دورية أكاديمية
Clinicians' Insights on Emergency Department Boarding: An Explanatory Mixed Methods Study Evaluating Patient Care and Clinician Well-Being.
| العنوان: | Clinicians' Insights on Emergency Department Boarding: An Explanatory Mixed Methods Study Evaluating Patient Care and Clinician Well-Being. |
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| المؤلفون: | Loke DE, Green KA, Wessling EG, Stulpin ET, Fant AL |
| المصدر: | Joint Commission journal on quality and patient safety [Jt Comm J Qual Patient Saf] 2023 Dec; Vol. 49 (12), pp. 663-670. Date of Electronic Publication: 2023 Jul 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101238023 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-131X (Electronic) Linking ISSN: 15537250 NLM ISO Abbreviation: Jt Comm J Qual Patient Saf Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : Amsterdam : Elsevier Original Publication: Oakbrook Terrace, IL : Joint Commission Resources, c2005- |
| مواضيع طبية MeSH: | Emergency Service, Hospital* , Physicians*, Humans ; Cross-Sectional Studies ; Patient Care ; Surveys and Questionnaires |
| مستخلص: | Background: The aim of this study was to describe clinicians' insights into the quality and safety of patient care delivered to emergency department (ED) boarding patients, as well as clinician safety and satisfaction related to ED boarding. Methods: This was a single-site, mixed methods sequential explanatory study. Quantitative data were obtained from a cross-sectional survey sent to ED attending physicians, resident physicians, advanced practice providers, and nurses. Semistructured focus group interviews with a subsample of participants sought to add depth to the interpretation of survey data and identify areas of improvement in boarding care. Chi-square and Wilcoxon rank sum tests were used to evaluate for response differences between groups. Qualitative data were thematically coded and analyzed. Results: A total of 94 questionnaires were obtained for a response rate of 34.1%. Clinicians reported that boarding highly contributed to the perception of burnout. All groups reported high rates of perceived verbal and/or physical abuse from boarding patients (86.8% of nurses, 41.1% of providers, p = 0.0002). A total of 39 clinicians participated in focus groups regarding boarding care, and six themes were identified, including patient safety concerns, lack of knowledge/resources/training, and poor communication. Key themes identified as possible solutions to improve care included standardization of care, proactive planning, and culture change. Conclusion: Clinicians identified many concerns regarding patient safety and the quality of care delivered to boarding patients and identified several areas for improvement. Clinicians also felt that boarding negatively affected their satisfaction and safety. (Published by Elsevier Inc.) |
| التعليقات: | Comment in: Jt Comm J Qual Patient Saf. 2023 Dec;49(12):657-659. (PMID: 37865614) |
| تواريخ الأحداث: | Date Created: 20230721 Date Completed: 20231204 Latest Revision: 20231221 |
| رمز التحديث: | 20231221 |
| DOI: | 10.1016/j.jcjq.2023.06.017 |
| PMID: | 37479591 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1938-131X |
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| DOI: | 10.1016/j.jcjq.2023.06.017 |