2.50
Hdl Handle:
http://hdl.handle.net/10755/306613
Category:
Abstract
Type:
Poster
Title:
Team Nursing or Not…Whose Team Are You On?
Author(s):
Niemasz, Dawn; Amormino, Ryan
Lead Author STTI Affiliation:
Non-member
Author Details:
Dawn Niemasz, RN, ACL, dawn.niemasz@stjohn.org; Ryan Amormino, RN, ACL
Abstract:

Evidence-based Practice Abstract

Purpose: A team nursing concept was trialed to evaluate the effectiveness on continuity of care and safety for emergency department patients. Individual assignments was identified as a safety concern while the primary nurse is on break, in a code or caring for a high acuity patient. This was identified as a need by the emergency room staff nurses.

Design: This was an experimental design.

Setting: An urban 47 bed emergency department with approximately 75,000 visits a year with a large geriatric population.

Participants/Subjects: Emergency department staff nurses.

Methods: A five question anonymous survey with five point likert scale responses was handed out to 64 staff RN’s regarding the current state of assignments. (Five individual assignments in the acute area.) Responses indicated a need for more follow through on assigned patients when the primary nurse was unavailable. For a three month period, the assignments were changed to a team approach – two teams consisting of three nurses for a grouping of 11 rooms and three nurses for a grouping of 13 rooms. After the trial period, a second identical survey was handed out to 64 staff RN’s regarding the new state of assignments.

Results: The results were overwhelmingly positive. Eliminating the need for a float nurse to cover breaks, team nurses were familiar with all of the patients on the team, leading to higher customer satisfaction and increased nurse satisfaction with regards to the care of their assigned patients. 80% felt there was an increase in the continuity of care provided to their patients. 76% felt their patients were more satisfied with the care they received and only 2% felt that they would prefer to revert to the old process of individual assignments.

Implications: Team nursing has proven to be very effective in our department with regards to patient throughput, satisfaction and continuity of care. The staff nurses feel their patients are receiving improved and timelier care as there is always someone available to respond to the needs of the patient.

Keywords:
Team Nursing
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleTeam Nursing or Not…Whose Team Are You On?en_GB
dc.contributor.authorNiemasz, Dawnen_GB
dc.contributor.authorAmormino, Ryanen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsDawn Niemasz, RN, ACL, dawn.niemasz@stjohn.org; Ryan Amormino, RN, ACLen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306613-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: A team nursing concept was trialed to evaluate the effectiveness on continuity of care and safety for emergency department patients. Individual assignments was identified as a safety concern while the primary nurse is on break, in a code or caring for a high acuity patient. This was identified as a need by the emergency room staff nurses.</p><p>Design: This was an experimental design.</p><p>Setting: An urban 47 bed emergency department with approximately 75,000 visits a year with a large geriatric population.</p><p>Participants/Subjects: Emergency department staff nurses. </p><p>Methods: A five question anonymous survey with five point likert scale responses was handed out to 64 staff RN’s regarding the current state of assignments. (Five individual assignments in the acute area.) Responses indicated a need for more follow through on assigned patients when the primary nurse was unavailable. For a three month period, the assignments were changed to a team approach – two teams consisting of three nurses for a grouping of 11 rooms and three nurses for a grouping of 13 rooms. After the trial period, a second identical survey was handed out to 64 staff RN’s regarding the new state of assignments.</p><p>Results: The results were overwhelmingly positive. Eliminating the need for a float nurse to cover breaks, team nurses were familiar with all of the patients on the team, leading to higher customer satisfaction and increased nurse satisfaction with regards to the care of their assigned patients. 80% felt there was an increase in the continuity of care provided to their patients. 76% felt their patients were more satisfied with the care they received and only 2% felt that they would prefer to revert to the old process of individual assignments.</p><p>Implications: Team nursing has proven to be very effective in our department with regards to patient throughput, satisfaction and continuity of care. The staff nurses feel their patients are receiving improved and timelier care as there is always someone available to respond to the needs of the patient.</p>en_GB
dc.subjectTeam Nursingen_GB
dc.date.available2013-12-09T17:00:45Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:45Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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