This study was conducted to examine the nurse’s perception of being cared for in the hospital work environment. A survey design was used with a modified questionnaire based on Watson’s (2008) caring theory. Physical needs, spiritual needs, intellectual stimulation, and authentic relationships were domains measured. Results indicated an overall perception of caring (5.27 on a 7-point scale); however, there is significant variation in perception of caring among units within the hospital. Additional research is recommended for tool refinement and the development of a language of caring to help promote more meaningful communication among staff and patients.
that left without treatment. An interventional design approach was used to assist in implementation of interventions and action items. Ethical considerations were reviewed to ensure that the primary focus remained, ensuring quality, patient-centered care.
ResultsResults showed a steady decline over an 8-month period in median throughput times (arrival to triage departure), provider workup times, and arrival to triage bed times. In August 2018, we had a median throughput time of 164.5 min (down from 186 min), provider workup times of 56 min (down from 110 min), and arrival to a triage bed time of 23 min (down from 31 min). Implementation of hospital-wide escalation plans allowed for improved communication. Findings showed significant improvement of overall throughput within the hospital as well as the obstetric triage area.
DiscussionImplications for nursing practice included improved communication, collaboration, and use of team training tools to assist in communicating needs, delays, and concerns in a timely manner.
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