NDLI: The '4-hour target': emergency nurses' views.

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The '4-hour target': emergency nurses' views.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mortimore, Andy Cooper, Simon
Description	Country affiliation: United kingdom Author Affiliation: Mortimore A ( Emergency Department, Torbay Hospital, Lawes Bridge, Torquay, Devon, TQ2 7AA, UK. andy.mortimore@nhs.net)
Abstract	OBJECTIVE: To explore nurses' views and to identify the perceived advantages and disadvantages of the '4-hour target.' METHODS: The study was based in one emergency department (ED) in the UK and took a generic qualitative approach. A stratified sample of nine experienced ED nurses were recruited for semi-structured interviews. Data was analysed using the framework analysis approach. RESULTS: The 4-hour target was considered an overall success in reducing waiting times and increasing patient satisfaction. However, staff expressed concerns over the imposed nature of the target, workload pressures, quality of care, and the level of support from secondary and primary care. CONCLUSION: Although deemed an overall success, there were reservations as to the target's sustainability. Recommendations are made for improved communication between primary and secondary care and establishing the target as a shared goal within the hospital environment.
File Format	HTM / HTML
ISSN	14720205
e-ISSN	14720213
Journal	Emergency Medicine Journal
Issue Number	6
Volume Number	24
Language	English
Publisher	BMJ Publishing Group Ltd
Publisher Date	2007-06-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Emergency Discipline Medicine Attitude Of Health Personnel Emergency Nursing Emergency Service, Hospital Guidelines As Topic Waiting Lists Evaluation Studies As Topic Nurse-patient Relations Organization & Administration Triage
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Critical Care and Intensive Care Medicine

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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