Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association 25(7) 35-42 doi 10.7748/en.2017.e1741
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.
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.
Data post-implementation of the model of emergency nursing care indicate improved staff satisfaction in relation to workload, patient care and support structures.
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.