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Practice priorities for acute care nursing: A Delphi study.

Clifford J Connell1, Virginia Plummer2, Kimberley Crawford3

  • 1Nursing and Midwifery, Monash University, Frankston, Vic., Australia.

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|April 13, 2020
PubMed
Summary
This summary is machine-generated.

Acute care nurses face significant challenges, including high patient acuity and inadequate staffing, impacting care quality. Addressing these risks requires system-wide improvements in processes and nurse support.

Keywords:
Delphi studyacute nursing careadverse eventspatient safetyquality care

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Area of Science:

  • Nursing
  • Healthcare Management
  • Patient Safety

Background:

  • Increasing healthcare demands negatively affect nursing care quality and safety.
  • Acute care settings face escalating pressures impacting patient outcomes.

Purpose of the Study:

  • To identify and describe the risks and frequency of challenges in acute care nursing.
  • To determine practice priorities for Australian hospital wards based on expert consensus.

Main Methods:

  • A three-round electronic Delphi method was employed.
  • Expert consensus was synthesized from 30 participants (Rounds 1 & 2) and 12 (Round 3).

Main Results:

  • High patient acuity, inadequate bed space, and patient boarding are frequent, very high risks.
  • Inadequate staffing, poor communication, and premature discharge pose very high risks, occurring sometimes.
  • Pressure to admit and delayed medical reviews are high risks occurring often.

Conclusions:

  • Nurse managers must prioritize system-wide frameworks addressing patient boarding, communication, and discharge.
  • Improving nurse job satisfaction, staffing levels, and expertise are crucial practice priorities.
  • This study details challenges in delivering safe, high-quality acute care nursing.