Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
Clinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.
BMJ Open. 2021 Nov 9;11(11):e050694. doi: 10.1136/bmjopen-2021-050694.
There is an increase in patients being discharged after short stays in the emergency department, but there is limited knowledge of their perspectives on treatment and care. This study aims to explore and understand the needs and preferences of emergency care from the perspective of patients and family members discharged from the emergency department within 24 hours of admission.
The study reports from the first phase in an overall participatory design project. Systematic text condensation was used to identify key themes from field observations and interviews with patients and family members.
This study was conducted in two emergency departments in the Region of Southern Denmark.
All adults aged ≥18 years who had been discharged from the emergency department within 24 hours were eligible to take part. Purposeful sampling was used to recruit patients and family members with different sociodemographic features.
Field observational studies (n=50 hours), individual interviews with patients (N=19) and family members (N=3), and joint interviews with patients and family members (N=4) were carried out. Four themes were derived from the material: (1) being in a vulnerable place-having emotional concerns; (2) having a need for person-centred information; (3) the atmosphere in the emergency department and (4) implications of family presence.
This study demonstrates a gap between patients' and family members' needs and preferences and what current emergency departments deliver. The findings highlight the importance of family and person-centred care. Tailored communication and information with genuine involvement of family members is found to be essential needs during acute illness.
在急诊科短时间住院的患者人数不断增加，但人们对他们对治疗和护理的看法知之甚少。本研究旨在从急诊科 24 小时内出院的患者和家属的角度探讨和了解对急诊护理的需求和偏好。
本研究是一个整体参与式设计项目的第一阶段报告。系统文本浓缩用于从患者和家属的实地观察和访谈中识别关键主题。
本研究在丹麦南部地区的两个急诊科进行。
所有年龄≥18 岁、在 24 小时内从急诊科出院的成年人都有资格参加。采用目的性抽样方法招募具有不同社会人口学特征的患者和家属。
进行了现场观察研究（n=50 小时）、对患者（n=19）和家属（n=3）的个人访谈以及对患者和家属的联合访谈（n=4）。从材料中得出了四个主题：（1）处于弱势地位——情绪担忧；（2）需要以人为本的信息；（3）急诊室的氛围；（4）家属在场的影响。
本研究表明，患者和家属的需求和偏好与当前急诊科提供的服务之间存在差距。研究结果强调了家庭和以人为本护理的重要性。研究发现，在急性疾病期间，量身定制的沟通和信息以及真正让家属参与是至关重要的需求。
