Mental health presentations to the emergency department: A perspective on the involvement of social support networks

Marynowski-Traczyk, Donna; Broadbent, Marc; Kinner, Stuart A; FitzGerald, Gerard; Heffernan, Ed; Johnston, Amy N.B.; Young, Jesse T; Keijzers, Gerben; Scuffham, Paul Anthony; Bosley, Emma; Martin‐Khan, Melinda; Zhang, Ping; Crilly, Julia

doi:10.1016/j.auec.2019.06.002

Cited by 2 publications

(2 citation statements)

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“…Participants in this study who had a companion (i. friends and carers may also be a critical source of information to Emergency Department care providers (Boyle, 2015), particularly where these social support networks take on an advocative role for patients (Marynowski-Traczyk et al, 2019). However, existing research suggests that family-centred care is poorly facilitated in some Emergency Departments (Almaze & de Beer, 2017), and that companions want to have greater communication with Emergency Department care providers and more involvement in patient care (Collom et al, 2019;Hsiao et al, 2017).…”

Section: Discussionmentioning

confidence: 98%

“…Demonstrating person‐ and family‐centred care is a key competency for emergency nurses and physicians globally (American Academy of Pediatrics et al, 2006; Clay & Parsh, 2016; Jones et al, 2015; Royal College of Physicians and Surgeons of Canada, 2018; The College of Emergency Nursing Australasia, 2020). Moreover, the close relationships shared between patients, family members, friends and carers may also be a critical source of information to Emergency Department care providers (Boyle, 2015), particularly where these social support networks take on an advocative role for patients (Marynowski‐Traczyk et al, 2019). However, existing research suggests that family‐centred care is poorly facilitated in some Emergency Departments (Almaze & de Beer, 2017), and that companions want to have greater communication with Emergency Department care providers and more involvement in patient care (Collom et al, 2019; Hsiao et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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‘I knew I'd be taken care of’: Exploring patient experiences in the Emergency Department

Bull

Latimer

Crilly

et al. 2022

Journal of Advanced Nursing

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Aims: To explore adult Emergency Department patient experiences to inform the development of a new Emergency Department patient-reported experience measure. Design: Descriptive, exploratory qualitative study using semi-structured individual interviews with adult Emergency Department patients. Methodology: Participants were recruited across two Emergency Departments in Southeast Queensland, Australia during September and October 2020. Purposive sampling based on maximum variation was used. Participants were recruited during their Emergency Department presentation and interviewed in 2-weeks via telephone. Inductive thematic analysis followed the approach proposed by Braun and Clarke (2012). Results: Thirty participants were interviewed, and four themes were inductively identified: Caring relationships between patients and Emergency Department care providers; Being in the Emergency Department environment; Variations in waiting for care; and Having a companion in the Emergency Department. Caring relationships between patients and Emergency Department care providers included being treated like a person and being cared for, being informed about and included in care, and feeling confident in care providers. Being in the Emergency Department environment included being around other patients, feeling comfortable and having privacy. Variations in waiting for care included expecting a longer wait, waiting throughout the Emergency Department journey and receiving timely care. Having a companion in the Emergency Department included not feeling alone, and observing care providers engage with companions. Conclusion: Patient experiences in the Emergency Department are multifaceted, and themes are not mutually exclusive. These findings demonstrate consistency with the core experiential themes identified in the international literature. Impact: Strategies to improve patient engagement in shared decision-making, and communication between patients and care providers about wait times will be critical to optimizing Emergency Department patient experiences, and person-centred practice. These findings holistically conceptualize patient experiences in the Emergency | 3331 BULL et aL. 1 | INTRODUC TI ON Patient experiences--a description of what happened during a care encounter, and how it happened from the patients' perspective (Bull et al., 2019)--are unique and complex in the Emergency Department. A recent review identified that Emergency Department patient experiences can be broadly described by two interrelated themes: Relationships between Emergency Department patients and care providers, and Spending time in the Emergency Department environment (Bull et al., 2021). Other reviews have similarly demonstrated growing interest in this area by describing the determinants of patient experiences in the Emergency Department including, staff-patient interactions (particularly related to communication and empathic care), wait times, the Emergency Department environment and the emotional impact of experiencing an emergency (Gordon et al., 2010...

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