Perceptions of paramedics and emergency staff about the care they provide to people who self-harm: Constructivist metasynthesis of the qualitative literature

Rees, Nigel; Rapport, Frances; Snooks, Helen

doi:10.1016/j.jpsychores.2015.03.007

Cited by 55 publications

(66 citation statements)

References 36 publications

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“…Results are supported by direct quotes from the included studies, and conclusions were then determined (Joanna Briggs Institute, ; Rees et al . ).…”

Section: Methodsmentioning

confidence: 97%

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Brunero

Ramjan

Salamonson

et al. 2018

Int J Mental Health Nurs

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Generalist health professionals (GHPs) or those healthcare professionals working in nonmental health facilities are increasingly being required to provide care to consumers with a mental illness. The review aimed to synthesize the qualitative research evidence on the meanings and interpretations made by GHPs (nonmental health professional) who interact with consumers with mental illness in nonmental health settings. A systematic review of the qualitative literature was undertaken for the years 1994-2016. The following electronic databases were searched: CINAHL, MEDLINE, PsycINFO, and Sociological Abstracts. Using narrative synthesis methods, the following themes were identified: mental health knowledge (the GHPs' knowledge level about mental illness and how this impacts their experiences and perceptions); GHPs perceive mental illness as a safety risk (GHPs concern over harm to the consumer and themselves); organizational support (the system response from the environmental design, and expert support and care); and emotional consequences of care (the feelings expressed by GHPs based on their experiences and perceptions of consumers). The results suggest that GHPs provide care in a setting which consists of multiple understandings of what care means. Efforts beyond educational initiatives such as organizational and system-level changes will need to be implemented if we are to progress care for this consumer group.

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“…Results are supported by direct quotes from the included studies, and conclusions were then determined (Joanna Briggs Institute, ; Rees et al . ).…”

Section: Methodsmentioning

confidence: 97%

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Brunero

Ramjan

Salamonson

et al. 2018

Int J Mental Health Nurs

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“…Approaches to meta-synthesis include meta-ethnography and thematic synthesis 11 12. Meta-synthesis has been employed to enhance understanding of a range of issues in emergency care such as staff experiences of aggression and violence,13 perceptions of people who self-harm14 and delay in seeking treatment for myocardial infarction among female patients 15…”

Section: Introductionmentioning

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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“…SH incidence in Europe and America was about 5–9%, and about 5% of those injured required medical treatment (Skegg, ). About one in 100 people hurts himself or herself in this way (Rees et al ., ). The survey about SH of young person in Korea showed that more female than male hurt themselves (Kim et al ., ).…”

Section: Introductionmentioning

confidence: 97%

Adolescent self‐harm and risk factors

Zhang

Song

Wang

2016

Asia-Pacific Psychiatry

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Perceptions of paramedics and emergency staff about the care they provide to people who self-harm: Constructivist metasynthesis of the qualitative literature

Cited by 55 publications

References 36 publications

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

‘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

Adolescent self‐harm and risk factors

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