Identifying a nursing model and developing associated documentation for use in Emergency Nursing Departments Nationally

Mc Daid F Corry M Neenan K Title Identifying a nursing model and developing associated documentation for use in Emergency Nursing Departments Nationally. Background A well coordinated system of care facilitates the... [ view full abstract ]

Mc Daid F Corry M Neenan K

Title
Identifying a nursing model and developing associated documentation for use in Emergency Nursing Departments Nationally.

Background

A well coordinated system of care facilitates the provision of high-quality patient care that is standardised and has high levels of effectiveness and efficiency, accountability, sustainability, good staff morale and strong system resilience. To facilitate this, the Emergency Nursing Interest Group identified the need to have a standardised approach to nursing documentation nationally to enhance the delivery of individualised nursing care based on a theory and model of nursing which reflected the Emergency Department (ED) environment.

Aim and objectives
The aim of this presentation is to provide an overview of a project in which ED specific nursing documentation was developed based on an nursing model suitable for Emergency Department nursing.
Description of innovation

In order to devise a standardised document based on a nursing model appropriate to emergency nursing, a literature review using a systematic approach was conducted. Five nursing theories relevant to adult ED nursing were selected for in-depth review and analysis.

Orlando’s Theory of Nursing Process Discipline was identified as the theory that reflected the needs of the emergency patient. Jones Components of Life Model which is based on the nursing process concepts of assessment, diagnosis, planning, implementation, evaluation was identified as a vehicle for the operationalisation of Orlando’s Theory of Nursing in the ED. Jones’ Components of Life Model is designed specifically for the nursing care of the undifferentiated, undiagnosed patients who present to ED.

Impact of innovation*

The nursing documentation developed for the application of Orlando’s theory and Jones model will enable the use of standardised nursing documentation in all adult ED’s nationally.

Conclusions and implication
The documentation developed will be tested in the ED setting. The outcome of this testing will inform the future implementation of this innovation in the ED setting.