• Andy Mortimore and Simon Cooper.
• Emergency Department, Torbay Hospital, Lawes Bridge, Torquay, Devon, TQ2 7AA, UK. andy.mortimore@nhs.net
• Emerg Med J. 2007 Jun 1; 24 (6): 402404402-4.

ObjectiveTo explore nurses' views and to identify the perceived advantages and disadvantages of the "4-hour target."MethodsThe study was based in one emergency department (ED) in the UK and took a generic qualitative approach. A stratified sample of nine experienced ED nurses were recruited for semi-structured interviews. Data was analysed using the framework analysis approach.ResultsThe 4-hour target was considered an overall success in reducing waiting times and increasing patient satisfaction. However, staff expressed concerns over the imposed nature of the target, workload pressures, quality of care, and the level of support from secondary and primary care.ConclusionAlthough deemed an overall success, there were reservations as to the target's sustainability. Recommendations are made for improved communication between primary and secondary care and establishing the target as a shared goal within the hospital environment.

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