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https://repository.monashhealth.org/monashhealthjspui/handle/1/27308| Title: | Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes. | Authors: | Gerraty R.;Levi C.;Fitzgerald M.;Middleton S.;Schadewaldt V.;McElduff B.;D'Este C.;McInnes E.;Dale S.;Fasugba O.;Cadilhac D.A.;Considine J.;Grimshaw J.M.;Cheung N.W. | Monash Health Department(s): | University of Melbourne Mental Health |
Institution: | (Schadewaldt, McElduff, McInnes, Dale, Fasugba, Middleton) Nursing Research Institute, St Vincent's Health Australia Sydney, St Vincent's Hospital Melbourne & Australian Catholic University, Darlinghurst, NSW, Australia (D'Este) National Centre for Epidemiology and Population Health (NCEPH), Australian National University, Canberra, Australia; School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan, New South Wales, Australia (Cadilhac) Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia; The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria, Australia (Considine) Deakin University - Eastern Health; School of Nursing and Midwifery and Centre for Quality and Patient Safety Research - Eastern Health Partnership, Deakin University, Geelong, Victoria, Australia (Grimshaw) Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa Hospital - General Campus, Centre for Practice-Changing Research (CPCR), Ottawa, ON, Canada (Cheung) Centre for Diabetes and Endocrinology Research, Westmead Hospital and University of Sydney, Westmead, Sydney, NSW, Australia (Levi) Sydney Partnership for Health Education Research & Enterprise (SPHERE), University of New South Wales, Liverpool, NSW, Australia (Gerraty) Department of Medicine, Monash University, Melbourne, Australia (Fitzgerald) Alfred Hospital, Melbourne, Victoria, Australia; Department of Surgery, Central Clinical School, Monash University, Melbourne, Australia; Faculty of Science, Engineering and Technology, Swinburne University of Technology, Melbourne, Australia | Issue Date: | 15-Feb-2021 | Copyright year: | 2021 | Publisher: | NLM (Medline) | Place of publication: | United States | Publication information: | Nursing outlook. 69 (1) (pp 103-115), 2021. Date of Publication: 01 Jan 2021. | Journal: | Nursing Outlook | Abstract: | BACKGROUND: Emergency departments (ED) are challenging environments but critical for early management of patients with stroke. PURPOSE: To identify how context affects the provision of stroke care in 26 Australian EDs. METHOD(S): Nurses perceptions of ED context was assessed with the Alberta Context Tool. Medical records were audited for quality of stroke care and patient outcomes. FINDINGS: Collectively, emergency nurses (n = 558) rated context positively with several nurse and hospital characteristics impacting these ratings. Despite these positive ratings, regression analysis showed no significant differences in the quality of stroke care (n = 1591 patients) and death or dependency (n = 1165 patients) for patients in EDs with high or low rated context. DISCUSSION: Future assessments of ED context may need to examine contextual factors beyond the scope of the Alberta Context Tool which may play an important role for the understanding of stroke care and patient outcomes in EDs.Copyright © 2020 Elsevier Inc. All rights reserved. | DOI: | http://monash.idm.oclc.org/login?url= http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/j.outlook.2020.08.009 |
PubMed URL: | 32981669 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32981669] | ISSN: | 1528-3968 (electronic) | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/27308 | Type: | Article | Type of Clinical Study or Trial: | Observational study (cohort, case-control, cross sectional or survey) |
| Appears in Collections: | Articles |
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