The “4-hour target”: emergency nurses’ views

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...

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Veröffentlicht in:Emergency medicine journal : EMJ 2007-06, Vol.24 (6), p.402-404
Hauptverfasser: Mortimore, Andy, Cooper, Simon
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container_title Emergency medicine journal : EMJ
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creator Mortimore, Andy
Cooper, Simon
description 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 analysis1,2 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.
doi_str_mv 10.1136/emj.2006.044933
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source MEDLINE; BMJ Journals - NESLi2; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Attitude of Health Personnel
BMA
British Medical Association
communication
Department of Health
Departments
emergency
emergency department
Emergency medical care
Emergency Nursing - methods
Emergency Service, Hospital - standards
Evaluation Studies as Topic
general practitioner
Guidelines as Topic
Hospitals
Humans
Nurse-Patient Relations
Nurses
Original
Patient satisfaction
Physicians
Pragmatism
Professional Practice - organization & administration
quality
Researchers
Studies
targets
Triage - methods
United Kingdom
Waiting Lists
waiting times
Workload
title The “4-hour target”: emergency nurses’ views
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