Cassandra E Haley, Ma'n H Zawati
Direct-to-Consumer Genetic Tests and Canadian Genetic Counselors: A Pilot Exploration of Professional Roles in Response to Novel Biotechnologies
Genes
ascertain impact mandated use early warning systems ewss development registered nurses higherorder thinking systematic literature review conducted following preferred reporting items systematic reviews metaanalyses prisma guidelines checklist page et al 2021 cinahl medline embase pyscinfo eligible articles quality appraised using mmat tool data extraction conducted independently four reviewers three investigators thematically analysed data review found ewss support suppress development nurses higherorder thinking ews supports development higherorder thinking two ways confirming nurses subjective clinical assessment patients andor providing rationale escalation care note experienced nurses expressed view junior nurses inhibited developing effective higherorder thinking due reliance tool ewss facilitate early identification clinical deterioration hospitalised patients impact ewss development nurses higherorder thinking underexplored found ewss support suppress nurses higherorder thinking ews supportive factor reinforces development nurses heuristics mental shortcuts experienced clinicians call interpreting subjective clinical assessment patients conversely ews suppressive factor inhibits development nurses higherorder thinking heuristics restricting development muscle memory regarding similar presentations may encounter future clinicians ability refine expand catalogue heuristics important endorses future provision safe effective care patients present similar physiological signs symptoms research impacts health services education providers ews nurses development higherorder thinking skills essential aspects delivering safe quality care systematic review therefore comprises contribution patients public