National University Health System, Singapore, The Republic of Singapore.
Old Dominion University, Norfolk, VA.
Nurs Outlook. 2020 Mar-Apr;68(2):169-183. doi: 10.1016/j.outlook.2019.09.002. Epub 2020 Feb 8.
The acute medical unit (AMU) provides early specialist care to emergency department patients before inpatient admission. The workflows and skills for successful AMU nursing comprise a hybrid of internal and emergency medicine.
To understand nursing work dynamics in the AMU.
AMU at a 1,250-bed tertiary academic center in Singapore with 14,000 ED presentations monthly. Retrospective mixed methods study using focus group discussions and surveys. Fifteen nurses across three focus group discussions. Thirty-two physicians and 54 nurses responded to a validated questionnaire.
Focus group discussions transcripts content analyzed by two researchers. Survey items factor analyzed and attitudinal differences between AMU physicians and nurses, and among nurses compared using Student's t- and one-way ANOVA tests.
AMU nursing staff faced obstacles of inadequate patient information, emergency department onboarding, unbalanced workload, and coworker conflicts, which led to them to develop processes and checklists to manage patient information, patient expectations, and teamwork.
AMU nursing requires a combination of specialist internal medicine and emergency medicine skills. Training should familiarize nurse workforce with managing patient expectations and multidisciplinary teamwork.
急症医学部（AMU）在患者住院前为急诊科患者提供早期专科护理。成功的 AMU 护理工作流程和技能结合了内科和急诊医学。
了解 AMU 的护理工作动态。
在新加坡一家拥有 1250 张床位的三级学术中心的 AMU 中，每月有 14000 名急诊科就诊患者。使用焦点小组讨论和调查的回顾性混合方法研究。在三个焦点小组讨论中，有 15 名护士参加。32 名医生和 54 名护士对经过验证的问卷做出了回应。
两名研究人员对焦点小组讨论的转录内容进行了内容分析。对调查项目进行了因子分析，并使用学生 t 检验和单因素方差分析比较了 AMU 医生和护士之间以及护士之间的态度差异。
AMU 护理人员面临患者信息不足、急诊科入职、工作量不平衡和同事冲突等障碍，这导致他们制定了管理患者信息、患者期望和团队合作的流程和清单。
AMU 护理需要结合内科和急诊医学的专业技能。培训应使护士人员熟悉管理患者期望和多学科团队合作。
