Implementation of a Quality Practice Model in the Emergency Department

Implementation of a Quality Practice Model in the Emergency Department An Integrative Literature Review Wojtek Wysocki Faculty Sponsor: Larry Maturin, RN, MSN Background: Various factors can affect delivery of care along with the efficiency of the effectiveness of the practice environment. In the last several decades’ significant changes occurred in the healthcare delivery systems that have created a setting that does not support delivery of quality care provided by nursing. Objectives: The purpose of this research review is to explore the need for and implementation strategies of a quality practice setting attribute model in the ED that increases nursing satisfaction and improves patient care outcomes. Method: This integrative literature review was conducted suing keywords “emergency nurses and quality care, care models and nursing, and emergency room care delivery” to search the literature between January 2017 and October 2017. Results: Overall findings stress the need to implement programs to promote operational changes designed to reduce system stress, improve flow, and efficiency in hospitals ED setting. Conclusion: A review of all the available information from the literature provides a conclusive agreement that nursing should be focused on the use of the Quality Practice Settings Attributes Model to address all key issues regarding staffing, care interventions, organizations of nursing care, more supportive management, teamwork and retraining of nurses. Key words: Emergency nurses; emergency medicine teamwork; management style; work stress