University of Eastern Finland, Department of Nursing Science, P.O. Box 1627, 70211 Kuopio, Finland.
Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, 70211 Kuopio, Finland.
Int Emerg Nurs. 2021 Jan;54:100937. doi: 10.1016/j.ienj.2020.100937. Epub 2020 Nov 11.
Care quality in hospital units can be assessed based on three elements: structure, process, and outcomes. Relationships between elements are particularly important but have largely been unexplored.
The purpose of the study was to investigate the relationships between factors of the emergency care process, length of stay, and care outcomes (i.e. care quality and patient satisfaction).
Medical and administrative registry data from children's visits were combined with cross-sectional survey data and analyzed using descriptive methods, median test, and linear regression. Eighty-nine child-parent pairs from four emergency departments participated.
The shortest length of stay had children at the lowest triage level (p < 0.001) Children with more diagnostic tests (p < 0.001) and more procedures (p < 0.001) performed had the longest length of stay. In linear regression analysis (f = 6.626, df = 6, p = 0.001, R = 0.214), the satisfaction of child-parent pairs was associated with performance of more tests and procedures, higher triage levels, and child streaming onto the pediatrician care track.
Care process factors affect length of children's stay in emergency departments and could predict children's and parents' satisfaction with, and evaluations of, care quality.
医院科室的护理质量可以基于三个要素进行评估：结构、过程和结果。各要素之间的关系尤为重要，但尚未得到充分探索。
本研究旨在调查急诊护理过程的因素、住院时间以及护理结果（即护理质量和患者满意度）之间的关系。
将儿童就诊的医疗和管理登记数据与横断面调查数据相结合，采用描述性方法、中位数检验和线性回归进行分析。来自四个急诊部门的 89 对儿童-家长参与了研究。
分诊级别最低的患儿住院时间最短（p<0.001）。接受更多诊断性检查（p<0.001）和更多操作（p<0.001）的患儿住院时间最长。在线性回归分析中（f=6.626，df=6，p=0.001，R=0.214），儿童-家长对护理的满意度与更多的检查和操作、更高的分诊级别以及患儿进入儿科医生护理通道相关。
护理过程因素影响患儿在急诊科的住院时间，并且可以预测患儿及其家长对护理质量的满意度和评价。
