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Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes
Schadewaldt, Verena McElduff, Benjamin D'Este, Catherine McInnes, Elizabeth Dale, Simeon Fasugba, Oyebola Cadilhac, Dominique A. Considine, Julie Grimshaw, Jeremy M. Cheung, N. Wah
Schadewaldt, Verena
McElduff, Benjamin
D'Este, Catherine
McInnes, Elizabeth
Dale, Simeon
Fasugba, Oyebola
Cadilhac, Dominique A.
Considine, Julie
Grimshaw, Jeremy M.
Cheung, N. Wah
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
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.
Keywords
guideline implementation, research utilization, Alberta Context Tool, emergency care, knowledge transfer, organizational cont
Date
2021
Type
Journal article
Journal
Nursing Outlook
Book
Volume
69
Issue
1
Page Range
103-115
Article Number
ACU Department
Nursing Research Institute
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled