Revell Sue, Searle Judy, Thompson Shona
Hawke's Bay District Health Board, Hastings, New Zealand.
Eastern Institute of Technology, Taradale, Hawkes Bay, New Zealand.
Int Emerg Nurs. 2017 Jul;33:20-25. doi: 10.1016/j.ienj.2016.12.006. Epub 2017 Apr 27.
This research investigated the information needs of patients receiving ED procedural sedation to determine the best format to consistently deliver key information in a way acceptable to all involved. Of particular interest was the question concerning patients' need for receiving written information. A descriptive exploratory study gathered qualitative data through face-to-face interviews and focus groups involving patients, nurses and medical staff. Individual interviews were conducted with eight adult patients following procedural sedation. They identified very few gaps in terms of specific information they needed pertaining to procedural sedation and rejected the need for receiving information in a written format. Their information needs related to a central concern for safety and trust. Focus groups, reflecting on the findings from patients, were conducted with five ED nurses and four emergency medicine consultants/registrars who regularly provided procedural sedation. Themes that emerged from the analysis of data from all three groups identified the issues concerning patient information needs as being: competence and efficiency of staff; explanations of procedures and progress; support person presence; and medico-legal issues. The research confirms that the quality of the patient's ED experience, specifically related to procedural sedation, is enhanced by ED staff, especially nurses, providing them with ongoing and repeated verbal information relevant to their circumstances.
本研究调查了接受急诊程序镇静的患者的信息需求，以确定以所有相关方都能接受的方式持续提供关键信息的最佳形式。特别令人感兴趣的是患者对接收书面信息的需求问题。一项描述性探索性研究通过面对面访谈和焦点小组收集了定性数据，这些访谈和焦点小组涉及患者、护士和医务人员。在程序镇静后，对八名成年患者进行了个人访谈。他们指出，在与程序镇静相关的特定信息方面，他们几乎没有什么信息缺口，并拒绝了接收书面信息的需求。他们的信息需求与对安全和信任的核心关注有关。针对五名急诊护士和四名定期提供程序镇静的急诊科顾问/住院医生进行了焦点小组讨论，他们对患者的调查结果进行了反思。对来自所有三组的数据进行分析后出现的主题确定了与患者信息需求有关的问题为：工作人员的能力和效率；程序和进展的解释；陪护人员的在场；以及医疗法律问题。该研究证实，急诊科工作人员，尤其是护士，向患者提供与其情况相关的持续和反复的口头信息，可提高患者在急诊科的体验质量，特别是与程序镇静相关的体验质量。
