Matters of Concern: A Qualitative Study of Emergency Care From the Perspective of Patients

Olthuis, Gert; Prins, Carolien; Smits, Marie-Josée; Pas, Harm van de; Bierens, Joost; Baart, Andries

doi:10.1016/j.annemergmed.2013.08.018

Cited by 39 publications

(30 citation statements)

References 26 publications

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“…In addition, past studies of perceived urgency in the ED have shown that patients and hospital personnel disagree about what constitutes an ''appropriate'' ED visit (Gill et al 1996). We concur with Olthuis et al (2014) that the ''mismatch'' between the ED patient's concerns and the staff's responses requires further investigation, if we are to better understand and meet patient needs and preferences, and design alternative services and supports aimed at curbing frequent ED use (Althaus et al 2011;Kumar and Klein 2013;Soril et al 2015).…”

Section: Discussionsupporting

confidence: 61%

“…' Nairn et al (2004) noted that the literature on patient experiences in the ED is dominated by quantitative studies, and that more qualitative research would enrich understanding. More recently, in small qualitative studies, researchers have described the experiences of the general population of ED presenters, (Olthuis et al 2014;Wellstood et al 2005), while also emphasizing the preponderance of quantitative studies in this area of inquiry.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

Wise-Harris

Pauly

Kahan

et al. 2016

Adm Policy Ment Health

135

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The experiences of individuals with mental illness and addictions who frequently present to hospital emergency departments (EDs) have rarely been explored. This study reports findings from self-reported, quantitative surveys (n = 166) and in-depth, qualitative interviews (n = 20) with frequent ED users with mental health and/or substance use challenges in a large urban centre. Participants presented to hospital for mental health (35 %), alcohol/drug use (21 %), and physical health (39 %) concerns and described their ED visits as unavoidable and appropriate, despite feeling stigmatized by hospital personnel and being discharged without expected treatment. Supporting this population may require alternative service models and attention to staff training in both acute and community settings.

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Section: Discussionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

Wise-Harris

Pauly

Kahan

et al. 2016

Adm Policy Ment Health

135

View full text Add to dashboard Cite

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“…Examples of this include environmental determinants related to noise, lack of privacy while waiting, not being able to reach the call buzzer, physical disorientation28 and unfamiliarity with the environment 3023…”

Section: Resultsmentioning

confidence: 99%

‘They do not care how much you know until they know how much you care’: a qualitative meta-synthesis of patient experience in the emergency department

et al. 2019

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BackgroundPatient experience is positively associated with both clinical effectiveness and patient safety and should be a priority for emergency care providers. While both quantitative and qualitative approaches can be used to evaluate patient experience in the emergency department (ED), the latter is well aligned to develop a detailed understanding of features influencing the lived experience of ED patients. This study aimed to systematically review the literature of qualitative studies to identify determinants of adult patient experience in the ED.MethodsA Preferred Reporting Items for Systematic review and Meta-Analysis compliant systematic review was conducted using PubMed, CINAHL, EMBASE, BNI and bibliography searches to identify qualitative studies exploring patient experiences in ED published in English between 1997 and 2018. Quality assessment was conducted using the Critical Appraisal Skills Programme checklist. Descriptive text and quotations relating to patient experience were extracted from included studies and a meta-synthesis conducted using thematic analysis.ResultsA total of 625 records were screened from which 40 studies underwent full review and 22 were included. Results were coded by two researchers (BG and JML). Meta-synthesis identified 198 discrete units of analysis which were clustered around five analytical themes. These were based on the perceived ‘needs’ of patients visiting the ED and were defined as communication, emotional, competent care, physical/environmental and waiting needs. Findings were translated into a conceptual model for optimising patient experience in the ED.ConclusionThis meta-synthesis provides a framework for understanding the determinants of patient experience in the ED. The resulting conceptual model and recommendations may have the potential to directly inform practice and improve the patient experience.

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“…De nombreuses études s'étaient intéressées à différents aspects de la satisfaction des patients aux urgences ou à leurs attentes [9][10][11]. Récemment, une étude a déterminé les motifs de préoccupation des consultants aux urgences dans leur interrelation avec l'équipe des urgences [12]. Connaître les attentes ou les déterminants de la satisfaction permet d'envisager d'y répondre.…”

Section: Spécialitésunclassified

Draw me an emergency department. How do non-emergency practitioners imagine an ideal emergency department?

Andronikof

Lucas-Amichi

2014

Ann. Fr. Med. Urgence

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Objectif : Déterminer comment des médecins hospitaliers non urgentistes imaginent le service d'urgences idéal. Matériel et méthode : Envoi d'un questionnaire à tous les chefs des services cliniques adultes de l'Assistance publique-Hôpitaux de Paris, construit à partir d'un entretien semi-dirigé de deux chefs de service non urgentistes sur le thème du service d'urgences idéal. Résultats : Sur 265 questionnaires envoyés, nous avons reçu 131 réponses (49 %). Le taux de réponse par spécialité va de 12 % (stomatologie) à 80 % (cancérologie, neurologie). À la question « le service d'urgences idéal adresse le patient dans le service de spécialité adapté à sa pathologie », 56 % répon-dent « toujours » et 41 % « souvent ». Pour 43 % des répon-dants, « le service d'urgences idéal appelle le spécialiste dès la suspicion diagnostique », 66 % disent que « la prise en charge thérapeutique débute avant l'appel du spécialiste » et 62 % veulent être prévenus de la présence aux urgences d'un patient qu'ils suivent quelle que soit la raison de sa venue. Conclusion : Les spécialistes non urgentistes ont eu du mal à formuler un idéal et faire abstraction de la vie quotidienne. Il est apparu une grande diversité des attentes et parfois des réponses contradictoires. Le seul consensus qui se dégage entre les répondants concerne l'attente d'une circulation maximale de l'information entre les urgences et leur service et une formation de l'urgentiste à la réanimation. La diversité des réponses pourrait conforter le monde des urgences dans ses efforts à se définir soi-même.Abstract Aim: To determine how a hospital's non-emergency practitioners imagine the ideal emergency department (ED).Procedure: We built a questionnaire on the basis of a semistructured interview of two heads of non-emergency departments on the theme of the ideal ED. We sent this questionnaire to all of the heads of non-ED adult clinical departments of the Parisian hospital network Assistance publique-Hôpi-taux de Paris. Results: We received 131 answers out of the 265 questionnaires sent (49%). The rate of answer per specialty ranges from 12% (stomatology) to 80% (cancerology, neurology). To the question "The ideal ED sends the patient to the specialty department that is required", 56% answered "always" and 41% "often." For 43% of respondents "the ED calls the specialist as soon as a diagnostic probability arises" but 66% say "the therapeutic care begins before the call of the specialist." For 62%, the ideal ED informs the specialist if one of the patients he/she usually takes care of is present in the ED, whatever the reason he/she attends the ED. Conclusion: Non-emergency practitioners have difficulties to shape an ideal and to put aside current deficiencies. We noticed an important diversity of expectations and sometimes contradictory answers. The only consensus that seems to emerge among the respondents is a wish for an optimal information loop between the ED and their own department and also a good training in intensive care for emergency practitioners. The diversity ...

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Matters of Concern: A Qualitative Study of Emergency Care From the Perspective of Patients

Cited by 39 publications

References 26 publications

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

‘They do not care how much you know until they know how much you care’: a qualitative meta-synthesis of patient experience in the emergency department

Draw me an emergency department. How do non-emergency practitioners imagine an ideal emergency department?

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