacted, 1812 (79.6%) completed the survey. The vast majority of respondents valued the MET. Working in a surgical vs. medical ward and having participated in either the MET educational programme (MET. al course) or MET interventions were associated with better acceptance of the MET system. Reluctance by nurses to call the covering doctor first instead of the MET for deteriorating patients (62%) was significantly less likely in those working in surgical vs. medical wards or having a higher seniority or a MET. al certification (OR 0.51 [0.4-0.65], 0.69 [0.47-0.99], and 0.6 [0.46-0.79], respectively). Reluctance to call the MET in a patient fulfilling calling criteria (21%), was less likely to occur in medical doctors vs. nurses and in surgical vs. medical ward staff, and it was unaffected by the MET. al certification. Conclusions: The MET was well accepted in participating hospitals. Nurse referral to the covering physician was the major barrier to MET activation. Medical status, working in surgical vs. medical wards, seniority and participation in the MET. al educational programme were associated with lower likelihood of showing barriers to MET activation.
Lingua originaleEnglish
pagine (da-a)92-98
Numero di pagine7
Stato di pubblicazionePubblicato - 2015


  • Adult
  • Attitude of Health Personnel
  • Cardiology and Cardiovascular Medicine
  • Critical Care
  • Education
  • Emergency Medicine
  • Emergency Nursing
  • Female
  • Health Care Surveys
  • Hospital Rapid Response Team
  • Humans
  • Interprofessional Relations
  • Italy
  • Male
  • Medical emergency team
  • Medical staff, hospital
  • Nurses
  • Nursing staff, hospital
  • Patient Care Team
  • Physicians
  • Rapid response system


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