Milton Jenny, David Åberg N, Erichsen Andersson Annette, Gillespie Brigid M, Oxelmark Lena
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Acute Medicine and Geriatrics, Gothenburg, Sweden.
Int Emerg Nurs. 2023 Jan;66:101238. doi: 10.1016/j.ienj.2022.101238. Epub 2022 Dec 24.
The work of healthcare professionals (HCPs) in the emergency department (ED) involves effective communication and efficient teamwork, which may be perceived differently by patients and HCPs. Therefore, it is important to explore patient perspectives of information exchange and clinical assessment.
To evaluate experiences of care, communication, and teamwork from ED patients' perspectives.
Semi-structured interviews were conducted with 17 patients who were assessed in a Swedish ED during Spring 2021. Thematic analysis was used.
Participants' experiences reflected the complex environment of the ED. Findings emphasize the importance of information exchange in relation to a caring approach. Three themes emerged: the need for a caring approach by HCPs towards patients'; the need for dialogue between patient and HCPs; and the need for information on ED environment constraints.
Patients felt comforted when they experienced a caring empathic approach from the HCPs. For example, patients valued an individual holistic approach rather than feeling that they were being objectified by their medical conditions. This was important in coping with the anxiety caused by a stressful ED environment. There is a critical need for effective exchange of information between patients and HCPs.
急诊科医护人员的工作涉及有效的沟通和高效的团队协作,而患者和医护人员对其的认知可能存在差异。因此,探索患者对信息交流和临床评估的看法很重要。
从急诊科患者的角度评估护理、沟通和团队协作的体验。
2021年春季,对17名在瑞典急诊科接受评估的患者进行了半结构化访谈。采用主题分析法。
参与者的经历反映了急诊科的复杂环境。研究结果强调了在关怀式护理中信息交流的重要性。出现了三个主题:医护人员对患者采取关怀式护理的必要性;患者与医护人员之间对话的必要性;以及了解急诊科环境限制信息的必要性。
当患者感受到医护人员充满关怀的共情方式时,他们会感到安心。例如,患者重视个性化的整体护理方式,而不是觉得自己因病情被物化。这对于应对急诊科紧张环境所引发的焦虑很重要。患者与医护人员之间迫切需要进行有效的信息交流。