Barriers to change hindering quality improvement: the reality of emergency care

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Asa MuntlinLena Gunningberg

Abstract

The aim of this study was to investigate physicians' and nurses' perspectives and prerequisites for quality improvement in the emergency department based on results from a previous patient survey. The study used an explorative design with a qualitative approach and was conducted at the main emergency department of a Swedish university hospital. Interviews were conducted with 5 focus groups. In total, the groups comprised 22 respondents. The respondents suggested goals and quality improvements, such as more patient-centered care, reduced waiting times, and better pain management. However, barriers to quality improvement also were identified and represented 3 themes: the patient is looked upon as an object or a problem; the physicians and nurses belong to different organizational cultures; and the hospital's organization hinders the optimal flow of patients and improvements to quality. When assigning priority to the topic areas, most of the focus groups ranked "information, respect, and empathy" as most important to improve. Adequate information, proper care, and treatment within a reasonable time in the emergency department were cited as the goals for patient care, but the health care professionals perceived barriers to change i...Continue Reading

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Citations

Jun 26, 2012·International Emergency Nursing·Carina ElmqvistMargaretha Ekebergh
Jul 5, 2011·Quality Management in Health Care·Kevin J Van DykeDina Moss
Jul 16, 2013·The Journal of Emergency Medicine·Hemangini C Bhakta, Catherine A Marco
Dec 17, 2010·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Camilla UdoElla Danielson
Jan 29, 2014·International Journal of Nursing Knowledge·Maryam EsmaeiliMahvash Salsali
Nov 8, 2015·International Emergency Nursing·Donna McConnellVidar Melby
Dec 23, 2019·Scandinavian Journal of Caring Sciences·Catharina Frank, Carina Elmqvist
Sep 26, 2019·Emergency Medicine Journal : EMJ·Jaimi H GreensladeJulia Crilly
Aug 2, 2017·International Journal of Evidence-based Healthcare·Margaret Fry, Jutharat Attawet
Jul 23, 2015·AACN Advanced Critical Care·Kathleen M Stacy
Dec 12, 2020·Quality Management in Health Care·Marie DickinsonJoanne Travaglia
May 21, 2021·BMC Health Services Research·Eva S van den EndeUNKNOWN all local collaborators

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