Abstract
PurposeThis study describes the lived experiences of nurse-led consultations in pediatric emergency departments from the perspective of pediatric nurses. Design and methodsA descriptive qualitative study with a reflective lifeworld research approach was used to explore nurses' experiences of nurse-led consultations. The study was conducted through meaning-oriented individual interviews with ten pediatric nurses. ResultsThe results are grouped into four themes: (a) embracing the encounter and being touched by it; (b) having time to be present and committed; (c) having the ability and trusting in one's intuition; and (d) negotiating between families' wishes and the organization's guidelines. ConclusionsOur study shows that nurse-led consultations conducted in separate nurse-led reception areas promote a positive experience of the consultations from the perspective of pediatric nurses. In a nurse-led consultation, a nurse's confidence in their ability to provide care is connected to time, broad skills and knowledge, and a supportive organization. Practice implicationsAs the rising global population increases the demand for healthcare services, pediatric emergency departments must streamline their services to provide patient-safe, high-quality health care. Nurse-led consultations are an effective means of meeting these growing demands. This study contributes to an understanding of pediatric nurses' experiences at both the individual level and a more structured level, namely that families' wishes and an organization's guidelines do not always coincide.
Highlights
Long waiting times for patients seeking care is a common problem in emergency departments worldwide (Boyle et al, 2012; GonçalvesBradley et al, 2018; Hing & Bhuiya, 2012; Lindner & Woitok, 2021), especially for children seeking care in pediatric emergency departments (PEDs; Long et al, 2021; Seiler, Furrer, Staubli, & Albisetti, 2021; Swedish National Board of Health and Welfare, 2018)
The aim of this study is to describe the lived experiences of nurse-led consultations in PEDs from the perspective of pediatric nurses, thereby improving understanding of nurses' experiences of nurse-led consultations, as well as the care that is provided for children at PEDs
Pediatric nurses' experiences of nurse-led consultations in PEDs can be grouped into four themes: (a) embracing the encounter and being touched by it; (b) having time to be present and committed; (c) having the ability and trusting in one's intuition; and (d) negotiating between families' wishes and the organization's guidelines
Summary
Long waiting times for patients seeking care is a common problem in emergency departments worldwide (Boyle et al, 2012; GonçalvesBradley et al, 2018; Hing & Bhuiya, 2012; Lindner & Woitok, 2021), especially for children seeking care in pediatric emergency departments (PEDs; Long et al, 2021; Seiler, Furrer, Staubli, & Albisetti, 2021; Swedish National Board of Health and Welfare, 2018). There is a growing need to streamline the process of patient care (Swedish National Board of Health and Welfare, 2018). Provide high-quality care for children in PEDs. it is important to facilitate healthcare professionals' abilities to promote patient health and well-being and improve the satisfaction of the children and parents who visit PEDs (Swedish National Board of Health and Welfare, 2018b). It is important to facilitate healthcare professionals' abilities to promote patient health and well-being and improve the satisfaction of the children and parents who visit PEDs (Swedish National Board of Health and Welfare, 2018b) To accomplish this goal, scholars and policy makers must consider the needs of healthcare professionals, as the work environment is a vital part of the care environment. This article considers the perspectives of nurses who perform nurse-led consultations in PEDs in Sweden
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