scholarly journals Organizational Factors Associated With Nurses’ Competence in Averting Failure to Rescue in Acute Care Settings

2121 ◽  
Vol 7 (1) ◽  
pp. 75-86
Author(s):  
Asonye Christian Chinedu Chichi ◽  
Keyword(s):  
Acute Care ◽  
Sampling Technique ◽  
Organizational Factors ◽  
Organizational Characteristics ◽  
Direct Care ◽  
University Teaching ◽  
Ordinal Scale ◽  
Failure To Rescue ◽  
Factors Associated ◽  
Acute Care Settings

Background: Organizational characteristics are the main concerns of nursing practice in acute care settings. The present study aimed to assess the organizational factors associated with nurses’ competence in averting Failure to Rescue (FTR) in acute care settings. Methods: This was a descriptive and correlational study. A purposive sampling technique was used to collect the necessary data from the study respondents. In total, 173 of the 204 eligible registered nurses providing sudden, urgent, and emergency direct care to patients in the identified acute care settings of Olabisi Onabanjo University Teaching Hospital in Sagamu City, Nigeria participated in this study. A self-structured 38-item questionnaire, including 4 parts (demographic characteristics, knowledge on FTR, competence in averting FTR, & organizational factors) was employed for data collection. The obtained data were analyzed in SPSS V. 22 using descriptive statistics (i.e. frequency, percentages, mean, standard deviation, & tables) as well as Spearman’s Rho correlation to test the hypotheses based on the assumptions that the variables were measured on an ordinal scale at P<0.05. Results: Most nurses presented a high level of knowledge regarding FTR with a mean score of 5.91. Besides, they were moderately competent in averting FTR with a mean score of 29.3. A significant correlation was also detected between organizational characteristics and the studied nurses’ level of competence in averting FTR (P=0.026). Conclusion: The present study data revealed that FTR could be reduced in acute care settings by the modification of organizational factors.

scholarly journals Student Perceptions and Understanding of Client-Therapist Interactions Within the Inpatient Acute Care Environment: Qualitative Study

2015 ◽  
Vol 95 (2) ◽  
pp. 235-248 ◽  
Author(s):  
Lorna M. Hayward ◽  
Kristin C. Greenwood ◽  
Matthew Nippins ◽  
Alicia Canali
Keyword(s):  
Student Perceptions ◽  
Acute Care ◽  
Professional Competence ◽  
Physical Therapists ◽  
Sampling Technique ◽  
The United States ◽  
Doctor Of Physical Therapy ◽  
Inpatient Settings ◽  
Acute Care Settings ◽  
The Impact

BackgroundPhysical therapists practicing in inpatient acute care settings in the United States work in a 21st century health care system that requires professional competence in clinical reasoning and decision making. For doctor of physical therapy (DPT) students, the development of confidence in the patient evaluation and the professional skills necessary for managing the inpatient environment can be challenging.ObjectiveThe study's purpose was to understand whether the early exposure of students to inpatient settings informed their understanding of the thought processes and actions of experienced clinicians during client interactions.DesignA qualitative design was used.MethodsThirty-three DPT students working in inpatient settings were recruited from 15 unique inpatient hospital (acute care and rehabilitation) facilities with a convenience sampling technique. Reflective data were collected for 1 month with clinician-facilitated discussion boards.ResultsFour themes emerged: environment, communication, evaluation, and client-therapist interaction. The themes informed a conceptual model depicting the observation by DPT students of factors that influenced interactions between clients and experienced clinicians in inpatient settings. Reflection on the what, the how, and the why that informed clinical decisions enabled students to recognize the situated nature of evaluation and treatment approaches.LimitationsThe use of a sample from 1 year of a DPT program at one university reduced the generalizability of the results.ConclusionsLimited research has examined student perceptions of the interactions of experienced clinicians with clients in inpatient acute care settings. More research is needed to understand the impact of exposing students to the thoughts and actions of therapists working in such settings earlier within DPT curricula.

Organizational Factors Influencing Nurse Practitioners' Role Implementation in Acute Care Settings

2000 ◽  
Vol 13 (3) ◽  
pp. 28-35 ◽  
Author(s):  
D. Irvine ◽  
S. Sidani ◽  
H. Porter ◽  
L. O'Brien-Pallas ◽  
B. Simpson ◽  
...  
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Organizational Factors ◽  
Factors Influencing ◽  
Acute Care Settings ◽  
Role Implementation

Market and organizational factors associated with hospital vertical integration into sub-acute care

2019 ◽  
Vol 44 (2) ◽  
pp. 137-147 ◽  
Author(s):  
Tory H. Hogan ◽  
Christy Harris Lemak ◽  
Larry R. Hearld ◽  
Bisakha P. Sen ◽  
Jack R.C. Wheeler ◽  
...  
Keyword(s):  
Acute Care ◽  
Vertical Integration ◽  
Organizational Factors ◽  
Factors Associated

scholarly journals Person-Centered Communication Between Health Care Professionals and COVID-19-Infected Older Adults in Acute Care Settings: Findings From Wuhan, China

2020 ◽  
Author(s):  
Juan Li ◽  
Jing Wang ◽  
Xiangjing Kong ◽  
Tingting Gao ◽  
Bei Wu ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Acute Care ◽  
Health Care Professionals ◽  
Older Patients ◽  
Well Being ◽  
Direct Care ◽  
Core Element ◽  
Acute Care Settings ◽  
Multiple Challenges

Abstract Objectives The current study aims to explore person-centered communication between health care professionals and COVID-19-infected older patients in acute care settings. Methods The current qualitative study explored the communication between professionals and COVID-19-infected older adults in the acute care setting through 2 rounds of interviews with physicians and nurses who provided direct care and treatment for COVID-19-infected older patients in Wuhan, China. We explored the possibilities and significance of facilitating effective communication despite multiple challenges in the pandemic. Conventional content analysis was adopted to analyze the rich data collected from our participants. Results It is possible and necessary to initiate and sustain person-centered communication despite multiple challenges brought by the pandemic. The achievement of person-centered communication can play significant roles in addressing challenges, building mutual trust, improving quality of care and relationships, and promoting treatment adherence and patients’ psychological well-being. Discussion It is challenging for health care professionals to provide care for COVID-19-infected older adults, especially for those with cognitive and sensory impairment, in acute care settings. Facilitating person-centered communication is a significant strategy in responding to the pandemic crisis and a core element of person-centered care.

Improving Patient Safety and Patient–Provider Communication

2019 ◽  
Vol 4 (5) ◽  
pp. 1017-1027 ◽  
Author(s):  
Richard R. Hurtig ◽  
Rebecca M. Alper ◽  
Karen N. T. Bryant ◽  
Krista R. Davidson ◽  
Chelsea Bilskemper
Keyword(s):  
Acute Care ◽  
Augmentative And Alternative Communication ◽  
Health Care Team ◽  
Provider Communication ◽  
Alternative Communication ◽  
Patient Provider Communication ◽  
Acute Care Settings ◽  
Nurses Perceptions ◽  
Communication Needs ◽  
The Impact

Purpose Many hospitalized patients experience barriers to effective patient–provider communication that can negatively impact their care. These barriers include difficulty physically accessing the nurse call system, communicating about pain and other needs, or both. For many patients, these barriers are a result of their admitting condition and not of an underlying chronic disability. Speech-language pathologists have begun to address patients' short-term communication needs with an array of augmentative and alternative communication (AAC) strategies. Method This study used a between-groups experimental design to evaluate the impact of providing patients with AAC systems so that they could summon help and communicate with their nurses. The study examined patients' and nurses' perceptions of the patients' ability to summon help and effectively communicate with caregivers. Results Patients who could summon their nurses and effectively communicate—with or without AAC—had significantly more favorable perceptions than those who could not. Conclusions This study suggests that AAC can be successfully used in acute care settings to help patients overcome access and communication barriers. Working with other members of the health care team is essential to building a “culture of communication” in acute care settings. Supplemental Material https://doi.org/10.23641/asha.9990962

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