Nurses and Physicians perception of Causes and Risk Ractors Contributing Patient Readmission to the Coronary Care Unit | ||
| Assiut Scientific Nursing Journal | ||
| Article 2, Volume 8, Issue 20.0 - Serial Number 3, March 2020, Pages 12-20 PDF (885.13 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asnj.2020.88455 | ||
| Authors | ||
| Asmaa Hassanien Ahmed1; Mogedda Mohamed Mahany2; Tarek Abdelhamid Naguib3; Ghada Shalaby Khalaf4 | ||
| 1Teacher at secondary nursing school in Sohag city, | ||
| 2Assistant Professor of Critical care and Emergency Nursing, Faculty of Nursing, Assiut University | ||
| 3Lecturer of cardiology of Assiut University Hospital, Faculty of Medicine, Assiut University | ||
| 4Lecturer of Critical care and Emergency Nursing, Faculty of Nursing, Assiut University. | ||
| Abstract | ||
| Background: Readmission to the intensive care unit is associated with increased cost of care and worse patient outcomes Aim :of the study was to determine and explore nurses and physicians perception of causes and risk factors contributing patients readmission to coronary care unit. Design:- descriptive research design was used in this study . Setting: The study was conducted in coronary care units at a University Hospital. Sample: thirty nurses and twenty-five physicians working at the Coronary Care Unit. Tools: semi structured interview questionnaires. Results: thirty-two factors within four broad themes that could lead to readmissions were identified (1) patient factors: Previous comorbidities, Previous acute coronary syndrome, Bad medication compliance and Patient discharged before articulation goal of care (100%). (2) process factors: Unqualified staff member, Resources constraints (100%). (3) provider factors: Heavy workloads 90%, Unqualified staff member deal with highly demand patient (86,9). (4) organizational factors: Resources constraints (when patient transfer to ward)100% Conclusion and recommendations: intensive care unit care givers need to look at ways of increasing the knowledge and skills of ICU staff or identify more appropriate environment for managing acutely ill patients | ||
| Keywords | ||
| Readmission; Nurses; Physicians; Perception; Risk Factor; causes | ||
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