ED Staff Perceptions of Challenges to Clinical Practice Before and After Integration and Relocation to a New Facility

2.50
Hdl Handle:
http://hdl.handle.net/10755/162519
Type:
Presentation
Title:
ED Staff Perceptions of Challenges to Clinical Practice Before and After Integration and Relocation to a New Facility
Abstract:
ED Staff Perceptions of Challenges to Clinical Practice Before and After Integration and Relocation to a New Facility
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Day, Suzanne, RN, BSN, MA
P.I. Institution Name:Intermountain Medical Center
Title:Trauma Program Manager
Contact Address:5121 S. Cottonwood Street, Murray, UT, 84157, USA
Contact Telephone:801-507-6689
Co-Authors:Jolene Fox, RN; Roger K. Keddington, APRN, MSN, CEN; Rachelle Rhodes, RN, BSN
[Annual Conference Research Poster]
Purpose: ED staffs from an urban Level 1 Trauma Center (TC) and a Community Hospital (CH) were integrated into a new Level 1 Trauma Center. The study purposes were: 1) to ascertain if staff from the two facilities had similar demographic profiles with similar perceptions of the challenges presented by integration and relocation, and 2) to determine if challenges identified before the move matched the actual challenges experienced by the study participants after the move.

Design: Survey/Descriptive/Quasi-experimental

Setting: ED staffs from a Level One Trauma Center and Community Hospital in the western US.

Sample: ED staff members from each facility who voluntarily completed a survey.

Methodology: A survey was designed and distributed to ED staff 6-months Pre-Move and 3-months Post-Move to a new facility. Demographics were examined (gender, age, years of experience). Challenges were categorized for comparison and identification of areas of greatest emphasis. Study group responses, TC versus CH, and Pre-Move (TC + CH) versus Post-Move were compared. Two-tailed Fisher's Exact Test was used for dichotomous variable comparison, two-sided Wilcoxon Test for continuous.

Results: Thirty-nine TC and 58 CH responded. Pre-Move 97 (39 + 58) responded and Post-Move 79 responded. Demographics by facility were: Female (TC 46%, CH 74%, p=0.01), Age (TC 37.7±10.4, CH 36.4±10.0, p=0.58), Medical Experience >3 years (TC 83%, CH 79%, p=0.79), ED Experience >3 years (TC 74%, CH 64%, p=0.79). Significantly more females responded at CH, but groups were similar in age and years of experience. Demographics Pre-Move to Post-Move were: Female (Pre 63%, Post 67%, p=0.46), Age (Pre 36.9±10.1, Post 36.6±11.5, p=0.83), Medical Experience >3 years (Pre 81%, Post 92%, p=0.05), ED Experience >3 years (Pre 68%, Post 80%, p=0.37). Responding Post-Move staff had significantly more ED experience.
Pre-Move, 336 challenges were listed by respondents and Post-Move, 176. In comparing proportion of Challenges within categories, TC and CH were not statistically different. The percentage of Pre to Post move challenge categories were: Communication (Pre 0%, Post 11.9%, p<0.001), Education (Pre 3.6%, Post 6.2%, p=0.18), Facility (Pre 11.6%, Post 31.8%, p<0.001), Leadership (Pre 3.6%, Post 9.1%, p=0.08), Patient Flow (Pre 21.7%, Post 3.4%, p<0.001), Relationships (Pre 18.7%, Post 16.5%, p=0.44), Schedule (Pre 2.4%, Post 4.5%, p=0.28), Skills (Pre 14.9%, Post 5.1%, p=0.001), and Staff (Pre 23.5%, Post 13.1%, p<0.001). Communication challenges, a factor Post-move, were unanticipated.

Conclusions: Prior to integration and relocation, demographics and perceived challenges of Trauma Center and Community Hospital staffs were very similar. Neither staff anticipated all the challenges that would be presented. Management utilized pre-relocation survey data to mitigate perceived problems, however all challenges were not anticipated. This added to the complexity of integration and relocation during the difficult time of transition. It is important to anticipate challenges and develop management strategies prior to any facility move and to integrating staff with different work experiences.
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.titleED Staff Perceptions of Challenges to Clinical Practice Before and After Integration and Relocation to a New Facilityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162519-
dc.description.abstract<table><tr><td colspan="2" class="item-title">ED Staff Perceptions of Challenges to Clinical Practice Before and After Integration and Relocation to a New Facility</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">Day, Suzanne, RN, BSN, MA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Intermountain Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Trauma Program Manager</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">5121 S. Cottonwood Street, Murray, UT, 84157, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">801-507-6689</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sue.day@imail.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jolene Fox, RN; Roger K. Keddington, APRN, MSN, CEN; Rachelle Rhodes, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference Research Poster] <br/>Purpose: ED staffs from an urban Level 1 Trauma Center (TC) and a Community Hospital (CH) were integrated into a new Level 1 Trauma Center. The study purposes were: 1) to ascertain if staff from the two facilities had similar demographic profiles with similar perceptions of the challenges presented by integration and relocation, and 2) to determine if challenges identified before the move matched the actual challenges experienced by the study participants after the move. <br/><br/>Design: Survey/Descriptive/Quasi-experimental<br/><br/>Setting: ED staffs from a Level One Trauma Center and Community Hospital in the western US. <br/><br/>Sample: ED staff members from each facility who voluntarily completed a survey.<br/><br/>Methodology: A survey was designed and distributed to ED staff 6-months Pre-Move and 3-months Post-Move to a new facility. Demographics were examined (gender, age, years of experience). Challenges were categorized for comparison and identification of areas of greatest emphasis. Study group responses, TC versus CH, and Pre-Move (TC + CH) versus Post-Move were compared. Two-tailed Fisher's Exact Test was used for dichotomous variable comparison, two-sided Wilcoxon Test for continuous. <br/><br/>Results: Thirty-nine TC and 58 CH responded. Pre-Move 97 (39 + 58) responded and Post-Move 79 responded. Demographics by facility were: Female (TC 46%, CH 74%, p=0.01), Age (TC 37.7&plusmn;10.4, CH 36.4&plusmn;10.0, p=0.58), Medical Experience &gt;3 years (TC 83%, CH 79%, p=0.79), ED Experience &gt;3 years (TC 74%, CH 64%, p=0.79). Significantly more females responded at CH, but groups were similar in age and years of experience. Demographics Pre-Move to Post-Move were: Female (Pre 63%, Post 67%, p=0.46), Age (Pre 36.9&plusmn;10.1, Post 36.6&plusmn;11.5, p=0.83), Medical Experience &gt;3 years (Pre 81%, Post 92%, p=0.05), ED Experience &gt;3 years (Pre 68%, Post 80%, p=0.37). Responding Post-Move staff had significantly more ED experience. <br/>Pre-Move, 336 challenges were listed by respondents and Post-Move, 176. In comparing proportion of Challenges within categories, TC and CH were not statistically different. The percentage of Pre to Post move challenge categories were: Communication (Pre 0%, Post 11.9%, p&lt;0.001), Education (Pre 3.6%, Post 6.2%, p=0.18), Facility (Pre 11.6%, Post 31.8%, p&lt;0.001), Leadership (Pre 3.6%, Post 9.1%, p=0.08), Patient Flow (Pre 21.7%, Post 3.4%, p&lt;0.001), Relationships (Pre 18.7%, Post 16.5%, p=0.44), Schedule (Pre 2.4%, Post 4.5%, p=0.28), Skills (Pre 14.9%, Post 5.1%, p=0.001), and Staff (Pre 23.5%, Post 13.1%, p&lt;0.001). Communication challenges, a factor Post-move, were unanticipated. <br/><br/>Conclusions: Prior to integration and relocation, demographics and perceived challenges of Trauma Center and Community Hospital staffs were very similar. Neither staff anticipated all the challenges that would be presented. Management utilized pre-relocation survey data to mitigate perceived problems, however all challenges were not anticipated. This added to the complexity of integration and relocation during the difficult time of transition. It is important to anticipate challenges and develop management strategies prior to any facility move and to integrating staff with different work experiences. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:34Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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