Effects of adverse events in health care on acute care nurses in an Australian context: A qualitative study

2018 ◽  
Vol 20 (2) ◽  
pp. 238-246 ◽  
Author(s):  
Ashley Kable ◽  
Brian Kelly ◽  
Jon Adams
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Adverse Events ◽  
Acute Care ◽  
Acute Care Nurses ◽  
Australian Context

scholarly journals The surgical journey: exploring the OR-PACU handover

2021 ◽  
Author(s):  
Marketa Gross
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Content Analysis ◽  
Qualitative Study ◽  
Adverse Events ◽  
Team Processes ◽  
Team Members ◽  
Handover Process ◽  
Collective Competence ◽  
Transfer Of Information

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.

scholarly journals “You only have time for so much in 12 hours” unmet social needs of hospitalised patients: A qualitative study of acute care nurses

2019 ◽  
Vol 28 (19-20) ◽  
pp. 3529-3537 ◽  
Author(s):  
J. Margo Brooks Carthon ◽  
Taylor Hedgeland ◽  
Heather Brom ◽  
Danielle Hounshell ◽  
Pamela Z. Cacchione
Keyword(s):  
Qualitative Study ◽  
Acute Care ◽  
Social Needs ◽  
Acute Care Nurses ◽  
Hospitalised Patients

scholarly journals The surgical journey: exploring the OR-PACU handover

2021 ◽  
Author(s):  
Marketa Gross
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Content Analysis ◽  
Qualitative Study ◽  
Adverse Events ◽  
Team Processes ◽  
Team Members ◽  
Handover Process ◽  
Collective Competence ◽  
Transfer Of Information

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.

Advance Care Planning Needs in Idiopathic Pulmonary Fibrosis: A Qualitative Study

2021 ◽  
pp. 104990912110417
Author(s):  
Meena Kalluri ◽  
Sara Orenstein ◽  
Nathan Archibald ◽  
Charlotte Pooler
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Home Care ◽  
Acute Care ◽  
Advance Care Planning ◽  
Health Care Professionals ◽  
Care Planning ◽  
Advance Care

Introduction: Advance care planning is recommended in chronic respiratory diseases, including Idiopathic Pulmonary Fibrosis. In practice, uptake remains low due to patient, physician and system-related factors, including lack of time, training and guidance on timing, components and content of conversations. Our aim was to explore perspectives, experiences and needs to inform a framework. Methods: We conducted a qualitative study in western Canada, using semi-structured interviews and inductive analysis. Patient, caregiver and health care professional participants described advance care planning experiences with Idiopathic Pulmonary Fibrosis. Results: Twenty participants were interviewed individually: 5 patients, 5 caregivers, 5 home care and 5 acute care health care professionals. Two categories, perceptions and recommendations, were identified with themes and subthemes. Participant perceptions were insufficient information and conversations occur late. Recommendations were: have earlier conversations; have open conversations; provide detailed information; and plan for end-of-life. Patients and caregivers wanted honesty, openness and clarity. Professionals related delayed timing to poor end-of-life care and distressing deaths. Home care professionals described comfort with and an engaged approach to advance care planning. Acute care professionals perceived lack of clarity of roles and described personal, patient and caregiver distress. Interpretation: Analysis of diverse experiences provided further understanding of advance care planning in Idiopathic Pulmonary Fibrosis. Advance care planning is desired by patients and caregivers early in their illness experience. Health care professionals described a need to clarify role, scope and responsibility. Practical guidance and training must be available to care providers to improve competency and confidence in these conversations.

scholarly journals The expanded role of acute care nurses: The issue of liability

1999 ◽  
Vol 22 (3) ◽  
pp. 110 ◽  
Author(s):  
Wendy Chaboyer ◽  
Kim Forrester ◽  
Denise Harris
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Professionals ◽  
Acute Care Hospitals ◽  
Legislative Process ◽  
Acute Care Nurses ◽  
Legal Implications

For a variety of reasons the activities performed by health care professionals are ever increasing, however the legislative process regulating these specialised workers is not keeping up with the practice realities. While competency statements and credentialling mechanisms are developing, they are not uniformly in place for specialists. Therefore activities completed by these practitioners may be legally controversial. This study documents a variety of tasks completed independently by nurses employed in three acute care hospitals that legally require medical orders and then examines the legal implications of this role extension. Credentialling is one mechanism by which nurses and other health care professionals can ensure they possess the levels of knowledge and skill required to perform the advanced activities required of them and consequently avoid negative legal repercussions.

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