Emergency department waiting room nurses in practice: An observational study

Innes, Kelli; Elliott, Doug; Plummer, Virginia; Jackson, Debra

doi:10.1111/jocn.14240

Cited by 12 publications

(26 citation statements)

References 38 publications

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“…Communication between nurses and patients is important in creating nurse–patient relationships that support good outcomes of care (Askola et al, 2018; Bone et al, 2015; Davies et al., 2017; Dearing, 2004; Haugan, 2014; Innes et al, 2018; Lotzkar & Bottorff, 2001; Morgan & Moffatt, 2008a; Morse, 1991; Moyle, 2003; Ozaras & Abaan, 2018; Williams, 2001). Seeking to know and understand the patient requires authentic engagement, where nurses are able to gain a thorough understanding of the patient's situation, concerns and requirements and to ensure patients and families are able to understand information that is relayed to them.…”

Section: Resultsmentioning

confidence: 99%

“…Nurses and other healthcare professionals demonstrating social etiquette, for example introducing self and giving some explanation of their role, ensures patients and families feel respected and are oriented to the ensuing conversation (Davies et al., 2017; Innes et al, 2018; Lotzkar & Bottorff, 2001). Providing timely information and the plan of care for patients in an emergency department waiting room meant patients were given some certainty about what was happening and had their anxiety somewhat relieved.…”

Section: Resultsmentioning

confidence: 99%

“…One paper noted a 'patient-centred' approach to care, and this was described as 'meeting the physical, emotional, spiritual and social needs of patients and their families' (Innes et al, 2018(Innes et al, , p. 1407.…”

Section: Discussionmentioning

confidence: 99%

“…The characteristics and behaviours of the nurse were also identified in many of the studies, and the ways nurses approached patients in their care (or family members) were seen to be of great importance in developing and sustaining the relationship as one of trust, mutuality and reciprocity (Bone et al., 2015; Davies et al., 2017; Dearing, 2004; Heifner, 1993; Innes et al; 2018; Lotzkar & Bortoff, 2001; May, 1993; Miner‐Williams, 2007; Morse, 1991; Moyle, 2003; Ramos, 1992; Segaric & Hall, 2015; Strandas et al., 2019; Williams, 2001). Nurses who were able to use their social skills to build a rapport with patients were seen to be approachable, likeable and trustworthy (Morgan & Moffatt, 2008a; Segaric & Hall, 2015; Strandas et al., 2019); however, patients also wanted nurses who demonstrated competence in caring for their clinical needs (Davies et al., 2017; Morgan & Moffatt, 2008a; Morse, 1991; Ozaras & Abaan, 2018; Segaric & Hall, 2015; Strandas et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

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The influence of engaging authentically on nurse–patient relationships: A scoping review

2020

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The current international healthcare focus on ensuring the perspectives and needs of individual persons, families or communities are met has led to the core tenet of person-centred care for all. The nurse-patient relationship is central to the provision of care, and enhancing this relationship to ensure trust and respect supports optimal care outcomes for those accessing healthcare services. Engaging authentically is one of the recognised key approaches in person-centred practice, and this scoping review of the literature aims to gain an understanding of the role this process plays in developing effective relationships between nurses and the people they care for. A systematic search of databases and grey literature was undertaken, and twenty-one research papers met the inclusion criteria. A thematic analysis revealed four themes:'getting to know the patient as a person', 'the complexity of relationship building-it takes time', 'the nurse: characteristics and behaviours that support the nurse-patient relationship' and 'the patient voice'. Nurses and patients both benefit from effective relationships, feeling valued and experiencing greater satisfaction with care. Key elements of engaging authentically were revealed as a nurse-patient relational process through this literature review; however, further research is needed to gain a greater understanding of this concept.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The influence of engaging authentically on nurse–patient relationships: A scoping review

2020

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“…A key aspect of sequential mixed methods research is that data from previous phases informs subsequent phases [14]. In this project, findings from key informant interviews [5] informed data collection and analysis in the observational phase [15] which subsequently informed data collection for this phase. This paper reports findings from a web-based survey which allowed for systematic collection of data from a large sample enabling direct comparisons [16].…”

Section: Designmentioning

confidence: 99%

A profile of the waiting room nurse in emergency departments: An online survey of Australian nurses exploring implementation and perceptions

Innes

Jackson

Plummer

et al. 2019

International Emergency Nursing

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Background In response to increasing waiting times, adverse patient outcomes and patient dissatisfaction, some emergency departments introduced a Waiting Room Nurse role. Despite implementation into routine practice, there remains limited formal evaluation of the role. Aim To explore the implementation of a Waiting Room Nurse role in Australian emergency departments and emergency nurses' perceptions. Methods Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion. Responses for closed-ended and openended items were reported using frequencies or proportions, and quantitative content analysis, respectively. Results Respondents (n=197) reported that 51 emergency departments allocated a Waiting Room Nurse, with varying hours of operation. Five key areas of responsibility were: patient care, patient safety, escalation of care, triage and communication. Role variations were identified in experience, preparation and supporting policies. Challenges, including workload and personal safety issues, were reported. Conclusions The role was perceived as vital, especially at times of high demand, in ensuring that patients were safe to wait, detecting deterioration and escalating care as needed. 2 Communication and therapeutic relationships were key to effective performance. Challenges identified had clear implications for the welfare of nurses performing the role.

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A scoping review of barriers, facilitators and tools to escalation of care processes in the emergency department

et al. 2022

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Introduction Escalation of care is the timely recognition and communication of deterioration in a previously stable patient. Delays in escalating care may lead to unnecessary patient morbidity and mortality. There is currently a paucity of synthesis of work focused on the initiation of escalation of care in the emergency department (ED), where unique challenges may be present. We sought to complete a scoping review to investigate: (1) factors (barriers and/or facilitators) affecting clinicians in escalating care in the ED; and (2) tools that support clinicians in ED escalation of care processes. Methods We conducted a scoping review guided by the Arksey & O'Malley framework, and in accordance with PRISMA Scoping Reviews (PRISMA-ScR) checklist. Searches were conducted in MEDLINE, EMBASE and CINAHL on November 30th, 2020. Extracted data was analyzed via qualitative content analysis. Review and data abstraction were completed by two independent reviewers. Discrepancies were resolved via consensus meetings with a third reviewer. Results Of the 4527 unique records identified, 13 studies met our inclusion criteria. Studies described standard escalation practices including detection, reporting, and response. Factors influencing escalation of care were described on individual (confidence, comfort, and expertise), interpersonal (communication and the nurse-physician relationship), organizational (workload and staffing), and environmental (distractions and layout) levels. Four ED-specific tools for escalation of care were also identified. Conclusion This scoping review identified 13 studies that contained information on processes, factors influencing and/or tools used to facilitate escalation of care in the ED. They may serve as valuable starting points for ED clinicians and administrators who are building or reforming local escalation of care processes.

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Emergency department waiting room nurses in practice: An observational study

Cited by 12 publications

References 38 publications

The influence of engaging authentically on nurse–patient relationships: A scoping review

The influence of engaging authentically on nurse–patient relationships: A scoping review

A profile of the waiting room nurse in emergency departments: An online survey of Australian nurses exploring implementation and perceptions

A scoping review of barriers, facilitators and tools to escalation of care processes in the emergency department

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