2.50
Hdl Handle:
http://hdl.handle.net/10755/162749
Type:
Presentation
Title:
Implementation of Emergency Department Nursing Caring Standards
Abstract:
Implementation of Emergency Department Nursing Caring Standards
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Kipp, Kris M., RN
P.I. Institution Name:Akron General Medical Center
Contact Address:400 Wabash Avenue, Akron, OH, 44307, USA
Contact Telephone:(330) 996-2394
Purpose: Patient satisfaction is a significant quality performance outcome measure for emergency departments, Limited studies exist which evaluate factors that increase patient satisfaction in emergency departments. The purpose of this project/study was to evaluate patient satisfaction outcomes following the implementation of "Emergency Department Nursing Caring Standards", The Caring Standards consist of thirty-three (33) staff performance and communication standards based on emergency department (ED) nursing practice and patient processes.

Setting: This performance improvement project/study was conducted in a 27-bed, teaching ED with 51,000 adult visits per year. The ED is an ACS Level I Trauma Center located in a community, not-for-profit hospital in a Midwestern state.

Sample: The pre-caring standards implementation sample consisted of 860 adult emergency department patients from fourth-quarter 1996 through fourth quarter 1998. The post-caring standards implementation sample consisted of 173 adult emergency department patients from first and third quarters of 1999,

Methodology: A multi-disciplinary quality improvement workgroup comprised of emergency department physicians, registered nurses, technicians, clerical staff, managers and human resource personnel met monthly from April 1998 - October 1998, and developed the "Emergency Department Nursing Caring Standards." Staff in-services on the Caring Standards were conducted from November 1998 - January 1999. The Caring Standards were implemented in February 1999. Patient satisfaction is measured using the "HBSI ED Patient Satisfaction Instrument" and scores obtained from ED satisfaction card responses. ED nursing management conducts clinical rounds to evaluate staff s performance in demonstrating the Caring Standards.

Results: The nine quarter average HBSI "Global ED Patient Satisfaction" score pre-caring standards implementation was 70.3 points. Following implementation of the ED nursing caring standards, the score increased 3.7 points, reflecting a 5.3% improvement. The nine quarter average "Concern and Caring By Nurses" score pre-caring standards implementation was 63.8 points. Following implementation of the ED nursing caring standards, the score increased 4.2 points, reflecting a 6.6% improvement.

Point-of-discharge treated and released patient satisfaction survey card responses for "Overall Quality" pre-caring standard implementation was 4.06 points. This score increased 2.7% to 4.17 points following caring standards implementation. Card responses for "Staff Care and Concern" consistently scored 4.28-4.31 (out of 5 points) pre and post caring standards implementation.

Conclusions: Implementation of emergency department nursing caring standards appears to be effective in improving ED patient satisfaction. ED patient satisfaction will remain an important quality outcome measure of emergency nursing practice. [Research Poster Presentation]
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.titleImplementation of Emergency Department Nursing Caring Standardsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162749-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of Emergency Department Nursing Caring Standards</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">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kipp, Kris M., RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Akron General Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">400 Wabash Avenue, Akron, OH, 44307, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(330) 996-2394</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kippx@ibm.net OR kkipp@agmc.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Patient satisfaction is a significant quality performance outcome measure for emergency departments, Limited studies exist which evaluate factors that increase patient satisfaction in emergency departments. The purpose of this project/study was to evaluate patient satisfaction outcomes following the implementation of &quot;Emergency Department Nursing Caring Standards&quot;, The Caring Standards consist of thirty-three (33) staff performance and communication standards based on emergency department (ED) nursing practice and patient processes.<br/><br/>Setting: This performance improvement project/study was conducted in a 27-bed, teaching ED with 51,000 adult visits per year. The ED is an ACS Level I Trauma Center located in a community, not-for-profit hospital in a Midwestern state.<br/><br/>Sample: The pre-caring standards implementation sample consisted of 860 adult emergency department patients from fourth-quarter 1996 through fourth quarter 1998. The post-caring standards implementation sample consisted of 173 adult emergency department patients from first and third quarters of 1999,<br/><br/>Methodology: A multi-disciplinary quality improvement workgroup comprised of emergency department physicians, registered nurses, technicians, clerical staff, managers and human resource personnel met monthly from April 1998 - October 1998, and developed the &quot;Emergency Department Nursing Caring Standards.&quot; Staff in-services on the Caring Standards were conducted from November 1998 - January 1999. The Caring Standards were implemented in February 1999. Patient satisfaction is measured using the &quot;HBSI ED Patient Satisfaction Instrument&quot; and scores obtained from ED satisfaction card responses. ED nursing management conducts clinical rounds to evaluate staff s performance in demonstrating the Caring Standards.<br/><br/>Results: The nine quarter average HBSI &quot;Global ED Patient Satisfaction&quot; score pre-caring standards implementation was 70.3 points. Following implementation of the ED nursing caring standards, the score increased 3.7 points, reflecting a 5.3% improvement. The nine quarter average &quot;Concern and Caring By Nurses&quot; score pre-caring standards implementation was 63.8 points. Following implementation of the ED nursing caring standards, the score increased 4.2 points, reflecting a 6.6% improvement. <br/><br/>Point-of-discharge treated and released patient satisfaction survey card responses for &quot;Overall Quality&quot; pre-caring standard implementation was 4.06 points. This score increased 2.7% to 4.17 points following caring standards implementation. Card responses for &quot;Staff Care and Concern&quot; consistently scored 4.28-4.31 (out of 5 points) pre and post caring standards implementation.<br/><br/>Conclusions: Implementation of emergency department nursing caring standards appears to be effective in improving ED patient satisfaction. ED patient satisfaction will remain an important quality outcome measure of emergency nursing practice. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:30Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.