Structural and Process Standards in Emergency Ward of the Selected Hospital of Isfahan University of Medical Sciences

Abstract

BACKGROUND: As the nurses working in emergency ward are the first group who make early interventions to save critical patients, this is considered as a need for them to get enough knowledge and skills in this field. On the other hand, standards show nurses to the appropriate level of care quality (the meaning of sentence is not clear). Ignoring structural and process standards can result in personnel dysfunction and their low nursing services. This study has tried to define the mean obedience of structural and process standards such as physical environment, facilities and manpower as well as process standards like patient care in an emergency ward of a selected hospital of Isfahan university of medical science. METHODS: This was a descriptive cross-sectional study carried out in a selected hospital of Isfahan university of medical science. First, a checklist for physical environment, facilities and manpower was designed and the data were collected from the emergency ward personnel (nurses and nurse aids) working in the ward through direct and indirect methods. Then, the collected data were analyzed by descriptive statistics after being classified. RESULTS: The findings of the study showed the ward had obedience level of 83.8% for physical environment, 75% for facilities and equipments and 64.5% for manpower. About 46% of the personnel had excellent efficacy and 32.9% had low to moderate efficacy. CONCLUSIONS: According to the results, we have good manpower programs; efficient records control tools and adequate facilities. Meanwhile, strategies of motivation and job satisfaction enhancement which need a board attitude should not be ignored but considered as well. KEY WORDS: Processes Standard, structure standard, nursing care standard