Nurses and Physicians perception of Causes and Risk Ractors Contributing Patient Readmission to the Coronary Care Unit

Document Type : Original Article

Authors

1 Teacher at secondary nursing school in Sohag city,

2 Assistant Professor of Critical care and Emergency Nursing, Faculty of Nursing, Assiut University

3 Lecturer of cardiology of Assiut University Hospital, Faculty of Medicine, Assiut University

4 Lecturer 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

Assiut Scientific Nursing Journal
Volume 8, Issue 20.0 - Serial Number 3
supplement march 2020
March 2020
Pages 12-20

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