Adelaide Nursing School, University of Adelaide , Adelaide, Australia.
College of Nursing and Health Sciences, Flinders University , Adelaide, Australia.
J Health Organ Manag. 2019 Mar 18;33(1):110-123. doi: 10.1108/JHOM-02-2018-0037. Epub 2018 Nov 1.
Globally, acute abdominal pain (AAP) is one of the most common reasons for emergency admissions, yet little is known about how this patient group experiences the delivery of fundamental care across the acute care delivery chain. The purpose of this paper is to describe how patients with AAP experienced fundamental care across their acute care presentation, and to explicate the health professional behaviours, reported by patients, that contributed to their positive experiences.
DESIGN/METHODOLOGY/APPROACH: A qualitative descriptive study, using repeated reflective interviews, was analysed thematically ( n=10 patients).
Two themes were identified: developing genuine, caring relationships with health professionals and being informed about one's care. Patients reported that health professionals established genuine professional-patient relationships despite the busy care environment but perceived this environment as impeding information-provision. Patients were typically accepting of a lack of information, whereas poor professional-patient relationships were seen as inexcusable.
To provide positive fundamental care experiences for patients with AAP, health professionals should establish caring relationships with patients, such as by using humour, being attentive, and acknowledging patients' physical pain and emotional distress; and should inform patients about their care, including allowing patients to ask questions and taking time to answer those questions.
ORIGINALITY/VALUE: This is the first Australian study to explore the experiences of patients with AAP across the acute care delivery chain, using a novel method of repeated interviews, and to demonstrate how fundamental care can be delivered, in clinical practice, to ensure positive patient experiences.
在全球范围内，急性腹痛（AAP）是急诊入院的最常见原因之一，但对于该患者群体在急性护理提供链中如何体验基本护理，知之甚少。本文旨在描述 AAP 患者在急性护理就诊过程中如何体验基本护理，并详细说明患者报告的有助于其获得积极体验的卫生专业人员行为。
设计/方法/方法：采用重复反思性访谈的定性描述性研究，进行了主题分析（n=10 名患者）。
确定了两个主题：与卫生专业人员建立真诚、关怀的关系和了解自己的护理情况。患者报告说，尽管护理环境繁忙，但卫生专业人员还是建立了真诚的医患关系，但他们认为这种环境会阻碍信息的提供。患者通常接受缺乏信息的情况，但不良的医患关系被认为是不可原谅的。
为了为 AAP 患者提供积极的基本护理体验，卫生专业人员应与患者建立关怀关系，例如使用幽默、细心、承认患者的身体疼痛和情绪困扰；并应告知患者有关他们的护理情况，包括允许患者提问，并花时间回答这些问题。
原创性/价值：这是第一项在澳大利亚使用重复访谈的新方法，探讨急性护理提供链中 AAP 患者体验的研究，并展示如何在临床实践中提供基本护理，以确保患者获得积极体验。
