2.50
Hdl Handle:
http://hdl.handle.net/10755/162604
Type:
Presentation
Title:
Making the Decision to Seek Care for a Non-urgent Illness: A Wualitative Study
Abstract:
Making the Decision to Seek Care for a Non-urgent Illness: A Wualitative Study
Conference Sponsor:Emergency Nurses Association
Conference Year:1995
Author:Manton, Anne
Contact Address:, New Haven, CT, USA
Purpose: The purpose of the study was to explore to what extent there is a common process by which the decision is made to seek care in the emergency department for a non-urgent illness, and to examine the heuristic value of the self-regulatory model, as proposed by Levanthal, in describing the process.

Design: In this exploratory-descriptive study, a qualitative approach, using modified participant observation and including in-depth interviewing, was the research method employed. Interview guidelines were developed based on the component of the self-regulatory model. All data were collected by the researcher.

Setting: The research was conducted in the emergency department of a not-for-profit, non-teaching community hospital. Annual patient visits to this emergency department are approximately 45,000 with greater than half of the patients designated as non-urgent. The surrounding community is multiethnic and socioeconomic status ranges from very poor to very wealthy.

Sample: Following assessment and classification by the triage nurse as non-urgent, a convenience sample of fourteen adults between the ages of 21 and 50 years old who had made the decision to come to the emergency department seeking care for a non-urgent illness were asked to participate in the research. The sample included eight males and six females. Although the sample was primarily Caucasian, also included were Afro-American, Hispanic and Native-American participants. Educational level was low. Most of the participants held "blue-collar" jobs.

Methodology: Interviews began in the waiting room, before participants had been evaluated/diagnosed by an emergency physician, and continued throughout the participants' ED stay. An "intensive interviewing" approach was used. Participants were asked to describe the present illness from the time the first symptom was noticed until the present moment, including factors influential in the decision to seek care. Based on the participantÆs description, questions were asked by the researcher to clarify information or probe for additional data.

Results: Analysis of the data identified eight factors that form a common process by which symptoms are appreciated, experienced, and managed. In addition, the assumptions, principles, and components of the self-regulatory model were reflected in the participants' descriptions.

Conclusions: Recognition of the common process, as identified in this study, that leads to ED use by non-urgently ill patients, will assist providers in their care of these patients. In addition, findings will contribute to the further development of the self-regulatory model. [Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMaking the Decision to Seek Care for a Non-urgent Illness: A Wualitative Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162604-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Making the Decision to Seek Care for a Non-urgent Illness: A Wualitative Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1995</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Manton, Anne</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, New Haven, CT, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of the study was to explore to what extent there is a common process by which the decision is made to seek care in the emergency department for a non-urgent illness, and to examine the heuristic value of the self-regulatory model, as proposed by Levanthal, in describing the process.<br/><br/>Design: In this exploratory-descriptive study, a qualitative approach, using modified participant observation and including in-depth interviewing, was the research method employed. Interview guidelines were developed based on the component of the self-regulatory model. All data were collected by the researcher.<br/><br/>Setting: The research was conducted in the emergency department of a not-for-profit, non-teaching community hospital. Annual patient visits to this emergency department are approximately 45,000 with greater than half of the patients designated as non-urgent. The surrounding community is multiethnic and socioeconomic status ranges from very poor to very wealthy.<br/><br/>Sample: Following assessment and classification by the triage nurse as non-urgent, a convenience sample of fourteen adults between the ages of 21 and 50 years old who had made the decision to come to the emergency department seeking care for a non-urgent illness were asked to participate in the research. The sample included eight males and six females. Although the sample was primarily Caucasian, also included were Afro-American, Hispanic and Native-American participants. Educational level was low. Most of the participants held &quot;blue-collar&quot; jobs.<br/><br/>Methodology: Interviews began in the waiting room, before participants had been evaluated/diagnosed by an emergency physician, and continued throughout the participants' ED stay. An &quot;intensive interviewing&quot; approach was used. Participants were asked to describe the present illness from the time the first symptom was noticed until the present moment, including factors influential in the decision to seek care. Based on the participant&AElig;s description, questions were asked by the researcher to clarify information or probe for additional data.<br/><br/>Results: Analysis of the data identified eight factors that form a common process by which symptoms are appreciated, experienced, and managed. In addition, the assumptions, principles, and components of the self-regulatory model were reflected in the participants' descriptions.<br/><br/>Conclusions: Recognition of the common process, as identified in this study, that leads to ED use by non-urgently ill patients, will assist providers in their care of these patients. In addition, findings will contribute to the further development of the self-regulatory model. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:30:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:30:59Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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