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User embracement with risk classification in an emergency care unit: an evaluative study
Patrícia Madalena Vieira Hermida1, Eliane Regina Pereira do Nascimento1, Maria Elena Echevarría-Guanilo1
1Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Revista Da Escola De Enfermagem Da U S P
|April 19, 2018
Summary
Emergency department risk classification shows precarious user embracement, particularly in care processes. Improvements are needed for better patient outcomes and satisfaction in emergency care settings.
Area of Science:
- Emergency Medicine
- Healthcare Management
- Nursing Practice
Background:
- Effective risk classification is crucial for prioritizing patients in emergency care.
- Assessing user embracement of risk classification systems is vital for optimizing emergency department workflows.
- Previous studies have highlighted challenges in implementing and adhering to risk classification protocols.
Purpose of the Study:
- To evaluate the Structure, Process, and Outcome of user embracement with risk classification in an emergency care unit.
- To gather perspectives from physicians and nurses on the effectiveness of the current risk classification system.
- To identify areas for improvement in the implementation and utilization of emergency care risk classification.
Main Methods:
- A quantitative, descriptive, and evaluative study was conducted in Santa Catarina.
- Data were collected using a validated 21-item instrument assessing Structure, Process, and Outcome.
- Descriptive statistics, Mean Ranking, and Mean Score calculations were applied for data analysis.
Main Results:
- The study included 37 healthcare professionals (physicians and nurses).
- 11 items (52.4%) received a Mean Ranking between 3 and 4; no item reached the maximum score of 5.
- "Prioritization of severe cases" and "Primary care according to the severity of the case" had the highest Mean Ranking (4.5).
- "Flowchart discussion" had the lowest Mean Ranking (2.1).
- Mean scores for Structure, Process, and Outcome were 23.9, 21.9, and 25.5, respectively, indicating a "Precarious" evaluation range (17.5-26.1 points).
Conclusions:
- User embracement of the risk classification system in the emergency care unit is precarious.
- The Process dimension received the lowest satisfaction level, indicating significant room for improvement.
- Enhancing the risk classification process is essential to improve overall user satisfaction and emergency care delivery.
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