Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study.
The physical layout of the emergency department affects the way in which patients and providers move within the space and can cause substantial changes in workflow and, therefore, affect communication patterns between providers. There is no 1 ED design that enables the best patient care, and quantit...
| Publicado en: | Journal of Emergency Nursing Vol. 46; no. 4; pp. 440 - 449 |
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| Autores principales: | , , , , , , |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jul2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144420278&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144420278 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00991767 1FUG jtl: Journal of Emergency Nursing issn: 00991767 maglogo: N pubinfo: dt: Jul2020 vid: 46 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 144420278 144420278 144420278 10.1016/j.jen.2020.04.005 144420278 ppf: 440 ppct: 9 formats: tig: atl: Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study. aug: au: Tindle, Kailey David, Allison Carlisle, Stephanie Faircloth, Billie Fields, J. Matthew Hayden, Geoffrey Ku, Bon sug: subj: Built Environment Facility Design and Construction Methods Nurse-Physician Relations Communication Emergency Service Human Task Performance and Analysis Quality of Health Care Cross Sectional Studies Descriptive Statistics Data Analysis Software Confidence Intervals T-Tests Post Hoc Analysis Education, Continuing (Credit) Time ab: The physical layout of the emergency department affects the way in which patients and providers move within the space and can cause substantial changes in workflow and, therefore, affect communication patterns between providers. There is no 1 ED design that enables the best patient care, and quantitative studies looking at ED design are limited. The goal of this study was to examine how different ED designs, centralized and decentralized, are associated with communication patterns among health care professionals. A task performance, direct observation time study was used. By developing a novel tablet-based digital mapping tool using a cloud-based mapping platform (ArcGIS), data on provider actions and interactions were collected and mapped to a precise location within the emergency department throughout an entire nursing shift. The difference in the duration of nurse-physician interactions between the 2 ED designs was statistically significant. Within the centralized design, nurse-physician interactions totaled 14 minutes and 38 seconds compared with 30 minutes and 11 seconds in the decentralized design (t = 2.31, P = 0.02). More conversations between nurses and physicians occurred inside the patient's room in the decentralized design. Our findings suggest that the ED design affects communication patterns among health care providers and that the design has the potential to affect the quality of patient care. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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