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Barriers to nursing care in emergency wards
Hosein Mahmoudi1, Eesa Mohmmadi, Abbas Ebadi
1Department of Medical Surgical Nursing, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Iranian Journal of Nursing and Midwifery Research
|August 29, 2013
Summary
Barriers to effective nursing care in emergency departments stem from the critical nature of the ward, nurse performance issues, and clinical management deficiencies. Addressing these requires improved education, empowerment, and support for nurses.
Area of Science:
- Nursing Care
- Emergency Medicine
- Healthcare Management
Background:
- Caring is central to nursing, but cultural, economic, and social factors create barriers to its effective delivery.
- Understanding these barriers is crucial for improving patient care experiences.
Purpose of the Study:
- To identify and clarify barriers to providing effective nursing care in emergency settings.
- To explore these barriers from the perspectives of nurses, patients, and their relatives.
Main Methods:
- Qualitative content analysis design.
- In-depth interviews with 18 nurses and 7 patients in an Iranian university hospital emergency ward.
- Purposeful sampling and qualitative content analysis of collected data.
Main Results:
- Seven categories of barriers were identified.
- Three overarching themes emerged: the critical nature of the emergency ward, weaknesses in nurse performance, and deficiencies in clinical management.
- These themes highlight systemic and individual challenges impacting care delivery.
Conclusions:
- Fundamental and management education for nurses is essential.
- Empowerment, effective supervision, and increased motivation are key to overcoming barriers.
- Improving nurses' support and wages, alongside implementing scientific triage, are vital for achieving the study's purpose.
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