1 University of Ottawa, Ottawa, Ontario, Canada.
2 The Royal, Ottawa, Ontario, Canada.
Qual Health Res. 2018 Mar;28(4):587-599. doi: 10.1177/1049732317746382. Epub 2017 Dec 12.
In this qualitative study, the experiences of persons who frequently visit the emergency department (ED) for mental health-related reasons were explored. Interpretive Description guided the design, and data were collected through interviews with 10 adults who made 12+ ED visits within a 1-year time frame (2015). Thematic analysis was used to analyze data inductively. The participants' experiences were described with the help of three themes emerging from the data: The Experience, The Providers, and Protective Factors. The participants felt compelled to come to hospital. For them, every visit was necessary, and dismissal of their needs by staff was interpreted as disrespect and prejudice. We noted differences in ED utilization patterns according to psychiatric diagnosis, and more research is needed to explore the phenomenon of frequent use by particular patient populations. Furthermore, health care providers implementing interventions designed to improve emergency care should consider tailored approaches rather than a one-size-fits-all strategy.
在这项定性研究中，探讨了频繁因心理健康相关原因前往急诊部（ED）的人的体验。解释性描述指导了设计，数据通过对 10 名在 1 年内（2015 年）进行 12 次以上 ED 就诊的成年人的访谈收集。使用主题分析对数据进行归纳分析。参与者的体验通过从数据中出现的三个主题来描述：体验、提供者和保护因素。参与者感到不得不去医院。对他们来说，每次就诊都是必要的，工作人员对他们的需求的忽视被解释为不尊重和偏见。我们注意到根据精神科诊断，ED 使用模式存在差异，需要进一步研究特定患者群体频繁使用的现象。此外，实施旨在改善急诊护理的干预措施的医疗保健提供者应考虑量身定制的方法，而不是一刀切的策略。
