Department of Emergency Medicine in Norrköping, Vrinnevi Hospital, Norrköping, Sweden.
Department of Health, Medicine and Caring Science, Linköping University, Linköping, Sweden.
J Clin Nurs. 2021 Jul;30(13-14):1942-1952. doi: 10.1111/jocn.15746. Epub 2021 Apr 7.
To investigate patients' experiences of being involved in their care in the emergency department (ED).
Previous research shows that when patients experience involvement during care visits, this increased their trust in the care, gave a sense of control and promoted their autonomy.
A qualitative descriptive design with semi-structured interviews, using the "Consolidated criteria for reporting qualitative research" (COREQ) checklist.
Using convenience sampling, semi-structured interviews were conducted with 16 patients in the ED.
The study identified four categories: attention and inattention; communication and understanding; varying levels of participation; and inefficient and inaccessible care. The results show that patients expected to be treated with respect and to be involved in an open dialogue about their care. Patients' experiences of participation were related to their sense of control.
Based on the results of the study, the authors found that factors such as dialogue, information, attention and participation affected the patients' involvement during the ED visit. Experiences of involvement and control were linked to patients' experiences of care and of patients as individuals.
Healthcare providers' awareness of the importance of paying attention to the patient as an individual, and of the need for simple, continuous communication could facilitate patient involvement in own care.
调查患者在急诊科参与自身护理的体验。
先前的研究表明，当患者在护理就诊过程中体验到参与感时，这会增加他们对护理的信任，给他们一种控制感，并促进他们的自主性。
采用定性描述设计，进行半结构化访谈，并使用“定性研究报告的统一标准”（COREQ）清单。
使用便利抽样法，在急诊科对 16 名患者进行了半结构化访谈。
研究确定了四个类别：关注与不关注；沟通与理解；参与程度的不同；以及低效和难以获得的护理。结果表明，患者期望得到尊重，并能就他们的护理进行开放的对话。患者参与的体验与他们的控制感有关。
基于研究结果，作者发现，对话、信息、关注和参与等因素会影响患者在急诊科就诊期间的参与度。参与感和控制感与患者的护理体验以及作为个体的患者体验相关。
医疗保健提供者意识到关注患者作为个体的重要性，以及简单、持续沟通的必要性，可以促进患者参与自身护理。
