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Nursing issues
Exploring the challenges of patient flow in acute hospital settings: a Delphi study
  1. Muili Lawal
  1. University of West London, Ealing, UK
  1. Correspondence to Dr Muili Lawal, University of West London, Ealing W5 5RF, UK; muili.lawal{at}

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Commentary on: Connell C.J, Plummer V, Crawford K, et al. Practice priorities for acute care nursing: a Delphi study. J Clin Nurs. 2020;00: 1–11. doi: 10.1111/jocn.15284

Implications for practice and research

  • A better understanding of the current admission modelling techniques is needed.

  • Strategies to address the challenges of efficient patient flow requires a coordinated approach.


There is a global increase in the number of emergency department (ED) admissions due to various factors such as ageing population, comorbidities, winter pressure and emergence of new diseases and infection such as the ongoing COVID-19 pandemic. The impact of rising demand for services include prolonged ED stay, delayed admissions, cancelled elective procedures, lack of bed availability, poor patient experience and pressure on other departments.1–3 To address this growing problem, waiting time is a key measure of performance and a 4 hours target for ED is recommended.2 3


The purpose of the study was to describe the …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.