کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2606089 1134186 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
‘Hands-on’ assessment: A useful strategy for improving patient safety in emergency departments
ترجمه فارسی عنوان
ارزیابی کنشی: یک استراتژی مفید برای بهبود ایمنی بیماران در بخش اورژانس
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

SummaryBackgroundPatient assessment is an essential nursing intervention that reduces the incidence and impact of errors and preventable adverse events in emergency departments (EDs). This paper reports on a key finding of the ED nurse component of a larger study investigating how registered nurses manage ‘discontinuities’ or ‘gaps’ in patient care.MethodsThe larger study was undertaken as a naturalistic inquiry using a qualitative exploratory descriptive approach. Data were collected from a criterion-based purposeful sample of 71 nurses, of which 19 were ED nurses, and analysed using content and thematic analysis strategies.ResultsThe component of the study reported here revealed that ED nurses used ‘hands-on’, head-to-toe assessment to manage gaps in patient care. Examination of the data revealed three key dimensions of patient assessment in the ED: (i) assessment is the ‘bread and butter’ of emergency nursing; (ii) ‘hands-on’ assessment techniques are irreplaceable and, (iii) patient assessment is undervalued in EDs.ConclusionsThe findings of this study reaffirm the role of ‘hands-on’ observation and assessment in creating safety in EDs. Further research and inquiry is needed to determine how health care systems can provide the conditions for ensuring that ‘hands-on’ assessment occurs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Australasian Emergency Nursing Journal - Volume 18, Issue 4, November 2015, Pages 212–217
نویسندگان
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