One slide poster Use the uploaded files and the below information to inform the poster. make the poster visually appealing, use images and digrams. emphasis the participant quotes. Here isthe abstract The Safest Available Bed: Nurse Managers’ Decision-Making During Hospital Capacity Constraint Background In acute hospitals, a role of the nurse manager is to oversee the efficient flow of patients through the hospital. A common obstacle encountered by nurse managers is the demand for available beds outweighing supply. A patient-flow strategy that nurse managers use in this situation requires allocating patients to outlier or over-census beds. Little is known about the lived experiences of nurse managers allocating patients to outlier and over census beds. Aim To explore the lived experience of nurse managers allocating patients to outlier and over-census beds. Method A phenomenological approach was adopted, informed by Husserl’s descriptive phenomenology and Colaizzi’s method of data analysis. In-depth interviews were used to uncover the descriptions of nurse managers’ lived experience in making patient allocation decisions to utilize outlier and over-census beds. Findings When nurse managers allocate patients to outlier and over-census beds, they draw upon their clinical expertise, patient-flow experience and intuition to prioritise the safety of patients, nursing staff, and the facility in their allocation decisions. They foster positive relationships with colleagues through effective communication and mutual respect. Some managers described being emotionally burdened by the gravity of their decisions and the potential repercussions for patients and staff. The findings suggest nurse managers allocating outlier and over-census patients assessed environmental and staffing factors when considering their decisions. Aware of the increased health risks to patients not admitted to their home ward, the nurse managers prioritised clinically unstable patients for allocation to their home ward, and the more stable patients were allocated to an outlier or over-census bed. Conclusion This study highlights the role of clinical expertise, intuition, and patient-safety considerations in nurse managers' bed allocation decisions. The findings contribute new knowledge about the complexity and emotional burden associated with managing patient-flow and may inform policy and organisational strategies to support nurse managers in capacity-constrained healthcare environments.
One slide poster
Use the uploaded files and the below information to inform the poster.
make the poster visually appealing, use images and digrams. emphasis the participant quotes.
Here isthe abstract
The Safest Available Bed: Nurse Managers’ Decision-Making During Hospital Capacity Constraint
Background
In acute hospitals, a role of the nurse manager is to oversee the efficient flow of patients through the hospital. A common obstacle encountered by nurse managers is the demand for available beds outweighing supply. A patient-flow strategy that nurse managers use in this situation requires allocating patients to outlier or over-census beds. Little is known about the lived experiences of nurse managers allocating patients to outlier and over census beds.
Aim
To explore the lived experience of nurse managers allocating patients to outlier and over-census beds.
Method
A phenomenological approach was adopted, informed by Husserl’s descriptive phenomenology and Colaizzi’s method of data analysis. In-depth interviews were used to uncover the descriptions of nurse managers’ lived experience in making patient allocation decisions to utilize outlier and over-census beds.
Findings
When nurse managers allocate patients to outlier and over-census beds, they draw upon their clinical expertise, patient-flow experience and intuition to prioritise the safety of patients, nursing staff, and the facility in their allocation decisions. They foster positive relationships with colleagues through effective communication and mutual respect. Some managers described being emotionally burdened by the gravity of their decisions and the potential repercussions for patients and staff.
The findings suggest nurse managers allocating outlier and over-census patients assessed environmental and staffing factors when considering their decisions. Aware of the increased health risks to patients not admitted to their home ward, the nurse managers prioritised clinically unstable patients for allocation to their home ward, and the more stable patients were allocated to an outlier or over-census bed.
Conclusion
This study highlights the role of clinical expertise, intuition, and patient-safety considerations in nurse managers' bed allocation decisions. The findings contribute new knowledge about the complexity and emotional burden associated with managing patient-flow and may inform policy and organisational strategies to support nurse managers in capacity-constrained healthcare environments.
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This study examines the challenges of hospital capacity constraints, where demand surpasses available beds, forcing managers into critical allocation decisions. Through phenomenological interviews with eight managers, it highlights how clinical acuity influences prioritization and the importance of communication in high-pressure situations. Additionally, it addresses strategies for safer capacity decisions, such as utilizing outlier beds for stable patients and acknowledging the emotional...