Choe Brittany, Basile Joseph, Cambria Bartholomew, Youssef Elias, Podlog Mikhail, Mathews Kurien, Berwald Nicole, Hahn Barry
Emergency Medicine, Staten Island University Hospital (SIUH), Staten Island, USA.
Cureus. 2021 Aug 11;13(8):e17100. doi: 10.7759/cureus.17100. eCollection 2021 Aug.
Emergency departments (ED) across the United States face challenges related to patient volume, available capacity, and patient throughput. Patient satisfaction is adversely affected by crowding and lengthy boarding times. This study aimed to determine whether the implementation of a dedicated nursing hold team (NHT) would improve patient satisfaction scores for admitted patients discharged directly from the ED.
This was a retrospective, observational study with a pre-/post-test design. All admitted adult patients who returned a Press Ganey (PG) survey were included in the study. There were two twelve-month study periods before and after implementing an ED NHT. The primary outcome was the percentage of patients who gave top box scores for all questions in the Nursing Communication Domain.
During the pre-implementation period, 108 patients (59%) gave an overall top box rating for the Nursing Communication Domain versus the post-implementation period, where 99 patients (66%) provided a top box rating (OR 1.375, p = 0.16). There was a trend toward increased satisfaction for individual categories. However, these differences were not statistically significant.
Implementing a dedicated NHT showed an increase in the overall top box PG Nursing Communication Domain score and several of the individual domain questions. Future studies should examine other potential benefits from a dedicated NHT, such as the rate of adverse events and medication delays.
美国各地的急诊科面临着与患者数量、可用容量和患者周转率相关的挑战。拥挤和漫长的住院时间对患者满意度产生了不利影响。本研究旨在确定实施专门的护理滞留团队（NHT）是否会提高直接从急诊科出院的住院患者的满意度得分。
这是一项采用前后测试设计的回顾性观察研究。所有返回Press Ganey（PG）调查问卷的成年住院患者均纳入研究。在实施急诊科NHT之前和之后有两个为期十二个月的研究期。主要结果是在护理沟通领域中对所有问题给出最高评分的患者百分比。
在实施前阶段，108名患者（59%）对护理沟通领域给出了总体最高评分，而在实施后阶段，99名患者（66%）给出了最高评分（比值比1.375，p = 0.16）。各个类别有满意度上升的趋势。然而，这些差异无统计学意义。
实施专门的NHT显示出PG护理沟通领域总体最高评分以及几个单个领域问题得分有所增加。未来的研究应考察专门的NHT带来的其他潜在益处，如不良事件发生率和用药延迟情况。
