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Being a patient in a crowded emergency department: a qualitative service evaluation.
Craston, Alex I P; Scott-Murfitt, Harriet; Omar, Mariam T; Abeyratne, Ruw; Kirk, Kate; Mackintosh, Nicola; Roland, Damian; van Oppen, James David.
Afiliación
  • Craston AIP; Medical School, University of Leicester, Leicester, UK.
  • Scott-Murfitt H; Medical School, University of Leicester, Leicester, UK.
  • Omar MT; Medical School, University of Leicester, Leicester, UK.
  • Abeyratne R; Emergency & Specialist Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK.
  • Kirk K; Department of Population Health Sciences, University of Leicester, Leicester, UK.
  • Mackintosh N; Department of Population Health Sciences, University of Leicester, Leicester, UK.
  • Roland D; Emergency & Specialist Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK.
  • van Oppen JD; Department of Population Health Sciences, University of Leicester, Leicester, UK.
Emerg Med J ; 2024 Jul 30.
Article en En | MEDLINE | ID: mdl-39084692
ABSTRACT

BACKGROUND:

Emergency department (ED) crowding causes increased mortality. Professionals working in crowded departments feel unable to provide high-quality care and are predisposed to burnout. Awareness of the impact on patients, however, is limited to metrics and surveys rather than understanding perspectives. This project investigated patients' experiences and identified mitigating interventions.

METHODS:

A qualitative service evaluation was undertaken in a large UK ED. Adults were recruited during periods of high occupancy or delayed transfers. Semi-structured interviews explored experience during these attendances. Participants shared potential mitigating interventions. Analysis was based on the interpretative phenomenological approach. Verbatim transcripts were read, checked for accuracy, re-read and discussed during interviewer debriefing. Reflections about positionality informed the interpretative process.

RESULTS:

Seven patients and three accompanying partners participated. They were aged 24-87 with characteristics representing the catchment population. Participants' experiences were characterised by 'loss of autonomy', 'unmet expectations' and 'vulnerability'. Potential mitigating interventions centred around information provision and better identification of existing ED facilities for personal needs.

CONCLUSION:

Participants attending a crowded ED experienced uncertainty, helplessness and discomfort. Recommendations included process and environmental orientation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Emerg Med J Asunto de la revista: MEDICINA DE EMERGENCIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Emerg Med J Asunto de la revista: MEDICINA DE EMERGENCIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido