School of Nursing and Midwifery, Griffith University - Gold Coast campus, Southport, Queensland, Australia.
School of Nursing and Midwifery, Griffith University - Logan campus, Logan, Queensland, Australia.
J Adv Nurs. 2022 Oct;78(10):3330-3344. doi: 10.1111/jan.15317. Epub 2022 Jun 19.
To explore adult Emergency Department patient experiences to inform the development of a new Emergency Department patient-reported experience measure.
Descriptive, exploratory qualitative study using semi-structured individual interviews with adult Emergency Department patients.
Participants were recruited across two Emergency Departments in Southeast Queensland, Australia during September and October 2020. Purposive sampling based on maximum variation was used. Participants were recruited during their Emergency Department presentation and interviewed in 2-weeks via telephone. Inductive thematic analysis followed the approach proposed by Braun and Clarke (2012).
Thirty participants were interviewed, and four themes were inductively identified: Caring relationships between patients and Emergency Department care providers; Being in the Emergency Department environment; Variations in waiting for care; and Having a companion in the Emergency Department. Caring relationships between patients and Emergency Department care providers included being treated like a person and being cared for, being informed about and included in care, and feeling confident in care providers. Being in the Emergency Department environment included being around other patients, feeling comfortable and having privacy. Variations in waiting for care included expecting a longer wait, waiting throughout the Emergency Department journey and receiving timely care. Having a companion in the Emergency Department included not feeling alone, and observing care providers engage with companions.
Patient experiences in the Emergency Department are multifaceted, and themes are not mutually exclusive. These findings demonstrate consistency with the core experiential themes identified in the international literature.
Strategies to improve patient engagement in shared decision-making, and communication between patients and care providers about wait times will be critical to optimizing Emergency Department patient experiences, and person-centred practice. These findings holistically conceptualize patient experiences in the Emergency Department which is the first step to developing a new Emergency Department patient-reported experience measure.
探索成年急诊患者的体验，为开发新的急诊患者报告体验衡量工具提供信息。
采用描述性、探索性定性研究方法，对澳大利亚昆士兰州东南部的两家急诊部的成年急诊患者进行半结构式个体访谈。
2020 年 9 月至 10 月期间，在澳大利亚昆士兰州东南部的两家急诊部招募参与者。采用基于最大变异的目的抽样法。在急诊就诊期间招募参与者，并在 2 周内通过电话进行访谈。采用 Braun 和 Clarke（2012）提出的方法进行归纳主题分析。
共访谈了 30 名参与者，归纳出 4 个主题：患者与急诊医护人员之间的关怀关系；在急诊环境中的体验；等待护理的变化；以及在急诊时有人陪伴。患者与急诊医护人员之间的关怀关系包括被当作人对待和得到关怀、被告知和参与护理、对医护人员有信心。在急诊环境中的体验包括与其他患者共处、感到舒适和有隐私。等待护理的变化包括预期等待时间较长、在整个急诊就诊过程中等待和及时得到护理。在急诊时有人陪伴包括不感到孤独、观察医护人员与陪伴者互动。
急诊患者的体验是多方面的，主题并非相互排斥。这些发现与国际文献中确定的核心体验主题一致。
改善患者在共同决策中的参与度以及患者与医护人员之间关于等待时间的沟通的策略，对于优化急诊患者体验和以人为本的实践至关重要。这些发现全面地描述了急诊患者的体验，这是开发新的急诊患者报告体验衡量工具的第一步。
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