Patient-Centered Care in Emergency Department: The Impact of Nurse Practitioners on Safety and Quality of Care – A Systematic Review

Main Article Content

Omar Wattad

Abstract

Introduction: Emergency department nurses use patient-centered interventions to boost patient safety and quality of care. This study evaluates the effect of emergency nurses using patient-centered interventions in promoting quality and safe care. 


Methods: The study embarks on a systematic review on patient-centered care in the emergency department. 10 articles were selected for the review from CINAHL, Cochrane Library, PubMed, and Google Scholar. 


Results: 2 articles embarked on patient-centered care in the emergency department. 3 articles embarked on the role of communication as a patient-centered intervention in promoting patient safety and quality of care in the emergency department. 5 articles covered barriers and facilitators to emergency nurses delivering patient centered care.     


Discussion: Nurses use patient-centered interventions to promote the health and well-being of emergency patients. These interventions are communication, collaboration, and shared-decision making. In addition, there are facilitators and barriers to these interventions in the emergency department.  


Conclusion: Although the study has considerable limitations, patient-centered interventions promote patient care in the emergency department. As such, nurses should embark on standardized framework, teamwork, and knowledge sharing to promote quality of care and patient safety in emergency department.

Article Details

How to Cite
Omar Wattad. (2023). Patient-Centered Care in Emergency Department: The Impact of Nurse Practitioners on Safety and Quality of Care – A Systematic Review. Journal for ReAttach Therapy and Developmental Diversities, 6(7s), 967–976. https://doi.org/10.53555/jrtdd.v6i7s.2446
Section
Articles
Author Biography

Omar Wattad

Faculty of Graduate Studies, Arab American University, 13 Zababdeh, P.O Box 240, Jenin, Palestine

References

Walsh A., Bodaghkhani E., Etchegary H., Alcock L., Patey C., Senior D., Asghari, S., “Patient-Centered Care in the Emergency Department: A Systematic Review and Meta-Ethnographic Synthesis,” International Journal of Emergency Medicine, vol. 15, no. 1, pp. 36-48, 2022. DOI: 10.1186/s12245-022-00438-0.

Pope C., McKenna G., Turnbull J., Prichard J., Rogers, A., “Navigating and Making Sense of Urgent and Emergency Care Processes and Provision,” Health Expectations, vol. 22, no. 3, pp. 435–443, 2019. DOI: 10.1111/hex.12866.

Edgman-Levitan S., Schoenbaum S. C., “Patient-Centered Care: Achieving Higher Quality by Designing Care through the Patient’s Eyes,” Israel Journal of Health Policy Research, vol. 10, no. 1, pp. 21-26, 2021. DOI: 10.1186/s13584021-00459-9.

Milton J., Erichsen Andersson A., Åberg N. D., Gillespie B. M., Oxelmark L., “Healthcare Professionals’ Perceptions of Interprofessional Teamwork in the Emergency Department: A Critical Incident Study,” Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 30, no. 1, pp. 46-62, 2022. DOI: 10.1186/s13049-022-01034-

Schwei R. J., Hoang L., Wilson P., Greene M. Z., Lor M., Shah M. N., Pulia M. S.., “Patient-Centered Care Outcomes for Patients in the Emergency Department with a Non-English Language Preference: A Scoping Review,” Patient Education and Counseling, vol. 114, no. 2, pp. 1-15, 2023. DOI: 10.1016/j.pec.2023.107875.

Al-Ghabeesh S. H., Thabet A., Rayan A., Abu-Snieneh H. M., “Qualitative Study of Challenges Facing Emergency Departments Nurses in Jordan,” Heliyon, vol. 9, no. 3, pp. 1-8, 2023. DOI: 10.1016/j.heliyon.2023.e14141.

Butler J. M., Gibson B., Lewis L., Reiber G., Kramer H., Rupper R., Herout J., Long B., Massaro D., Nebeker, J., “Patient-Centered Care and the Electronic Health Record: Exploring Functionality and Gaps,” JAMIA Open, vol. 3, no. 3, pp. 360–368, 2020. DOI: 10.1093/jamiaopen/ooaa044.

De Oliveira S. M., De Alcantara Sousa L. V., Vieira Gadelha M., Do Nascimento V. B., “Prevention Actions of

Burnout Syndrome in Nurses: An Integrating Literature Review,” Clinical Practice and Epidemiology in Mental Health, vol. 15, no. 1, pp. 64–73, 2019. DOI: 10.2174/1745017901915010064.

Eriksen M. B., Frandsen T. F., “The Impact of Patient, Intervention, Comparison, Outcome (PICO) as a Search Strategy Tool on Literature Search Quality: A Systematic Review,” Journal of the Medical Library Association, vol. 106, no. 4, pp. 420–431, 2019. DOI: 10.5195/jmla.2018.345.

Oermann M. H., Wrigley J., Nicoll L. H., Ledbetter L. S., Carter-Templeton H., Edie A. H., “Integrity of Databases for Literature Searches in Nursing: Avoiding Predatory Journals,” Advances in Nursing Science, vol. 44, no. 2, pp. 102–110, 2021. DOI: 10.1097/ANS.0000000000000349.

Patino C. M., Ferreira J. C., “Inclusion and Exclusion Criteria in Research Studies: Definitions and Why They Matter,” J Bras Pneumol, vol. 44, no. 2, p. 84, 2018. DOI: 10.1590/s1806-37562018000000088.

Nicholas D. B., Muskat B., Zwaigenbaum L., Greenblatt A., Ratnapalan S., Kilmer C., Craig W., Roberts W., CohenSilver J., Newton A., Sharon R., “Patient- and Family-Centered Care in the Emergency Department for Children with Autism,” Pediatrics, vol. 145, no. Suppl 1, pp. S93–S98, 2020. DOI: 10.1542/peds.2019-1895L.

Gabay G., Gere A., Zemel G., Moskowitz H., “Personalized Communication with Patients at the Emergency Department-An Experimental Design Study,” Journal of Personalized Medicine, vol. 12, no. 10, pp. 1-13, 2022. DOI: 10.3390/jpm12101542.

Shin S., Yoo H. J., “Emergency Nurses’ Communication Experiences with Patients and their Families during the COVID-19 Pandemic: A Qualitative Study,” International Emergency Nursing, vol. 66, no. 1, pp. 1-8, 2023. DOI: 10.1016/j.ienj.2022.101240.

Hettinger A. Z., Benda N., Roth E., Hoffman D., Iyer A., Franklin E., Perry S., Fairbanks R. J., Bisantz A. M., “Ten Best Practices for Improving Emergency Medicine Provider-Nurse Communication,” The Journal of Emergency Medicine, vol. 58, no. 4, pp. 581–593, 2020. DOI: 10.1016/j.jemermed.2019.10.035.

Schofield B., Rolfe U., McClean S., Hoskins R., Voss S., Benger J., “What are the Barriers and Facilitators to Effective Health Promotion in Urgent and Emergency Care? A Systematic Review,” BMC Emergency Medicine, vol. 22, no. 1, pp. 95-108, 2022. DOI: 10.1186/s12873-022-00651-3.

Schuttner L., Hockett Sherlock S., Simons C. E., Johnson N. L., Wirtz E., Ralston J. D., Rosland A. M., Nelson K., Sayre G., “My Goals Are Not Their Goals: Barriers and Facilitators to Delivery of Patient-Centered Care for Patients with Multi-Morbidity,” Journal of General Internal Medicine, vol. 37, no. 16, pp. 4189–4196, 2022. DOI: 10.1007/s11606-022-07533-1.

Nkrumah J., Abekah-Nkrumah G., “Facilitators and Barriers of Patient-Centered Care at the Organizational-Level: A Study of Three District Hospitals in the Central Region of Ghana,” BMC Health Services Research, vol. 19, no. 1, pp. 900-911, 2019. DOI: 10.1186/s12913-019-4748-z.

Jensen A. N., Andersen O., Gamst-Jensen H., Kristiansen M., “Short Communication: Opportunities and Challenges for Early Person-Centered Care for Older Patients in Emergency Settings,” International Journal of Environmental Research and Public Health, vol. 18, no. 23, pp. 1-8, 2021. DOI: 10.3390/ijerph182312526.

Vennedey V., Hower K. I., Hillen H., Ansmann L., Kuntz L., Stock S., & Cologne Research and Development Network (CoRe-Net), “Patients’ Perspectives of Facilitators and Barriers to Patient-Centered Care: Insights from Qualitative Patient Interviews,” BMJ Open, vol. 10, no. 5, pp. 1-11, 2020. DOI: 10.1136/bmjopen-2019-033449.

Fereidouni Z., Sabet Sarvestani R., Hariri G., Kuhpaye S. A., Amirkhani M., Kalyani M. N., “Moving into Action: The Master Key to Patient Education,” The Journal of Nursing Research, vol. 27, no. 1, pp. 1–8, 2019. DOI: 10.1097/jnr.0000000000000280.

Ahn, E. Kang, H., “Introduction to Systematic Review and Meta-Analysis,” Korean Journal of Anesthesiology, vol. 71, no. 2, pp. 103–112, 2018. DOI: 10.4097/kjae.2018.71.2.103.

Petrino R., Tuunainen E., Bruzzone G., Garcia-Castrillo L., “Patient Safety in Emergency Departments: A Problem for Health Care Systems? An International Survey,” European Journal of Emergency Medicine, vol. 30, no. 4, pp. 280–286, 2023. DOI: 10.1097/MEJ.0000000000001044.

Nagraj S., Harrison J., Hill L., Bowker L., Lindqvist S., “Promoting Collaboration in Emergency Medicine,” The Clinical Teacher, vol. 15, no. 6, pp. 500–505, 2018. DOI: 10.1111/tct.12762.

Bouzon Nagem Assad D., Spiegel T., “Improving Emergency Department Resource Planning: A Multiple Case Study,” Health Systems (Basingstoke, England), vol. 9, no. 1, pp. 2–30, 2019. DOI: 10.1080/20476965.2019.1680260.

Schoenfeld E. M., Probst M. A., Quigley, D. D., St Marie P., Nayyar N., Sabbagh S. H., Beckford T., Kanzaria H. K., “Does Shared Decision Making Actually Occur in the Emergency Department? Looking At It from the Patients’ Perspective,” Academic Emergency Medicine, vol. 26, no. 12, pp. 1369–1378, 2019. DOI: 10.1111/acem.13850.