Overcrowding in an emergency department of a referral centre in Nigeria: a study of National Orthopaedic Hospital, Igbobi, Lagos

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dc.contributor.authorIke, EC
dc.contributor.authorBalogun, MR
dc.contributor.authorNwonu, EI
dc.contributor.authorObidike, OR
dc.contributor.authorMolobe, ID
dc.date.accessioned2022-08-29T14:25:09Z
dc.date.available2022-08-29T14:25:09Z
dc.date.issued2017
dc.descriptionScholarly articleen_US
dc.description.abstractBackground: An emergency department (ED) is where acute cases report and require urgent and intensive care. The ED of National Orthopaedic Hospital, Igbobi, Lagos is constantly overcrowded and may be impacting the nursing care that is provided in the unit. Objective: To identify triggers to ED overcrowding in the study hospital and determine influence of overcrowding in nursing care of patients. Methods: In this cross- sectional study, all the thirty nurses working in ED participated in the survey. A self-administered questionnaire was used to collect quantitative data and Focus Group Discussion (FGD) was employed for qualitative data. The questionnaire was administered to thirty nurses and 100% return rate was achieved. Data was analysed using IBM SPSS Statistics 20 and relative importance index (RII) and its ranking (R) was used to establish the relative importance of the various triggers identified as responsible for overcrowding. Results: Result revealed severe cases managed in ED (76.7%), patients stay longer than expected in the ED (80.0%), lack of space (76.7%), lack of ED equipment e.g. stretchers (73.3%), insufficient beds in the ED (66.7%), heavy patient inflow and the hospital policy of not rejecting patients, and patients’ delay in accomplishing their laboratory investigations as triggers of ED overcrowding. The study participants identified increased nurse workload (RII=0.880; R=1), strain in nurse and patients’ relations relationship (RII=0.75= 2.0) and long patient wait (RII=0.747; R=3.0) as three most outstanding influence of overcrowding. Conclusion: The obvious overcrowding in this ED is triggered by the chronic and non-emergency cases accessing the ED, as well as limited bed space which further drives overcrowding increasing nurse work load, frustration and lack of cooperation by the patients.en_US
dc.identifier.citationIke EC, Balogun MR, Nwonu EI, Obidike OR, Molobe ID. Overcrowding in an emergency department of a referral centre in Nigeria: a study of National Orthopaedic Hospital, Igbobi, Lagos. Asian Journal of Medicine and Health. 2017; 8(2): 1-10. DOI: 10.9734/AJMAH/2017/37303en_US
dc.identifier.otherDOI: 10.9734/AJMAH/2017/37303
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/11110
dc.language.isoenen_US
dc.publisherAsian Journal of Medicine and Healthen_US
dc.subjectEmergency departmenten_US
dc.subjectpatienten_US
dc.subjectNursing careen_US
dc.subjectTriggersen_US
dc.subjectOvercrowdingen_US
dc.subjectResearch Subject Categories::MEDICINE::Social medicineen_US
dc.titleOvercrowding in an emergency department of a referral centre in Nigeria: a study of National Orthopaedic Hospital, Igbobi, Lagosen_US
dc.typeArticleen_US
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