Journal of nursing care quality
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This descriptive correlation study examined the satisfaction levels of urgent and nonurgent patients in relation to nursing care, the emergency department (ED) environment, ancillary services, and information received. The sample consisted of 28 subjects, with the majority of patients being very satisfied with nursing care. ⋯ The satisfaction levels of ED patients with the care they receive has become increasingly important in today's health care environment. ED nurses play an important role in ensuring that patients are satisfied and receive quality care.
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Patients spend a substantial amount of time in clinics waiting for services to be delivered by nursing and other allied health professionals. The degree to which health consumers are satisfied with the care received is strongly related to the quality of the wait experience. Health care organizations that strive to deliver exceptional service must effectively manage their clinic wait. Failure to incorporate consumer-driven features into the design of the wait experience will lead to patient and provider dissatisfaction.
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An extremely low birthweight (ELBW) protocol was developed at this regional neonatal intensive care unit. The focus was the standardization of care related to the implementation/maintenance of a humidified environment and attention to prevention of skin excoriation in the extremely low birthweight infant (< 1000 g). Steps toward successful implementation of the standardized approach required an interdisciplinary commitment, literature review of current practice methodologies, a definition of nursing and medical approach to these infants in the first days of life, and an evaluation of the practice change focusing on patient outcomes. A comparative review was completed that evaluated the change in patient outcomes of the extremely low birthweight infants relative to fluid and electrolyte status in the first five days of life after implementation of the protocol as compared to prior to implementation of the protocol.
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The assessment of patient satisfaction is an integral part of any quality improvement activity. In this study, patient satisfaction with emergency department (ED) nursing care was significantly positively related to the patient's self-perceived improvement and to the patient's admission to the hospital. ⋯ Psychological safety and information giving were found to contribute significantly to patient satisfaction with the ED nurse. Patient satisfaction with ED nursing care contributed significantly to the patients' intention to return to the ED.
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The article describes a study undertaken to assess patient satisfaction with nursing care in a rural hospital emergency department with respect to psychological safety, discharge teaching, information giving, and technical competence. This descriptive research utilized Davis' Consumer Emergency Care Satisfaction Scale to determine the degree to which 52 patients perceived overall satisfaction with nursing care. ⋯ Nursing staff may need to spend more time with rural African American consumers. Staff may need to be inserviced to meet the cultural and educational needs of African Americans.