Johnson Kimberly D, Winkelman Chris
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
Adv Emerg Nurs J. 2011 Jan-Mar;33(1):39-54. doi: 10.1097/TME.0b013e318207e86a.
The purpose of this review was to summarize the findings of published reports that investigated quality-related outcomes and emergency department (ED) crowding. Of 276 data-based articles, 23 reported associations between patient outcomes and crowding. These articles were grouped into 3 categories: delay in treatment, decreased satisfaction, and increased mortality. Although these studies suggest that crowding results in poor outcomes, it is possible that other factors such as nursing care contribute to these adverse outcomes. Nursing care has been shown to contribute to both positive and negative patient outcomes in other settings. Building an understanding of how ED crowding affects the practice of the emergency nurse is essential to examining how nursing care, surveillance, and communication impact outcomes of emergency patients. Investigation into nurse-sensitive quality indicators in the ED has potential to develop strategies that deliver high quality of care, regardless of crowded conditions.
本综述的目的是总结已发表报告中关于与质量相关的结果以及急诊科拥挤情况的研究发现。在276篇基于数据的文章中，有23篇报告了患者结果与拥挤之间的关联。这些文章分为三类：治疗延迟、满意度降低和死亡率增加。尽管这些研究表明拥挤会导致不良结果，但也有可能是其他因素，如护理，导致了这些不良后果。在其他环境中，护理已被证明会对患者的积极和消极结果产生影响。了解急诊科拥挤如何影响急诊护士的工作，对于研究护理、监测和沟通如何影响急诊患者的结果至关重要。对急诊科护士敏感的质量指标进行调查，有可能制定出在拥挤情况下仍能提供高质量护理的策略。
