Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study

Tindle, Kailey; Allison, David; Carlisle, Stephanie; Faircloth, Billie; Fields, J. Matthew; Hayden, Geoffrey E.; Ku, Bon

doi:10.1016/j.jen.2020.04.005

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…In addition, the nursing work environment in the emergency department is a busy and complex environment in which various professional staff members have both horizontal and vertical relationships [14]. Leadership, response/teamwork, and resourcing are especially important to provide high-quality care in this nursing environment [15], and in this organizational system, the head nurse is the most frequent contact in the vertical relationships of emergency department nurses.…”

Section: Introductionmentioning

confidence: 99%

Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses

Jung

Park

2021

IJERPH

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Emergency department nurses are confronted with unpredictable diseases and disasters and work-related traumatic stress events. This study aimed to examine the relationship between nursing work environment, relationship with the head nurse, resilience, and posttraumatic growth among emergency department nurses. Data were collected from December 2018 to February 2019 through a self-administered survey questionnaire. Participants comprised 127 nurses working in the emergency department. The collected data were analyzed using t-test, analysis of variance with Scheffé’s test, Pearson’s correlations, and hierarchical multiple regression. The mean posttraumatic growth score of emergency department nurses was 2.59 ± 0.64 out of a possible 5.00. The posttraumatic growth showed a statistically significant difference according to age in the emergency department nurse. Resilience was the most significant variable controlling other variables, accounting for 29% of the variability. The findings support that intervention programs should be developed to encourage a positive relationship with the head nurse and enhance resilience in emergency department nurses.

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Section: Introductionmentioning

confidence: 99%

Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses

Jung

Park

2021

IJERPH

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“…Working in EDs requires collaboration between healthcare workers from different professions in the delivery of patient care, with frequent interaction between staff members to communicate patient and related information [ 50 ]. However, the contextual complexity of the high-risk, time-constrained ED environment segregates caregivers from one another and presents a challenge to optimal interprofessional information exchange that is often interrupted and fragmented [ 11 , 51 , 52 , 53 ]. Poor communication wastes time and is associated with inefficient patient care, loss of information, jeopardized patient safety, and lower job satisfaction [ 12 , 13 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

“…Coupled with the role played by the built environment and the functional need to care for multiple patients simultaneously, this contributes to scatter caregivers, who must work as a team and in close vicinity to ensure quality care and a timely and seamless process. It also prevents accurate, synchronous communication [ 11 ] and safe collaborative emergency care [ 12 , 13 ]. Up to 80% of healthcare professionals’ time in the ED is spent on communication in addition to any other tasks actively being performed at the same time, such as medication handling [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial

Ehrler

Tuor

Trompier³

et al. 2022

JPM

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For maintaining collaboration and coordination among emergency department (ED) caregivers, it is essential to effectively share patient-centered information. Indirect activities on patients, such as searching for laboratory results and sharing information with scattered colleagues, waste resources to the detriment of patients and staff. Therefore, we conducted a pilot study to evaluate the initial efficacy of a mobile app to facilitate rapid mobile access to central laboratory results and remote interprofessional communication. A total of 10 ED residents and registered nurses were randomized regarding the use of the app versus conventional methods during semi-simulated scenarios in a pediatric ED (PED). The primary outcome was the elapsed time in minutes in each group from the availability of laboratory results to their consideration by participants. The secondary outcome was the elapsed time to find a colleague upon request. Time to consider laboratory results was significantly reduced from 23 min (IQR 10.5–49.0) to 1 min (IQR 0–5.0) with the use of the app compared to conventional methods (92.2% reduction in mean times, p = 0.0079). Time to find a colleague was reduced from 24 min to 1 min (i.e., 93.0% reduction). Dedicated mobile apps have the potential to improve information sharing and remote communication in emergency care.

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“…The design of spaces can have an impact on patient's well-being and also on the quality of patients care [39]. For example, features like physical environment attributes (i.e., layout, location, ambient conditions, equipment) can have substantial impacts on both patients' comfort [34,35,38,44,46] and staff satisfaction and performance [32].…”

Section: Design Features and Amenitiesmentioning

confidence: 99%

Analysis of Functional Layout in Emergency Departments (ED). Shedding Light on the Free Standing Emergency Department (FSED) Model

et al. 2022

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The ever-increasing number of hospital Emergency Department (ED) visits pose a challenge to the effective running of health systems in many countries globally and multiple strategies have been adopted over the years to tackle the plight. According to a systematic review of the available literature, of the numerous models of healthcare systems used to address the issue in western countries, the FSED Model has the greatest potential for reducing hospital ED overcrowding as it can reduce the additional load by diverting minor cases, freeing up space for more urgent cases. The aim of the study is to shed light on the Free Standing Emergency Department (FSED) model and compare it with the traditional Hospital Based Emergency Department (HBED) in international contexts. In this study, 23 papers have been collected in a literature review and the main features have been highlighted; 12 case studies have been analyzed from a layout point of view and data have been collected in terms of surfaces, functions, and flow patterns. The percentages of floor areas devoted to each function have been compared to define evolution strategies in the development of emergency healthcare models and analyses. The use of FSED models is an interesting way to face the overcrowding problem and a specific range for functional area layout has been identified. Further studies on its application in different contexts are encouraged.

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Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study

Cited by 9 publications

References 11 publications

Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses

Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses

Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial

Analysis of Functional Layout in Emergency Departments (ED). Shedding Light on the Free Standing Emergency Department (FSED) Model

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