Patient Acuity, Nurse Cultural Acceptance, and Patient Satisfaction with Triage Nursing in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162803
Type:
Presentation
Title:
Patient Acuity, Nurse Cultural Acceptance, and Patient Satisfaction with Triage Nursing in the Emergency Department
Abstract:
Patient Acuity, Nurse Cultural Acceptance, and Patient Satisfaction with Triage Nursing in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:1997
Author:Davis, Barbara
P.I. Institution Name:Marshall University, School of Nursing
Contact Address:400 Hal Greer Blvd., Huntington, WV, 25755, USA
Co-Authors:Jim Raper and Linda Scott
Purpose/Design: Utilizing Strasser's Model of Patient Satisfaction and Leininger's Model of Cultural Sensitivity and Nurse Caring Behavior, this descriptive, correlational study determined relationships between patient satisfaction and: 1) nursing care provided during emergency department (ED) triage; b) patient's intention to return to ED; and c) triage nurse's demonstrated level of cultural acceptance.

Sample: Convenience sample of triage nurses (N=81) and Urgent/Delayed category patients (N=378) undergoing ED triage in an academic medical center and two non-profit hospitals.

Methods: Following informed consent, triage nurses completed the 18 item cultural sensitivity survey (Henderson/Primeaux) (reliability/validity undetermined). Forty-eight hours post-ED visit, patients were contacted by telephone and following informed consent, were administered Caring Subscale of Consumer Emergency Care Satisfaction Scale (r=.92); and two scales measuring satisfaction with triage nurse (r=.94) and subjects' intent to return to ED (r=.87). Two open-ended questions regarding what subjects liked best and what "could have been better" also were posed.

Results: Analysis of variance revealed higher levels of satisfaction with care at triage and with triage nurses at the academic medical center, while highest levels of intent to return were reported by subjects from the non-profit community hospital. Content analysis of open-ended questions revealed positive nurse behaviors and "less time to be seen" as dominant patient satisfaction themes. Nurse data revealed a positive relationships between nurse's cultural sensitivity and highest level of education (r=.3027, p<.01), but failed to demonstrate a statistically significant relationships with either level of nursing education or overall patient satisfaction with triage nursing.

Conclusions: Results were consistent with patient satisfaction studies and the model proposed by Strasser. The findings suggested the importance of ED nurse-patient relationship, but failed to support the concept of higher levels of nursing education translating into increased levels of nurse cultural sensitivity. In an area of managed care, patient satisfaction remains an important variable in successful health care delivery requiring further investigation. [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.titlePatient Acuity, Nurse Cultural Acceptance, and Patient Satisfaction with Triage Nursing in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162803-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patient Acuity, Nurse Cultural Acceptance, and Patient Satisfaction with Triage Nursing 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">1997</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Davis, Barbara</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marshall University, School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">400 Hal Greer Blvd., Huntington, WV, 25755, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jim Raper and Linda Scott</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Design: Utilizing Strasser's Model of Patient Satisfaction and Leininger's Model of Cultural Sensitivity and Nurse Caring Behavior, this descriptive, correlational study determined relationships between patient satisfaction and: 1) nursing care provided during emergency department (ED) triage; b) patient's intention to return to ED; and c) triage nurse's demonstrated level of cultural acceptance.<br/><br/>Sample: Convenience sample of triage nurses (N=81) and Urgent/Delayed category patients (N=378) undergoing ED triage in an academic medical center and two non-profit hospitals.<br/><br/>Methods: Following informed consent, triage nurses completed the 18 item cultural sensitivity survey (Henderson/Primeaux) (reliability/validity undetermined). Forty-eight hours post-ED visit, patients were contacted by telephone and following informed consent, were administered Caring Subscale of Consumer Emergency Care Satisfaction Scale (r=.92); and two scales measuring satisfaction with triage nurse (r=.94) and subjects' intent to return to ED (r=.87). Two open-ended questions regarding what subjects liked best and what &quot;could have been better&quot; also were posed.<br/><br/>Results: Analysis of variance revealed higher levels of satisfaction with care at triage and with triage nurses at the academic medical center, while highest levels of intent to return were reported by subjects from the non-profit community hospital. Content analysis of open-ended questions revealed positive nurse behaviors and &quot;less time to be seen&quot; as dominant patient satisfaction themes. Nurse data revealed a positive relationships between nurse's cultural sensitivity and highest level of education (r=.3027, p&lt;.01), but failed to demonstrate a statistically significant relationships with either level of nursing education or overall patient satisfaction with triage nursing.<br/><br/>Conclusions: Results were consistent with patient satisfaction studies and the model proposed by Strasser. The findings suggested the importance of ED nurse-patient relationship, but failed to support the concept of higher levels of nursing education translating into increased levels of nurse cultural sensitivity. In an area of managed care, patient satisfaction remains an important variable in successful health care delivery requiring further investigation. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:25Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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