Discharge from an emergency department observation unit and a surgical assessment unit: experiences of patients with acute abdominal pain

Schultz, Helen; Qvist, Niels; Mogensen, Christian Backer; Pedersen, Birthe D.

doi:10.1111/jocn.12527

Cited by 10 publications

(7 citation statements)

References 35 publications

(68 reference statements)

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“…() patient first seen as an interesting case developed feelings of insecurity when that interest seemed to wane. Schultz, Qvist, Mogensen, and Pedersen () also described that patients on an acute surgical ward felt as if they were “being placed on the edge” when they did not know what they were waiting for or in which direction the situation was headed. Schultz et al.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inadequate environment, resources and values lead to missed nursing care: A focused ethnographic study on the surgical ward using the Fundamentals of Care framework

Jangland

Teodorsson²,

Molander

et al. 2017

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

“…Schultz et al. () showed that a long wait for information could provoke morbid thoughts. Similar findings were identified in the present study, where patients suffering from severe illness and thinking about existential issues were not identified and acknowledged.…”

Section: Discussionmentioning

confidence: 99%

Inadequate environment, resources and values lead to missed nursing care: A focused ethnographic study on the surgical ward using the Fundamentals of Care framework

Jangland

Teodorsson²,

Molander

et al. 2017

Journal of Clinical Nursing

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“…The data material was analysed inspired by the phenomenological-hermeneutic thinking of Ricoeur (Delmar et al, 2005;Furnes & Dysvik, 2012;Pedersen, 1999;Ricoeur, 1976;Schultz, Qvist, Mogensen, & Pedersen, 2014). The research team independently read and re-read the transcripts of the interviews to become an initial overview after which they met to discuss the material as a whole.…”

Section: Analysis and Interpretationmentioning

confidence: 99%

Aspects of well-being when struggling with obesity

Haga

Furnes

Dysvik

et al. 2019

International Journal of Qualitative Studies on Health and Well

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Purpose: We aimed to gain deeper insight into how people struggling with obesity handle their life situation by addressing how well-being might unfold. For many people, obesity becomes a lifelong condition characterized by repeated weight fluctuations while their weight increases gradually. From an existential perspective, constantly waiting for weight loss can cause an experience of not reaching one's full potential. How people with obesity experience well-being, within their perceived limitations, is less reflected in previous research. Methods: We established a qualitative study using in-depth interviews with seven men and 14 women with obesity (body mass index 3 35 kg/m 2) aged 18-59 years. The study had an exploratory design including a phenomenological-hermeneutic perspective, with a lifeworld approach. Results: Three themes describing aspects of well-being were developed: coming to terms with the body, restoring the broken relational balance and reorienting the pivot in life. The thematic findings were abstracted into a main theme: striving to make living bearable. The movement towards well-being can be seen as a struggle towards an experience of balance to make bearable living. Conclusions: We suggest that well-being as a dialectic between vulnerability and freedom might become a health-facilitating experience for people struggling with obesity.

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“…The APS-POQ-R was developed for use during the hospital stay, whereas our study also intended to investigate the time period after discharge. Therefore, the two following items were added to the patient perception of care (satisfaction) subscale to capture issues that had been reported as important for patients with acute abdominal pain upon discharge [36]: "Did you receive information about when to seek medical advice after discharge?" and, "If yes, how useful was the information about when to seek medical advice?"…”

Section: Modification Of the Instrument Aps-poq-r-dmentioning

confidence: 99%

“…Questionnaire two (Table 2) For each day, four items were added to capture issues reported as important for patients with acute abdominal pain after their discharge from hospital [36]. Two items were added to the patient perception of care (satisfaction) subscale; "Did you receive information about when to seek medical advice after discharge?"…”

mentioning

confidence: 99%

Psychometric evaluation of the Danish version of a modified Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-D) for patients hospitalized with acute abdominal pain

Schultz

Skræp

Larsen

et al. 2018

Scandinavian Journal of Pain

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Abstract Background and aims This paper forms part of a study evaluating the effect of patient-controlled oral analgesia for patients admitted to hospital with acute abdominal pain. Pain is a subjective experience, and a multifaceted evaluation tool concerning patient-reported outcome measures is needed to monitor, evaluate, and guide health care professionals in the quality of pain management. The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) is a validated multifaceted evaluation tool for measuring patient-reported pain experiences to evaluate different pain management interventions. The aim of this study was to evaluate the psychometric properties of a modified Danish version of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-D) used during and after hospitalization for patients with acute abdominal pain. Methods The APS-POQ-R was translated into Danish and two slightly different questionnaires were formed. Questionnaire one had 39 items and the six subscales pain severity (pain), perception of care (satisfaction), pain interference with function (activity) and emotions (emotion), side effects of treatment (safety), and patient-related barriers to pain management. The questionnaire focused on time during hospital stay and was to be completed at discharge. Questionnaire two included 25 items and the five subscales pain, satisfaction, activity, emotion, and safety and focused on time at home and was to be completed daily 1 week after discharge. The questionnaires were tested on 156 patients with acute abdominal pain. Internal consistency reliability and construct validity was examined. Results In both questionnaires, the results of correlations and tests for internal consistency reliability showed a Cronbach’s alpha of >0.7 for the pain, activity, and emotion subscales, but the value was ≥0.69 for the satisfaction subscale. In questionnaire one, Cronbach’s alpha was ≤0.64 for the safety subscale, but this was 0.73 when the item “itching” was deleted. In questionnaire two, Cronbach’s alpha was ≤0.51 for the safety subscale. For the patient-barrier subscale in questionnaire one, Cronbach’s alpha was ≤0.62 for any combination of the items in the subscale. The results of the construct validity and factor analysis showed a five-factor structure in questionnaire one and a three-factor structure in questionnaire two. In questionnaire one, items from the pain, activity, emotion, and safety subscales, except for the items “least pain” and “itching,” loaded on factor one. In questionnaire two, all items from the pain, activity, and emotion subscales loaded on factor one. Conclusions The modified APS-POQ-R-D demonstrated adequate psychometric properties for the five subscales pain severity (pain), perception of care (satisfaction), pain interference with function (activity) and emotions (emotion), side effects of treatment (safety), but not for the patient-barrier subscale for patients hospitalized with acute abdominal pain. Consequently, the APS-POQ-R-D may be used without the patient-barrier subscale. Implications The clinical implications of this study may help clinicians with investigating how acute patients manage pain during and after hospital admission.

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Discharge from an emergency department observation unit and a surgical assessment unit: experiences of patients with acute abdominal pain

Abstract: Units discharging patients with acute abdominal pain could be inspired by scheduled fast-track surgery programmes with structured information about admission, treatment and follow-up and easy access to relevant health professionals after discharge.

Cited by 10 publications

References 35 publications

Inadequate environment, resources and values lead to missed nursing care: A focused ethnographic study on the surgical ward using the Fundamentals of Care framework

Inadequate environment, resources and values lead to missed nursing care: A focused ethnographic study on the surgical ward using the Fundamentals of Care framework

Aspects of well-being when struggling with obesity

Psychometric evaluation of the Danish version of a modified Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-D) for patients hospitalized with acute abdominal pain

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