A study to assess the compliance to golden hour admission process for in-patient units at Apollo speciality Hospital, Vanagaram

Thulasi L 1, *, Joy Kezia R 2 and Basemath S. S Morris 3

1 Nurse Educator, Apollo Speciality Hospitals, Vanagaram, Chennai- 95, India.
2 Chief Nursing Officer, Apollo Speciality Hospitals, Vanagaram, Chennai- 95, India.
3 Nurse Educator, Apollo Cancer Center, Teynampet, Chennai- 95, India.
 
Research Article
International Journal of Science and Research Archive, 2023, 09(02), 967–973.
Article DOI: 10.30574/ijsra.2023.9.2.0635
Publication history: 
Received on 01 July 2023; revised on 26 August 2023; accepted on 29 August 2023
 
Abstract: 
Background: The admission and discharge processes is the area where the patient encounter happens often and so tailback occurs in many of the hospitals and thus adversely affect the efficiency of the hospital. So this topic has been selected to capture the compliance of first golden hour.
Methods: Quantitative descriptive research design was adopted for this study. The study was conducted at Apollo Speciality Hospitals, Vanagaram for a duration of 3 months, 60 samples using simple random sampling who met the inclusion criteria were selected as study samples. Data collection tool such as socio demographic proforma and clinical variable proforma after obtaining ethical clearance, Socio- Demographic Data (Age in years, Sex, Marital Status, Education, Area of Work, Years of Experience) and clinical variables proforma of golden hour admission process such as Awareness on readiness of the room/ bed before receiving the patient, Charge Nurse / team leader met the patient in first 15 minutes, Diet order initiated within 15 minutes, Consultant is informed in first 15 minutes, Compliance on action taken by the charge Nurse / team leader within 15 minutes, Identity band is placed, Vital signs are recorded and acted accordingly in first 30 minutes, Investigations are initiated in first 30 minutes (if advised), Treatment is initiated in first 30 minutes (if advised), Nursing admission assessment is completed (as mentioned below) in first 30 minutes, Fall risk assessment is completed in first one hour of admission, Vulnerability band is placed, Skin assessment is completed in first one hour of admission, Care plan is initiated in first one hour was also observed
Result: The level of compliance to golden hours, No significant compliance (7%), Moderated Compliance (14 %) Highly Compliance (79%).
Conclusion: Compliance must be ensured. There is no right or wrong approach to improve the patient experience, but the reality is that patient experience is the responsibility of every member of the care team. Every interface and every service provided creates an opportunity to impact the experience.
 
Keywords: 
Hospital admission; Inpatient; Patient experience; Staff nurses; Charge nurses; Communication
 
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