2.50
Hdl Handle:
http://hdl.handle.net/10755/162456
Type:
Presentation
Title:
Nurse Communication with Patients and Visitors in the Emergency Department
Abstract:
Nurse Communication with Patients and Visitors in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Pytel, Connie, RN, BSN
P.I. Institution Name:Cleveland Clinic
Title:Staff Nurse, Emergency Department
President of Hospital Nursing
Contact Address:9500 Euclid Ave., E19, Cleveland, OH, 44195-, USA
Contact Telephone:(216) 444-0153
Co-Authors:Nina M. Fielden, RN, MSN, CEN; Nancy Albert, PhD, CCNS, CCRN, CAN
Purpose: The purposes of this IRB approved study were to assess adult patient or visitor communication needs of emergency department (ED) patients and to compare these to nurse perceptions of patient or visitor communication needs; and to examine patients or visitors opinion of how well their communication needs were met.

Design: Descriptive study using a cross-sectional survey design.

Setting: Midwest tertiary hospital with 52,000 ED visits per year.

Participants: A convenience sample of 64 nurses (average age 40), 53 patients, and 70 visitors (average age 53) completed the study. Inclusion criteria: patients/visitors of the ED who were alert and oriented to their surroundings, understood and were able to write English, and agreed to participate in the survey; and registered nurses/licensed practical nurses who were employed full-time or part-time and agreed to take the survey. Exclusion criteria: emergent patients (ESI levels 1 and 2).

Methods: Two survey forms were developed by the researchers for this study. The survey forms were pre-tested with a comparable group of ED nurse experts to assess content validity (Index = 0.78). A research study information sheet was created to inform potential participants that the research was voluntary and anonymous, and verbal consent was obtained. Patient or visitor communication needs and nurses perceptions of patient/visitor communication needs were assessed by rank ordering and comparing the responses between the two groups. To assess patient/visitor opinions of how well nurses met their communication needs, satisfaction scores for each of the identified communication needs was calculated.

Results: In general, patients or visitors were pleased with or satisfied with nurses' communication; however, the ranking differed between the two groups. Of the 19 communication items on the survey, patients/visitors ranked nurses performance as excellent or very good (80%) for 9 of the items. Both nurse and patient/visitor groups identified being kept informed about tests and treatments as the most important communication need. Perception of communication needs differed in importance between the nurse group and the patient/visitor group on only two items, calm voice (p = .01) and social status (p = .006), with nurses ranking these items higher than patients or visitors.

Recommendations: Disseminate study findings about the differences between nurses and patients or visitors perception of specific communication needs to staff nurses, educators, and nurse leaders. Develop innovative methods of meeting these needs. Compare patient call-program data of their ED experience after dissemination of the findings to the staff nurses.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurse Communication with Patients and Visitors in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162456-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nurse Communication with Patients and Visitors in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pytel, Connie, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cleveland Clinic</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse, Emergency Department<br/>President of Hospital Nursing<br/></td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9500 Euclid Ave., E19, Cleveland, OH, 44195-, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(216) 444-0153</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Pytel@ccf.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Nina M. Fielden, RN, MSN, CEN; Nancy Albert, PhD, CCNS, CCRN, CAN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purposes of this IRB approved study were to assess adult patient or visitor communication needs of emergency department (ED) patients and to compare these to nurse perceptions of patient or visitor communication needs; and to examine patients or visitors opinion of how well their communication needs were met. <br/><br/>Design: Descriptive study using a cross-sectional survey design.<br/><br/>Setting: Midwest tertiary hospital with 52,000 ED visits per year. <br/><br/>Participants: A convenience sample of 64 nurses (average age 40), 53 patients, and 70 visitors (average age 53) completed the study. Inclusion criteria: patients/visitors of the ED who were alert and oriented to their surroundings, understood and were able to write English, and agreed to participate in the survey; and registered nurses/licensed practical nurses who were employed full-time or part-time and agreed to take the survey. Exclusion criteria: emergent patients (ESI levels 1 and 2). <br/><br/>Methods: Two survey forms were developed by the researchers for this study. The survey forms were pre-tested with a comparable group of ED nurse experts to assess content validity (Index = 0.78). A research study information sheet was created to inform potential participants that the research was voluntary and anonymous, and verbal consent was obtained. Patient or visitor communication needs and nurses perceptions of patient/visitor communication needs were assessed by rank ordering and comparing the responses between the two groups. To assess patient/visitor opinions of how well nurses met their communication needs, satisfaction scores for each of the identified communication needs was calculated. <br/><br/>Results: In general, patients or visitors were pleased with or satisfied with nurses' communication; however, the ranking differed between the two groups. Of the 19 communication items on the survey, patients/visitors ranked nurses performance as excellent or very good (80%) for 9 of the items. Both nurse and patient/visitor groups identified being kept informed about tests and treatments as the most important communication need. Perception of communication needs differed in importance between the nurse group and the patient/visitor group on only two items, calm voice (p = .01) and social status (p = .006), with nurses ranking these items higher than patients or visitors. <br/><br/>Recommendations: Disseminate study findings about the differences between nurses and patients or visitors perception of specific communication needs to staff nurses, educators, and nurse leaders. Develop innovative methods of meeting these needs. Compare patient call-program data of their ED experience after dissemination of the findings to the staff nurses.</td></tr></table>en_GB
dc.date.available2011-10-27T10:28:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:32Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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