Perceived Relationships Between Emergency Department Staffing Patterns and Missed Care, Missed Decompensation, and Delays in Care.

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing Pub Date : 2025-09-09 DOI:10.1016/j.jen.2025.08.002

Lisa Wolf, Ellen Benjamin, Paul Clark, Michael Callihan

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引用次数: 0

Abstract

Introduction: When emergency department staffing is inadequate, patient care may be missed. Information regarding the association between missed care and staffing is lacking in the emergency department setting. This study aimed to explore considerations for and configurations of staffing patterns and their relationship to missed care, missed decompensation, and delays in care.

Methods: This study used an exploratory qualitative approach with data derived from focus groups and analyzed using qualitative content analysis. A total of 39 emergency nurses in varied roles attending a national conference were recruited. The Consolidated Criteria for Reporting Qualitative Research checklist was used to guide the reporting of this study.

Results: Participants reported information grouped into 5 major categories: ratios, staffing patterns, work ethic, role of administration, and missed care. Both staff and charge nurses reported a preference for a 1:3 nurse-to-patient ratio, with higher patient ratios described as leading to missed care, missed decompensation, and delays in care.

Discussion: The individual and institutional elements of staffing decisions may have a significant impact on patient outcomes in the form of missed care, missed diagnoses, and delayed care. Staffing decisions may also affect the psychological health of emergency nurses by fostering burnout. Across roles, nurses perceive a disconnect between the ED environment and staffing plans generated by persons outside the department. Future research should focus quantitatively on relationships between staffing patterns and patient and nursing outcomes.

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急诊科人员配置模式与错过护理、错过补偿和护理延误之间的关系。

简介：当急诊科人员配备不足时，可能会错过患者护理。关于错过护理和人员配置之间的关系的信息缺乏在急诊科设置。本研究旨在探讨人员配置模式及其与错过护理、错过失偿和护理延误的关系。方法：本研究采用探索性定性方法，收集焦点小组数据，并采用定性内容分析法进行分析。总共招募了39名不同角色的急诊护士参加一次全国会议。定性研究综合报告标准检查表用于指导本研究的报告。结果：参与者报告的信息分为5个主要类别：比例，人员配置模式，职业道德，管理角色和错过的护理。工作人员和主管护士都报告首选1:3的护士与患者比例，较高的患者比例被描述为导致错过护理，错过代偿和护理延误。讨论：人员配置决策的个人和机构因素可能会以漏诊、漏诊和延迟护理的形式对患者结果产生重大影响。人员配置决策也可能通过促进倦怠影响急诊护士的心理健康。在各个角色中，护士认为急诊科环境和部门外人员制定的人员配备计划之间存在脱节。未来的研究应集中于人员配置模式与患者和护理结果之间的定量关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Emergency Nursing 医学-护理

CiteScore

3.10

自引率

11.80%

发文量

132

审稿时长

46 days

期刊介绍： The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.