Factors influencing adherence to an emergency department national protocol
Autor: | Theo van Achterberg, Lilian C.M. Vloet, Joke Mintjes de Groot, R.H.A. Ebben |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male emergency medicine (mesh) media_common.quotation_subject Quality of nursing and allied health care [NCEBP 6] Emergency Nursing Nursing Staff Hospital Young Adult Nursing Clinical Protocols Risk Factors Surveys and Questionnaires Quality of nursing and allied health care Quality of Care [NCEBP 6] Medicine Humans Practice Patterns Physicians' media_common Netherlands Protocol (science) business.industry emergency nursing (mesh) Social Support Emergency department Awareness Middle Aged medicine.disease Organizational Culture Clinical Practice Health Care Surveys Personal Autonomy guideline adherence (mesh) Emergency Medicine Female Medical emergency Guideline Adherence Self Report business Emergency Service Hospital Autonomy Algorithms |
Zdroj: | European Journal of Emergency Medicine, 19, 53-6 European Journal of Emergency Medicine, 19, 1, pp. 53-6 |
ISSN: | 0969-9546 |
DOI: | 10.1097/MEJ.0b013e3283474a87 |
Popis: | The objective of this study was to identify factors that influence emergency nurses' adherence to an emergency department national protocol (EDNP). A survey of emergency nurses (n=200) and physicians with medical end responsibility on an emergency department (n=103) was carried out. Emergency nurses' self-reported adherence to the EDNP was 38%, 55% of the nurses and 44% of the physicians were aware of the protocol. Interference with professional autonomy, insufficient organizational support and the EDNP's applicability were indicated as barriers for adherence. The main influencing factor seems awareness. Other factors related to the individual, the organization and to protocol characteristics. Solely disseminating the EDNP is not enough to get the protocol used in clinical practice. ispartof: European Journal of Emergency Medicine vol:19 issue:1 pages:53-56 ispartof: location:England status: published |
Databáze: | OpenAIRE |
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