2.50
Hdl Handle:
http://hdl.handle.net/10755/162505
Type:
Presentation
Title:
Comparison of Patients' and Nurses' Satisfaction with Emergency Nursing Care
Abstract:
Comparison of Patients' and Nurses' Satisfaction with Emergency Nursing Care
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Allen, Betty Gale, RN, MSN, CEN
P.I. Institution Name:Aultman College of Nursing and Health Sciences
Title:Instructor II
Contact Address:2600 6th Street SW, Canton, OH, 44710, USA
Contact Telephone:330-363-4312
[Annual Conference Research Poster]
Purpose: Non-urgent patients who seek medical treatment in the emergency department (ED) are frequently asked to evaluate their level of satisfaction with nursing after a brief interaction. Nurses, however, are rarely asked to evaluate their satisfaction with the care they provide daily. Although research is available to describe the characteristics and reasons non-urgent patients seek treatment in the ED, little research is available that evaluates their perception of nursing care. The purpose of this study is to compare patient? and nurses? satisfaction with nursing care of non-urgent situations in the emergency department.

Design: A descriptive, comparative design was used for this study.

Setting: This study was conducted in an urban, northeast Ohio Magnet facility that is designated as a Level II trauma center. This emergency department treats adults and pediatrics and has an annual census greater than 80,000 visits.

Sample: Over an eight week study period, forty-eight (54.5%) emergency department RNs and eighty-one (81) non-urgent patients, category 4 or 5 on the Emergency Severity Index (ESI) scale, completed the questionnaire. Eighteen patient participants (22%) were parents of children receiving non-urgent treatment in the emergency department.

Methodology: All emergency department RNs and all non-urgent patients present at the time of data collection were invited to complete the Consumer Emergency Care Satisfaction Scale (CECSS). The CECSS is a 19-item questionnaire that has been supported as a reliable (p=0.91) and valid (p<0.01) tool used to measure nursing care in rural and urban emergency departments. Results demonstrate satisfaction with nursing through caring and teaching subscales.

Results: Results show that a high percentage of patients were satisfied with emergency nursing care (median score of 5.0 on 1-5 scale for each item). Nurses? overall scores suggest satisfaction with nursing care, but the nurses rated themselves lower than the patients on every item (median scores vary from 3.0-4.0 for each item). A Mann-Whitney U test was performed and indicated a significant difference in patient and nurse perceptions on each item evaluated on the CECSS in both subscales (p=<0.001).

Conclusions: Patients are able to identify behaviors which promote a positive care experience and indicate satisfaction with nursing care although the actual patient-nurse interaction is brief, less than an hour total contact time. ED nurses impact the lives of those with "minor" injuries and illnesses in a "major" way. Most nurses place high importance on completing tasks and tend to focus on what they could not accomplish, rather than take credit for what they did accomplish and the true difference their efforts make to the patient. ED nurses can celebrate the success of the excellent care they give to patients of all ages at any severity level.
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.titleComparison of Patients' and Nurses' Satisfaction with Emergency Nursing Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162505-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of Patients' and Nurses' Satisfaction with Emergency Nursing Care</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Allen, Betty Gale, RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Aultman College of Nursing and Health Sciences</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Instructor II</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2600 6th Street SW, Canton, OH, 44710, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">330-363-4312</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ballen@aultman.org</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference Research Poster] <br/>Purpose: Non-urgent patients who seek medical treatment in the emergency department (ED) are frequently asked to evaluate their level of satisfaction with nursing after a brief interaction. Nurses, however, are rarely asked to evaluate their satisfaction with the care they provide daily. Although research is available to describe the characteristics and reasons non-urgent patients seek treatment in the ED, little research is available that evaluates their perception of nursing care. The purpose of this study is to compare patient? and nurses? satisfaction with nursing care of non-urgent situations in the emergency department.<br/><br/>Design: A descriptive, comparative design was used for this study. <br/><br/>Setting: This study was conducted in an urban, northeast Ohio Magnet facility that is designated as a Level II trauma center. This emergency department treats adults and pediatrics and has an annual census greater than 80,000 visits.<br/><br/>Sample: Over an eight week study period, forty-eight (54.5%) emergency department RNs and eighty-one (81) non-urgent patients, category 4 or 5 on the Emergency Severity Index (ESI) scale, completed the questionnaire. Eighteen patient participants (22%) were parents of children receiving non-urgent treatment in the emergency department. <br/><br/>Methodology: All emergency department RNs and all non-urgent patients present at the time of data collection were invited to complete the Consumer Emergency Care Satisfaction Scale (CECSS). The CECSS is a 19-item questionnaire that has been supported as a reliable (p=0.91) and valid (p&lt;0.01) tool used to measure nursing care in rural and urban emergency departments. Results demonstrate satisfaction with nursing through caring and teaching subscales.<br/><br/>Results: Results show that a high percentage of patients were satisfied with emergency nursing care (median score of 5.0 on 1-5 scale for each item). Nurses? overall scores suggest satisfaction with nursing care, but the nurses rated themselves lower than the patients on every item (median scores vary from 3.0-4.0 for each item). A Mann-Whitney U test was performed and indicated a significant difference in patient and nurse perceptions on each item evaluated on the CECSS in both subscales (p=&lt;0.001).<br/><br/>Conclusions: Patients are able to identify behaviors which promote a positive care experience and indicate satisfaction with nursing care although the actual patient-nurse interaction is brief, less than an hour total contact time. ED nurses impact the lives of those with &quot;minor&quot; injuries and illnesses in a &quot;major&quot; way. Most nurses place high importance on completing tasks and tend to focus on what they could not accomplish, rather than take credit for what they did accomplish and the true difference their efforts make to the patient. ED nurses can celebrate the success of the excellent care they give to patients of all ages at any severity level.</td></tr></table>en_GB
dc.date.available2011-10-27T10:29:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:20Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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