Left behind: Exploring the concerns of emergency department staff when personnel are utilised for inter-hospital transfer |
| |
| Affiliation: | 1. Emergency Medical Center, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea;2. College of Nursing, Gachon University, Incheon, South Korea;1. School of Nursing and Health Studies, University of Missouri Kansas City, Kansas City, MO;2. ACUE Credential – Effective College Instruction Certified HeartMath Trainer School of Nursing and Health Studies, University of Missouri, Kansas City, MO;3. School of Nursing and Health Studies, University of Missouri, Kansas City, MO;1. School of Nursing and Midwifery, Griffith University, Parklands Dr, Southport, QLD 4222, Australia;2. Menzies Health Institute Queensland, Griffith University, Parklands Dr, Southport, QLD 4222, Australia;3. Department of Emergency Medicine, Gold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD 4215, Australia;1. Institute of Health and Wellbeing, Federation University, 100 Clyde Road, Berwick, Australia;2. Torrens University, 196 Flinders St, Melbourne, Australia;1. University Hospital Southampton, United Kingdom;2. Ortho-geriatrics, University Hospital Southampton, United Kingdom;3. Emergency Department, University Hospital Southampton, United Kingdom;4. Emergency Care, University of Southampton, United Kingdom;5. Faculty of Health and Applied Sciences, University of the West of England, United Kingdom;6. Oxford Brookes University, United Kingdom |
| |
| Abstract: | BackgroundInter-Hospital Transfer (IHT) may require an escort from the referring hospital, either a Registered Nurse (RN), physician or both, leading to a sudden drop in staffing levels within the referring department potentially increasing risk to patients and staff.AimsTo explore the perspectives of RNs and physicians of differing experience levels when left behind due to an escorted IHT, and the decision-making protocols for IHT.MethodA qualitative exploratory approach of 5 RNs and 4 physicians selected using purposeful sampling. Data were collected through semi-structured interviews and thematically analysed.Findings: Five themes were identified: the impact of being left behind; the burden of transfer; missed care; a triangulation of competing needs upon the decision-making process; and the effect of inter-hospital transfers on staff with different experience levels.ConclusionIHT is described differently by less experienced RNs compared to their more experienced counterparts especially concerning safety and risk. Physicians described the department as vulnerable with ad-hoc decision-making protocols surrounding IHT the norm. |
| |
| Keywords: | Inter-hospital transfer Registered nurse Physician Transfers Escorts Adverse events Emergency department ED IHT" },{" #name" :" keyword" ," $" :{" id" :" pc_B4mwZpQjd3" }," $$" :[{" #name" :" text" ," _" :" Inter-hospital transfer AE" },{" #name" :" keyword" ," $" :{" id" :" pc_BpKJqWlYzs" }," $$" :[{" #name" :" text" ," _" :" Adverse Events |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
