{"id":{"repo_id":"greece","oai_identifier":"oai:10442/1161"},"canonical_url":"https://search.dev.ndltd.org/etd/greece/oai:10442/1161","repository":{"repo_id":"greece","name":"Greek National Archive of PhD Theses","base_url":"https://phdtheses.ekt.gr/eadd_oai/request"},"display":{"title":"ΤΜΗΜΑ ΕΠΕΙΓΟΝΤΩΝ ΚΑΙ ΑΤΥΧΗΜΑΤΩΝ. ΕΠΙΠΤΩΣΕΙΣ ΤΗΣ ΔΙΑΜΟΡΦΩΣΗΣ ΤΟΥ ΧΩΡΟΥ ΣΤΗΝ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΩΝ ΑΣΘΕΝΩΝ. ΝΟΣΗΛΕΥΤΙΚΗ ΠΡΟΣΕΓΓΙΣΗ","abstract":"INVESTIGATED THE INFLUENCE OF THE LAY-OUT OF THE ACCIDENT AND EMERGENCY DEPARTMENT TO PATIENT CARE. THE SAMPLE STUDIED INCLUDED 1078 PATIENTS, 158 NURSES AND DOCTORS AND 4 HOSPITALS IN ATHENS. THE METHOD USED FOR THE DATA COLLECTION WAS BASED ON THE COMPLETION OF WRITTEN QUESTIONNAIRES. THE MAIN FINDINGS HAVE BEEN CLASSIFIED AS FOLLOWS: 1) LIMITED USE OF THE AMBULANCE SERVICE. THE 67,1% OF THE PATIENTS ARRIVED AT THE HOSPITAL BY PRIVATE CAR OR TAXI. ONLY 38,8% OF THE PATIENTS WERE CARRIED TO THE HOSPITALS BY AMBULANCE. 2) FUNCTIONAL INSUFFICIENCY OF THE LABORATORY SERVICES. THE STUDY REFERRED IN PARTICULAR TO THE USE OF ECG (82,7%), X-RAY (81,7%), BLOOD TESTS (68,3%). THE 88,0% OF THE BLOOD TESTS WERE CARRIED IN THE MAIN LABORATORY OF THE HOSPITAL AND ONLY 12,0% IN LABORATORY WITHIN THE AED. THE BLOOD TESTS WAS FOUND TO BE THE MAIN REASON FOR PATIENTS LONG WAITING AND DELAY, WHICH AMOUNTED TO MORE THAN TWO HOURS FOR 76,9% OF THOSE PATIENTS . 3) INADEQUATE SPACE TO ACCOMMODATE PATIENTS, STAFF PATIENTS WAITING FORTEST RESULTS WERE FOUND IN THE CORRIDOR (20,3%) AND IN THE SAME AREA WITH THE OTHER PATIENTS (72,9%). THE FIRST PATIENT ASSESSMENT TOOK PLACE IN THE CORRIDOR(33,4%) AND IN THE OPEN EXAMINATION AREA (66,6%). THE PATIENTS MEDICAL EXAMINATION DID NOT HAVE ANY KIND OF PRIVACY (83,4%). PATIENTS IN CRITICAL CONDITION, VIOLENT AND DANGEROUS PATIENTS WERE FACED IN THE SAME AREAS. THE LARGE PERCENTAGE OF THE ACCOMPANYING PERSONS (99,9%) WERE WAITING IN THE CORRIDOR (39,4%) ANDTHE 60,6% WERE ACCOMPANYING THE PATIENTS IN THE EXAMINATION AREA. A FUNCTIONALDIAGRAM IS PROPOSED FOR AED WHICH IS BASED ON THE RESEARCH FINDINGS.","abstract_html":"INVESTIGATED THE INFLUENCE OF THE LAY-OUT OF THE ACCIDENT AND EMERGENCY DEPARTMENT TO PATIENT CARE. THE SAMPLE STUDIED INCLUDED 1078 PATIENTS, 158 NURSES AND DOCTORS AND 4 HOSPITALS IN ATHENS. THE METHOD USED FOR THE DATA COLLECTION WAS BASED ON THE COMPLETION OF WRITTEN QUESTIONNAIRES. THE MAIN FINDINGS HAVE BEEN CLASSIFIED AS FOLLOWS: 1) LIMITED USE OF THE AMBULANCE SERVICE. THE 67,1% OF THE PATIENTS ARRIVED AT THE HOSPITAL BY PRIVATE CAR OR TAXI. ONLY 38,8% OF THE PATIENTS WERE CARRIED TO THE HOSPITALS BY AMBULANCE. 2) FUNCTIONAL INSUFFICIENCY OF THE LABORATORY SERVICES. THE STUDY REFERRED IN PARTICULAR TO THE USE OF ECG (82,7%), X-RAY (81,7%), BLOOD TESTS (68,3%). THE 88,0% OF THE BLOOD TESTS WERE CARRIED IN THE MAIN LABORATORY OF THE HOSPITAL AND ONLY 12,0% IN LABORATORY WITHIN THE AED. THE BLOOD TESTS WAS FOUND TO BE THE MAIN REASON FOR PATIENTS LONG WAITING AND DELAY, WHICH AMOUNTED TO MORE THAN TWO HOURS FOR 76,9% OF THOSE PATIENTS . 3) INADEQUATE SPACE TO ACCOMMODATE PATIENTS, STAFF PATIENTS WAITING FORTEST RESULTS WERE FOUND IN THE CORRIDOR (20,3%) AND IN THE SAME AREA WITH THE OTHER PATIENTS (72,9%). THE FIRST PATIENT ASSESSMENT TOOK PLACE IN THE CORRIDOR(33,4%) AND IN THE OPEN EXAMINATION AREA (66,6%). THE PATIENTS MEDICAL EXAMINATION DID NOT HAVE ANY KIND OF PRIVACY (83,4%). PATIENTS IN CRITICAL CONDITION, VIOLENT AND DANGEROUS PATIENTS WERE FACED IN THE SAME AREAS. THE LARGE PERCENTAGE OF THE ACCOMPANYING PERSONS (99,9%) WERE WAITING IN THE CORRIDOR (39,4%) ANDTHE 60,6% WERE ACCOMPANYING THE PATIENTS IN THE EXAMINATION AREA. A FUNCTIONALDIAGRAM IS PROPOSED FOR AED WHICH IS BASED ON THE RESEARCH FINDINGS.","abstract_has_math":false,"creators":["Παπαδαντωνάκη, Ασπασία"],"institution":"Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1989,"date_issued":"1989","date_published":"1989","updated_at":"2026-07-24T02:24:46Z","subjects":["ACCOMPANYING PERSONS, AMBULANCE SERVICE, TAXI","CARS, X-RAY, ECG, BLOOD TESTS","HOSPITALS, PATIENTS, NURSES, DOCTORS","LABORATORY SERVICES, INADEQUATE PRIVACY","NURSING APPROACH","PLANNING TEAM, FUNCTIONAL DIAGRAM","VIOLENT AND DANGEROUS, LONG WAITING DELAY","WAITING AREA, PATIENTS CRITICAL CONDITION","ΑΚΤΙΝΟΓΡΑΦΙΕΣ, ΝΟΣΗΛΕΥΤΙΚΗ ΠΡΟΣΕΓΓΙΣΗ","ΑΞΙΟΛΟΓΗΣΗ ΑΣΘΕΝΩΝ, ΕΡΓΑΣΤΗΡΙΑ, ΧΡΟΝΟΣ ΑΝΑΜΟΝΗΣ","ΑΤΥΧΗΜΑΤΑ, ΝΟΣΟΚΟΜΕΙΑ, ΑΣΘΕΝΟΦΟΡΑ, ΑΣΘΕΝΕΙΣ","ΔΙΑΜΟΡΦΩΣΗ ΧΩΡΟΥ, ΚΤΙΡΙΑΚΟΣ ΠΡΟΓΡΑΜΜΑΤΙΣΜΟΣ","ΔΙΕΠΙΣΤΗΜΟΝΙΚΗ ΠΡΟΣΕΓΓΙΣΗ, ΟΜΑΔΑ ΣΧΕΔΙΑΣΜΟΥ","ΝΟΣΗΛΕΥΤΡΙΕΣ, ΙΑΤΡΟΙ, ΧΩΡΟΤΑΞΙΚΟ ΠΡΟΒΛΗΜΑ","ΣΥΝΟΔΟΙ ΑΣΘΕΝΩΝ, ΕΞΕΤΑΣΕΙΣ ΑΙΜΑΤΟΣ, ΗΚΓΦΗΜΑ","ΥΠΗΡΕΣΙΕΣ ΥΓΕΙΑΣ, ΕΠΕΙΓΟΝΤΑ ΠΕΡΙΣΤΑΤΙΚΑ","ΧΩΡΟΙ ΑΣΘΕΝΩΝ, ΙΑΤΡΙΚΗ ΕΞΕΤΑΣΗ, ΧΩΡΟΙ ΑΝΑΜΟΝΗΣ","ΧΩΡΟΙ ΕΡΓΑΣΙΑΣ, ΔΙΑΚΙΝΗΣΗ ΑΣΘΕΝΩΝ","Ιατρική και Επιστήμες Υγείας","Medical and Health Sciences","Επιστήμες Υγείας","Health Sciences"],"languages":["gre"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/1161"],"render_values":[{"text":"10.12681/eadd/1161","href":"https://doi.org/10.12681/eadd/1161","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/10442/hedi/1161","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Παπαδαντωνάκη, Ασπασία"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["1989"]},{"key":"dc:publisher","label":"Institution","values":["Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)","National and Kapodistrian University of Athens"]},{"key":"dc:type","label":"Dc Type","values":["PhD Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["ACCOMPANYING PERSONS, AMBULANCE SERVICE, TAXI","CARS, X-RAY, ECG, BLOOD TESTS","HOSPITALS, PATIENTS, NURSES, DOCTORS","LABORATORY SERVICES, INADEQUATE PRIVACY","NURSING APPROACH","PLANNING TEAM, FUNCTIONAL DIAGRAM","VIOLENT AND DANGEROUS, LONG WAITING DELAY","WAITING AREA, PATIENTS CRITICAL CONDITION","ΑΚΤΙΝΟΓΡΑΦΙΕΣ, ΝΟΣΗΛΕΥΤΙΚΗ ΠΡΟΣΕΓΓΙΣΗ","ΑΞΙΟΛΟΓΗΣΗ ΑΣΘΕΝΩΝ, ΕΡΓΑΣΤΗΡΙΑ, ΧΡΟΝΟΣ ΑΝΑΜΟΝΗΣ","ΑΤΥΧΗΜΑΤΑ, ΝΟΣΟΚΟΜΕΙΑ, ΑΣΘΕΝΟΦΟΡΑ, ΑΣΘΕΝΕΙΣ","ΔΙΑΜΟΡΦΩΣΗ ΧΩΡΟΥ, ΚΤΙΡΙΑΚΟΣ ΠΡΟΓΡΑΜΜΑΤΙΣΜΟΣ","ΔΙΕΠΙΣΤΗΜΟΝΙΚΗ ΠΡΟΣΕΓΓΙΣΗ, ΟΜΑΔΑ ΣΧΕΔΙΑΣΜΟΥ","ΝΟΣΗΛΕΥΤΡΙΕΣ, ΙΑΤΡΟΙ, ΧΩΡΟΤΑΞΙΚΟ ΠΡΟΒΛΗΜΑ","ΣΥΝΟΔΟΙ ΑΣΘΕΝΩΝ, ΕΞΕΤΑΣΕΙΣ ΑΙΜΑΤΟΣ, ΗΚΓΦΗΜΑ","ΥΠΗΡΕΣΙΕΣ ΥΓΕΙΑΣ, ΕΠΕΙΓΟΝΤΑ ΠΕΡΙΣΤΑΤΙΚΑ","ΧΩΡΟΙ ΑΣΘΕΝΩΝ, ΙΑΤΡΙΚΗ ΕΞΕΤΑΣΗ, ΧΩΡΟΙ ΑΝΑΜΟΝΗΣ","ΧΩΡΟΙ ΕΡΓΑΣΙΑΣ, ΔΙΑΚΙΝΗΣΗ ΑΣΘΕΝΩΝ","Ιατρική και Επιστήμες Υγείας","Medical and Health Sciences","Επιστήμες Υγείας","Health Sciences"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["gre"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/1161","http://hdl.handle.net/10442/hedi/1161"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["INVESTIGATED THE INFLUENCE OF THE LAY-OUT OF THE ACCIDENT AND EMERGENCY DEPARTMENT TO PATIENT CARE. THE SAMPLE STUDIED INCLUDED 1078 PATIENTS, 158 NURSES AND DOCTORS AND 4 HOSPITALS IN ATHENS. THE METHOD USED FOR THE DATA COLLECTION WAS BASED ON THE COMPLETION OF WRITTEN QUESTIONNAIRES. THE MAIN FINDINGS HAVE BEEN CLASSIFIED AS FOLLOWS: 1) LIMITED USE OF THE AMBULANCE SERVICE. THE 67,1% OF THE PATIENTS ARRIVED AT THE HOSPITAL BY PRIVATE CAR OR TAXI. ONLY 38,8% OF THE PATIENTS WERE CARRIED TO THE HOSPITALS BY AMBULANCE. 2) FUNCTIONAL INSUFFICIENCY OF THE LABORATORY SERVICES. THE STUDY REFERRED IN PARTICULAR TO THE USE OF ECG (82,7%), X-RAY (81,7%), BLOOD TESTS (68,3%). THE 88,0% OF THE BLOOD TESTS WERE CARRIED IN THE MAIN LABORATORY OF THE HOSPITAL AND ONLY 12,0% IN LABORATORY WITHIN THE AED. THE BLOOD TESTS WAS FOUND TO BE THE MAIN REASON FOR PATIENTS LONG WAITING AND DELAY, WHICH AMOUNTED TO MORE THAN TWO HOURS FOR 76,9% OF THOSE PATIENTS . 3) INADEQUATE SPACE TO ACCOMMODATE PATIENTS, STAFF PATIENTS WAITING FORTEST RESULTS WERE FOUND IN THE CORRIDOR (20,3%) AND IN THE SAME AREA WITH THE OTHER PATIENTS (72,9%). THE FIRST PATIENT ASSESSMENT TOOK PLACE IN THE CORRIDOR(33,4%) AND IN THE OPEN EXAMINATION AREA (66,6%). THE PATIENTS MEDICAL EXAMINATION DID NOT HAVE ANY KIND OF PRIVACY (83,4%). PATIENTS IN CRITICAL CONDITION, VIOLENT AND DANGEROUS PATIENTS WERE FACED IN THE SAME AREAS. THE LARGE PERCENTAGE OF THE ACCOMPANYING PERSONS (99,9%) WERE WAITING IN THE CORRIDOR (39,4%) ANDTHE 60,6% WERE ACCOMPANYING THE PATIENTS IN THE EXAMINATION AREA. A FUNCTIONALDIAGRAM IS PROPOSED FOR AED WHICH IS BASED ON THE RESEARCH FINDINGS.","ΔΙΕΡΕΥΝΗΘΗ ΤΟ ΧΩΡΟΤΑΞΙΚΟ ΠΡΟΒΛΗΜΑ ΤΟΥ ΤΜΗΜΑΤΟΣ ΕΠΕΙΓΟΝΤΩΝ ΚΑΙ ΑΤΥΧΗΜΑΤΩΝ ΚΑΙ ΟΙΚΥΡΙΟΤΕΡΕΣ ΕΠΙΠΤΩΣΕΙΣ ΤΗΣ ΔΙΑΜΟΡΦΩΣΗΣ ΤΟΥ ΧΩΡΟΥ ΣΤΗΝ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΩΝ ΑΣΘΕΝΩΝ.Η ΕΡΕΥΝΑ ΕΒΑΣΙΣΘΗ ΣΕ ΑΝΤΙΠΡΟΣΩΠΕΥΤΙΚΟ ΔΕΙΓΜΑ 1078 ΑΣΘΕΝΩΝ, 158 ΝΟΣΗΛΕΥΤΡΙΩΝ ΚΑΙ ΙΑΤΡΩΝ ΚΑΙ 4 ΝΟΣΟΚΟΜΕΙΩΝ ΤΩΝ ΑΘΗΝΩΝ. Η ΜΕΘΟΔΟΣ ΠΟΥ ΧΡΗΣΙΜΟΠΟΙΗΘΗΚΕ ΓΙΑ ΤΗ ΣΥΛΛΟΓΗ ΠΛΗΡΟΦΟΡΙΩΝ ΗΤΑΝ Η ΣΥΜΠΛΗΡΩΣΗ ΕΡΩΤΗΜΑΤΟΛΟΓΙΟΥ. ΤΑ ΚΥΡΙΩΤΕΡΑ ΑΠΟΤΕΛΕΣΜΑΤΑ ΠΟΥ ΠΡΟΚΥΠΤΟΥΝ ΑΠΟ ΤΗ ΜΕΛΕΤΗ ΕΙΝΑΙ: 1) ΠΕΡΙΟΡΙΣΜΕΝΗ ΧΡΗΣΗ ΤΩΝ ΑΣΘΕΝΟΦΟΡΩΝ. ΤΟ 67,1% ΤΩΝ ΑΣΘΕΝΩΝ ΜΕΤΕΦΕΡΘΗΚΑΝ ΣΤΑ ΝΟΣΟΚΟΜΕΙΑ ΜΕ ΙΔΙΩΤΙΚΟ ΜΕΣΟ ΚΑΙ ΤΑΞΙ. ΤΑ ΑΣΘΕΝΟΦΟΡΑ ΜΕΤΕΦΕΡΑΝ ΜΟΝΟ ΤΟ 38,8% ΤΩΝ ΑΣΘΕΝΩΝ. 2) ΛΕΙΤΟΥΡΓΙΚΗ ΑΝΕΠΑΡΚΕΙΑ ΤΩΝ ΕΡΓΑΣΤΗΡΙΩΝ. ΤΟ ΠΟΣΟΣΤΟ ΤΩΝ ΑΣΘΕΝΩΝ ΠΟΥ ΥΠΟΒΛΗΘΗΚΕ ΣΕ ΕΡΓΑΣΤΗΡΙΑΚΟ ΕΛΕΓΧΟ ΕΙΝΑΙ ΠΟΛΥ ΜΕΓΑΛΟ. ΕΙΔΙΚΩΤΕΡΑ ΣΕ ΗΚΓ/ΚΟ ΕΛΕΓΧΟ 82,7% ΣΕ ΑΚΤΙΝΟΛΟΓΙΚΟ 81,7% ΚΑΙ ΑΙΜΑΤΟΛΟΓΙΚΟ ΤΟ 68,3% ΤΩΝ ΑΣΘΕΝΩΝ. ΤΟ 88,0% ΤΩΝ ΑΙΜΑΤΟΛΟΓΙΚΩΝ ΕΞΕΤΑΣΕΩΝ ΔΙΕΚΠΕΡΑΙΩΝΟΝΤΑΙ ΣΤΟ ΓΕΝΙΚΟ ΕΡΓΑΣΤΗΡΙΟ ΤΟΥ ΝΟΣΟΚΟΜΕΙΟΥ ΟΠΟΥ ΜΕΤΑΦΕΡΟΝΤΑΙ ΤΑ ΔΕΙΓΜΑΤΑ ΚΑΙ ΜΟΝΟ ΤΟ 12,0% ΣΕ ΕΡΓΑΣΤΗΡΙΟ ΤΟΥ ΤΕΑ. ΤΟ 76,0% ΤΩΝ ΑΣΘΕΝΩΝ ΠΟΥ ΕΚΑΝΑΝ ΑΙΜΑΤΟΛΟΓΙΚΕΣ ΚΑΙ ΒΙΟΧΗΜΙΚΕΣ ΕΞΕΤΑΣΕΙΣ ΠΕΡΙΜΕΝΑΝ ΣΤΟ ΧΩΡΟ ΤΟΥ ΤΕΑ ΠΕΡΙΣΣΟΤΕΡΟ ΑΠΟ 2 ΩΡΕΣ. 3) ΒΑΣΙΚΕΣ ΕΛΛΕΙΨΕΙΣ ΣΤΟΥΣ ΧΩΡΟΥΣ ΑΣΘΕΝΩΝ, ΕΡΓΑΖΟΜΕΝΩΝ ΚΑΙ ΣΥΝΟΔΩΝ. ΟΙ ΑΣΘΕΝΕΙΣ ΠΕΡΙΜΕΝΑΝ ΓΙΑ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΤΩΝ ΕΡΓΑΣΤΗΡΙΑΚΩΝ ΕΞΕΤΑΣΕΩΝ ΣΤΟ ΔΙΑΔΡΟΜΟ (20,3%) ΚΑΙ ΣΤΟΝ ΙΔΙΟ ΧΩΡΟ ΜΕ ΤΟΥΣ ΑΛΛΟΥΣ ΑΣΘΕΝΕΙΣ (72,9%). Η ΠΡΩΤΗ ΑΞΙΟΛΟΓΗΣΗ ΤΩΝ ΑΣΘΕΝΩΝ ΕΓΙΝΕ ΣΤΟ ΔΙΑΔΡΟΜΟ (33,1%) ΚΑΙ ΣΕ ΚΟΙΝΟ ΧΩΡΟ ΕΞΕΤΑΣΗΣ (66,6%). Η ΙΑΤΡΙΚΗ ΕΞΕΤΑΣΗ ΕΓΙΝΕ ΣΕ ΧΩΡΟ ΧΩΡΙΣ ΔΥΝΑΤΟΤΗΤΑ ΑΠΟΜΟΝΩΣΗΣ (83,4%). ΑΣΘΕΝΕΙΣ ΣΕ ΚΡΙΣΙΜΗ ΚΑΤΑΣΤΑΣΗ, ΕΠΙΚΙΝΔΥΝΟΙ ΚΑΙ ΔΙΕΓΕΡΤΙΚΟΙ ΚΑΙ ΑΣΘΕΝΕΙΣ ΜΕ ΜΕΤΑΔΟΤΙΚΟ ΝΟΣΗΜΑ, ΑΝΤΙΜΕΤΩΠΙΖΟΝΤΑΙ ΣΤΟΥΣ ΙΔΙΟΥΣ ΧΩΡΟΥΣ. ΤΟ ΜΕΓΑΛΟ ΠΟΣΟΣΤΟ ΤΩΝ ΣΥΝΟΔΩΝ (99,9%) ΠΕΡΙΜΕΝΑΝ ΣΤΟ ΔΙΑΔΡΟΜΟ (39,4%) ΚΑΙ ΣΥΝΟΔΕΥΑΝ ΤΟΥΣ ΑΣΘΕΝΕΙΣ ΣΤΟ ΧΩΡΟ ΕΞΕΤΑΣΗΣ (60,6%). ΠΡΟΤΕΙΝΕΤΑΙ ΛΕΙΤΟΥΡΓΙΚΟ ΔΙΑΓΡΑΜΜΑ ΤΕΑ ΠΟΥ ΒΑΣΙΖΕΤΑΙ ΣΤΑ ΠΟΡΙΣΜΑΤΑ ΤΗΣ ΕΡΕΥΝΑΣ."]},{"key":"dc:title","label":"Title","values":["ΤΜΗΜΑ ΕΠΕΙΓΟΝΤΩΝ ΚΑΙ ΑΤΥΧΗΜΑΤΩΝ. ΕΠΙΠΤΩΣΕΙΣ ΤΗΣ ΔΙΑΜΟΡΦΩΣΗΣ ΤΟΥ ΧΩΡΟΥ ΣΤΗΝ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΩΝ ΑΣΘΕΝΩΝ. ΝΟΣΗΛΕΥΤΙΚΗ ΠΡΟΣΕΓΓΙΣΗ","ACCIDENT AND EMERGENCY DEPARTMENT. IMPLICATIONS OF THE LAY-OUT TO PATIENT CARE.A NURSING APPROACH"]}]}],"canonical_facts":{"dc:creator":["Παπαδαντωνάκη, Ασπασία"],"dc:date":["1989"],"dc:description":["INVESTIGATED THE INFLUENCE OF THE LAY-OUT OF THE ACCIDENT AND EMERGENCY DEPARTMENT TO PATIENT CARE. THE SAMPLE STUDIED INCLUDED 1078 PATIENTS, 158 NURSES AND DOCTORS AND 4 HOSPITALS IN ATHENS. THE METHOD USED FOR THE DATA COLLECTION WAS BASED ON THE COMPLETION OF WRITTEN QUESTIONNAIRES. THE MAIN FINDINGS HAVE BEEN CLASSIFIED AS FOLLOWS: 1) LIMITED USE OF THE AMBULANCE SERVICE. THE 67,1% OF THE PATIENTS ARRIVED AT THE HOSPITAL BY PRIVATE CAR OR TAXI. ONLY 38,8% OF THE PATIENTS WERE CARRIED TO THE HOSPITALS BY AMBULANCE. 2) FUNCTIONAL INSUFFICIENCY OF THE LABORATORY SERVICES. THE STUDY REFERRED IN PARTICULAR TO THE USE OF ECG (82,7%), X-RAY (81,7%), BLOOD TESTS (68,3%). THE 88,0% OF THE BLOOD TESTS WERE CARRIED IN THE MAIN LABORATORY OF THE HOSPITAL AND ONLY 12,0% IN LABORATORY WITHIN THE AED. THE BLOOD TESTS WAS FOUND TO BE THE MAIN REASON FOR PATIENTS LONG WAITING AND DELAY, WHICH AMOUNTED TO MORE THAN TWO HOURS FOR 76,9% OF THOSE PATIENTS . 3) INADEQUATE SPACE TO ACCOMMODATE PATIENTS, STAFF PATIENTS WAITING FORTEST RESULTS WERE FOUND IN THE CORRIDOR (20,3%) AND IN THE SAME AREA WITH THE OTHER PATIENTS (72,9%). THE FIRST PATIENT ASSESSMENT TOOK PLACE IN THE CORRIDOR(33,4%) AND IN THE OPEN EXAMINATION AREA (66,6%). THE PATIENTS MEDICAL EXAMINATION DID NOT HAVE ANY KIND OF PRIVACY (83,4%). PATIENTS IN CRITICAL CONDITION, VIOLENT AND DANGEROUS PATIENTS WERE FACED IN THE SAME AREAS. THE LARGE PERCENTAGE OF THE ACCOMPANYING PERSONS (99,9%) WERE WAITING IN THE CORRIDOR (39,4%) ANDTHE 60,6% WERE ACCOMPANYING THE PATIENTS IN THE EXAMINATION AREA. A FUNCTIONALDIAGRAM IS PROPOSED FOR AED WHICH IS BASED ON THE RESEARCH FINDINGS.","ΔΙΕΡΕΥΝΗΘΗ ΤΟ ΧΩΡΟΤΑΞΙΚΟ ΠΡΟΒΛΗΜΑ ΤΟΥ ΤΜΗΜΑΤΟΣ ΕΠΕΙΓΟΝΤΩΝ ΚΑΙ ΑΤΥΧΗΜΑΤΩΝ ΚΑΙ ΟΙΚΥΡΙΟΤΕΡΕΣ ΕΠΙΠΤΩΣΕΙΣ ΤΗΣ ΔΙΑΜΟΡΦΩΣΗΣ ΤΟΥ ΧΩΡΟΥ ΣΤΗΝ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΩΝ ΑΣΘΕΝΩΝ.Η ΕΡΕΥΝΑ ΕΒΑΣΙΣΘΗ ΣΕ ΑΝΤΙΠΡΟΣΩΠΕΥΤΙΚΟ ΔΕΙΓΜΑ 1078 ΑΣΘΕΝΩΝ, 158 ΝΟΣΗΛΕΥΤΡΙΩΝ ΚΑΙ ΙΑΤΡΩΝ ΚΑΙ 4 ΝΟΣΟΚΟΜΕΙΩΝ ΤΩΝ ΑΘΗΝΩΝ. Η ΜΕΘΟΔΟΣ ΠΟΥ ΧΡΗΣΙΜΟΠΟΙΗΘΗΚΕ ΓΙΑ ΤΗ ΣΥΛΛΟΓΗ ΠΛΗΡΟΦΟΡΙΩΝ ΗΤΑΝ Η ΣΥΜΠΛΗΡΩΣΗ ΕΡΩΤΗΜΑΤΟΛΟΓΙΟΥ. ΤΑ ΚΥΡΙΩΤΕΡΑ ΑΠΟΤΕΛΕΣΜΑΤΑ ΠΟΥ ΠΡΟΚΥΠΤΟΥΝ ΑΠΟ ΤΗ ΜΕΛΕΤΗ ΕΙΝΑΙ: 1) ΠΕΡΙΟΡΙΣΜΕΝΗ ΧΡΗΣΗ ΤΩΝ ΑΣΘΕΝΟΦΟΡΩΝ. ΤΟ 67,1% ΤΩΝ ΑΣΘΕΝΩΝ ΜΕΤΕΦΕΡΘΗΚΑΝ ΣΤΑ ΝΟΣΟΚΟΜΕΙΑ ΜΕ ΙΔΙΩΤΙΚΟ ΜΕΣΟ ΚΑΙ ΤΑΞΙ. ΤΑ ΑΣΘΕΝΟΦΟΡΑ ΜΕΤΕΦΕΡΑΝ ΜΟΝΟ ΤΟ 38,8% ΤΩΝ ΑΣΘΕΝΩΝ. 2) ΛΕΙΤΟΥΡΓΙΚΗ ΑΝΕΠΑΡΚΕΙΑ ΤΩΝ ΕΡΓΑΣΤΗΡΙΩΝ. ΤΟ ΠΟΣΟΣΤΟ ΤΩΝ ΑΣΘΕΝΩΝ ΠΟΥ ΥΠΟΒΛΗΘΗΚΕ ΣΕ ΕΡΓΑΣΤΗΡΙΑΚΟ ΕΛΕΓΧΟ ΕΙΝΑΙ ΠΟΛΥ ΜΕΓΑΛΟ. ΕΙΔΙΚΩΤΕΡΑ ΣΕ ΗΚΓ/ΚΟ ΕΛΕΓΧΟ 82,7% ΣΕ ΑΚΤΙΝΟΛΟΓΙΚΟ 81,7% ΚΑΙ ΑΙΜΑΤΟΛΟΓΙΚΟ ΤΟ 68,3% ΤΩΝ ΑΣΘΕΝΩΝ. ΤΟ 88,0% ΤΩΝ ΑΙΜΑΤΟΛΟΓΙΚΩΝ ΕΞΕΤΑΣΕΩΝ ΔΙΕΚΠΕΡΑΙΩΝΟΝΤΑΙ ΣΤΟ ΓΕΝΙΚΟ ΕΡΓΑΣΤΗΡΙΟ ΤΟΥ ΝΟΣΟΚΟΜΕΙΟΥ ΟΠΟΥ ΜΕΤΑΦΕΡΟΝΤΑΙ ΤΑ ΔΕΙΓΜΑΤΑ ΚΑΙ ΜΟΝΟ ΤΟ 12,0% ΣΕ ΕΡΓΑΣΤΗΡΙΟ ΤΟΥ ΤΕΑ. ΤΟ 76,0% ΤΩΝ ΑΣΘΕΝΩΝ ΠΟΥ ΕΚΑΝΑΝ ΑΙΜΑΤΟΛΟΓΙΚΕΣ ΚΑΙ ΒΙΟΧΗΜΙΚΕΣ ΕΞΕΤΑΣΕΙΣ ΠΕΡΙΜΕΝΑΝ ΣΤΟ ΧΩΡΟ ΤΟΥ ΤΕΑ ΠΕΡΙΣΣΟΤΕΡΟ ΑΠΟ 2 ΩΡΕΣ. 3) ΒΑΣΙΚΕΣ ΕΛΛΕΙΨΕΙΣ ΣΤΟΥΣ ΧΩΡΟΥΣ ΑΣΘΕΝΩΝ, ΕΡΓΑΖΟΜΕΝΩΝ ΚΑΙ ΣΥΝΟΔΩΝ. ΟΙ ΑΣΘΕΝΕΙΣ ΠΕΡΙΜΕΝΑΝ ΓΙΑ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΤΩΝ ΕΡΓΑΣΤΗΡΙΑΚΩΝ ΕΞΕΤΑΣΕΩΝ ΣΤΟ ΔΙΑΔΡΟΜΟ (20,3%) ΚΑΙ ΣΤΟΝ ΙΔΙΟ ΧΩΡΟ ΜΕ ΤΟΥΣ ΑΛΛΟΥΣ ΑΣΘΕΝΕΙΣ (72,9%). Η ΠΡΩΤΗ ΑΞΙΟΛΟΓΗΣΗ ΤΩΝ ΑΣΘΕΝΩΝ ΕΓΙΝΕ ΣΤΟ ΔΙΑΔΡΟΜΟ (33,1%) ΚΑΙ ΣΕ ΚΟΙΝΟ ΧΩΡΟ ΕΞΕΤΑΣΗΣ (66,6%). Η ΙΑΤΡΙΚΗ ΕΞΕΤΑΣΗ ΕΓΙΝΕ ΣΕ ΧΩΡΟ ΧΩΡΙΣ ΔΥΝΑΤΟΤΗΤΑ ΑΠΟΜΟΝΩΣΗΣ (83,4%). ΑΣΘΕΝΕΙΣ ΣΕ ΚΡΙΣΙΜΗ ΚΑΤΑΣΤΑΣΗ, ΕΠΙΚΙΝΔΥΝΟΙ ΚΑΙ ΔΙΕΓΕΡΤΙΚΟΙ ΚΑΙ ΑΣΘΕΝΕΙΣ ΜΕ ΜΕΤΑΔΟΤΙΚΟ ΝΟΣΗΜΑ, ΑΝΤΙΜΕΤΩΠΙΖΟΝΤΑΙ ΣΤΟΥΣ ΙΔΙΟΥΣ ΧΩΡΟΥΣ. ΤΟ ΜΕΓΑΛΟ ΠΟΣΟΣΤΟ ΤΩΝ ΣΥΝΟΔΩΝ (99,9%) ΠΕΡΙΜΕΝΑΝ ΣΤΟ ΔΙΑΔΡΟΜΟ (39,4%) ΚΑΙ ΣΥΝΟΔΕΥΑΝ ΤΟΥΣ ΑΣΘΕΝΕΙΣ ΣΤΟ ΧΩΡΟ ΕΞΕΤΑΣΗΣ (60,6%). ΠΡΟΤΕΙΝΕΤΑΙ ΛΕΙΤΟΥΡΓΙΚΟ ΔΙΑΓΡΑΜΜΑ ΤΕΑ ΠΟΥ ΒΑΣΙΖΕΤΑΙ ΣΤΑ ΠΟΡΙΣΜΑΤΑ ΤΗΣ ΕΡΕΥΝΑΣ."],"dc:identifier":["10.12681/eadd/1161","http://hdl.handle.net/10442/hedi/1161"],"dc:language":["gre"],"dc:publisher":["Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)","National and Kapodistrian University of Athens"],"dc:subject":["ACCOMPANYING PERSONS, AMBULANCE SERVICE, TAXI","CARS, X-RAY, ECG, BLOOD TESTS","HOSPITALS, PATIENTS, NURSES, DOCTORS","LABORATORY SERVICES, INADEQUATE PRIVACY","NURSING APPROACH","PLANNING TEAM, FUNCTIONAL DIAGRAM","VIOLENT AND DANGEROUS, LONG WAITING DELAY","WAITING AREA, PATIENTS CRITICAL CONDITION","ΑΚΤΙΝΟΓΡΑΦΙΕΣ, ΝΟΣΗΛΕΥΤΙΚΗ ΠΡΟΣΕΓΓΙΣΗ","ΑΞΙΟΛΟΓΗΣΗ ΑΣΘΕΝΩΝ, ΕΡΓΑΣΤΗΡΙΑ, ΧΡΟΝΟΣ ΑΝΑΜΟΝΗΣ","ΑΤΥΧΗΜΑΤΑ, ΝΟΣΟΚΟΜΕΙΑ, ΑΣΘΕΝΟΦΟΡΑ, ΑΣΘΕΝΕΙΣ","ΔΙΑΜΟΡΦΩΣΗ ΧΩΡΟΥ, ΚΤΙΡΙΑΚΟΣ ΠΡΟΓΡΑΜΜΑΤΙΣΜΟΣ","ΔΙΕΠΙΣΤΗΜΟΝΙΚΗ ΠΡΟΣΕΓΓΙΣΗ, ΟΜΑΔΑ ΣΧΕΔΙΑΣΜΟΥ","ΝΟΣΗΛΕΥΤΡΙΕΣ, ΙΑΤΡΟΙ, ΧΩΡΟΤΑΞΙΚΟ ΠΡΟΒΛΗΜΑ","ΣΥΝΟΔΟΙ ΑΣΘΕΝΩΝ, ΕΞΕΤΑΣΕΙΣ ΑΙΜΑΤΟΣ, ΗΚΓΦΗΜΑ","ΥΠΗΡΕΣΙΕΣ ΥΓΕΙΑΣ, ΕΠΕΙΓΟΝΤΑ ΠΕΡΙΣΤΑΤΙΚΑ","ΧΩΡΟΙ ΑΣΘΕΝΩΝ, ΙΑΤΡΙΚΗ ΕΞΕΤΑΣΗ, ΧΩΡΟΙ ΑΝΑΜΟΝΗΣ","ΧΩΡΟΙ ΕΡΓΑΣΙΑΣ, ΔΙΑΚΙΝΗΣΗ ΑΣΘΕΝΩΝ","Ιατρική και Επιστήμες Υγείας","Medical and Health Sciences","Επιστήμες Υγείας","Health Sciences"],"dc:title":["ΤΜΗΜΑ ΕΠΕΙΓΟΝΤΩΝ ΚΑΙ ΑΤΥΧΗΜΑΤΩΝ. ΕΠΙΠΤΩΣΕΙΣ ΤΗΣ ΔΙΑΜΟΡΦΩΣΗΣ ΤΟΥ ΧΩΡΟΥ ΣΤΗΝ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΩΝ ΑΣΘΕΝΩΝ. ΝΟΣΗΛΕΥΤΙΚΗ ΠΡΟΣΕΓΓΙΣΗ","ACCIDENT AND EMERGENCY DEPARTMENT. IMPLICATIONS OF THE LAY-OUT TO PATIENT CARE.A NURSING APPROACH"],"dc:type":["PhD Thesis"]},"updated_at":"2026-07-24T02:24:46Z"}