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Implementation of a model of emergency care in an Australian hospital.

Implementation of a model of emergency care in an Australian hospital.
Author Information (click to view)

Millichamp T, Bakon S, Christensen M, Stock K, Howarth S,


Millichamp T, Bakon S, Christensen M, Stock K, Howarth S, (click to view)

Millichamp T, Bakon S, Christensen M, Stock K, Howarth S,

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Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association 25(7) 35-42 doi 10.7748/en.2017.e1741
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.

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