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- Title
Implementation of a model of emergency care in an Australian hospital.
- Authors
Millichamp, Tracey; Bakon, Shannon; Christensen, Martin; Stock, Kate; Howarth, Sarah
- Abstract
Aim Emergency departments are characterised by a fast-paced, quick turnover and high acuity workload, therefore appropriate staffing is vital to ensure positive patient outcomes. Models of care are frameworks in which safe and effective patient-to-nurse ratios can be ensured. The aim of this study was to implement a supportive and transparent model of emergency nursing care that provides structure - regardless of nursing staff profile, business or other demands; improvement to nursing workloads; and promotes individual responsibility and accountability for patient care. Method A convergent parallel mixed-method approach was used. Quantitative data were analysed using descriptive statistics and the qualitative data used a thematic analysis to identify recurrent themes. Results Data post-implementation of the model of emergency nursing care indicate improved staff satisfaction in relation to workload, patient care and support structures. Conclusion The development and implementation of a model of care in an emergency department improved staff workload and staff's perception of their ability to provide care.
- Subjects
AUSTRALIA; EMERGENCY nursing; FOCUS groups; HOSPITAL emergency services; LEADERSHIP; RESEARCH methodology; MEDICAL care; MEDICAL quality control; NURSES' attitudes; PATIENTS; PATIENT safety; TEAMS in the workplace; EMPLOYEES' workload; SOCIAL support; THEMATIC analysis; HUMAN services programs; PRE-tests &; post-tests; NURSE-patient ratio; DATA analysis software; DESCRIPTIVE statistics
- Publication
Emergency Nurse, 2017, Vol 25, Issue 7, p35
- ISSN
1354-5752
- Publication type
Article
- DOI
10.7748/en.2017.e1741