Organizational context and care management by nurses at emergency care units

Abstract

The purpose of this study was to understand the meanings attributed to the organizational context and the role of nurses in care management at emergency care units.This study was based on qualitative research and the Grounded Theory methodological framework. Data were collected from September 2011 to June 2012 by means of semi-structured interviews with 20 participants from two emergency care units (UPA) in southern Brazil, divided into three sample groups. The context is marked by constraints that hinder communication and interaction between professionals and the search of assistance by patients with demands that are not resolved at other levels of care. This scenario highlights the performance of nurses in the managerial dimension of their work, who assume the responsibility for managing care and coordinating professional actions in favour of improved care practices.

Improving the quality of communication during handover in a Paediatric Emergency Department: A qualitative study

“…Certainly, organizational structures, including physical space and the way that work is organized can have either a positive or detrimental effect on communication within the health care team [16] particularly in those at-risk communication features previously identified such as tracking patients, patient handover, and patient transfer [2]. …”

Construção da Matriz de Competência Profissional do enfermeiro em emergências

“…According to the literature the effective use of standardized language is necessary to clearly present its constituent elements and the possibility of measuring these elements. (3) What competencies should a nurse have to ensure quality care of clients in emergency services? (4)(5)(6)(7)(8) To respond to this question, the current study aimed to propose a Professional Competency Matrix for the nurse working in emergency services.…”

Communication issues within critical care – emergency department perspectives

“…Costa's () findings suggest that the ‘ideal handover’ (from the ambulance nurse to the ED nurse in this case) needs to be comprehensive and holistic. Further, some patients presenting with issues such as mental health disorders and poor communication circumstances may benefit from seeking care elsewhere, causing frustration for the Ed nurses caring for them (dos Santos et al , ).

‘We've noticed that the [EDs] are turning into or have already turned into massive out‐patient units where demands, instead of being dealt with at our primary health care reference units, are all concentrated [here]’ (dos Santos et al , , p.58) .

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“…‘We've noticed that the [EDs] are turning into or have already turned into massive out‐patient units where demands, instead of being dealt with at our primary health care reference units, are all concentrated [here]’ (dos Santos et al , , p.58) .…”

“…One recent Swedish study indicated that ‘ teamwork failure’ contributed significantly to ED errors (Källberg et al , ). Organizational structures, including physical space and the way work is organized can have either a positive or detrimental effect on communication within the health care team (dos Santos et al , ).…”