2.50
Hdl Handle:
http://hdl.handle.net/10755/162933
Type:
Presentation
Title:
Patients' Experience of Care Delivery in the Emergency Department
Abstract:
Patients' Experience of Care Delivery in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2002
Author:Denomy, Eileen, RN, BScN, MScN, ENC(C)
P.I. Institution Name:London Health Sciences Centre
Contact Address:Box 5010, London, Ontario, N6A 4G5, Canada
Contact Telephone:(519) 685-8500
Co-Authors:Carol McWilliam, RN, MScN, EdD
Purpose: While factors associated with the level of satisfaction with care in the emergency department have been well documented, little is known about how patients actually experience health care in this setting. The purpose of this inquiry was to gain a better understanding of the patient?s lived experience of care delivery within the context of the chaotic, unpredictable environment of the emergency department, from admission to disposition. Design: Phenomenological research methodology was used. Setting: This study was conducted in two acute care teaching hospital emergency departments, with a combined total of 64,500 visits per year, in a mid-sized city in southwestern Ontario, Canada.
Sample: The researcher purposefully selected 10 adult-aged patients who were first-time recipients of care in the emergency setting. Participants ranged from 18 to 61 years of age (mean age = 33 years) and included 6 women and 4 men. Three were triaged as urgent and 7 were triaged as less urgent. Methodology: Following the triage process, the registration clerks obtained further information from patients, briefly explained the study, and informed the investigator of interested study participants. The investigator contacted potential study participants by telephone to provide more information about the study, to answer questions, to make arrangements to obtain consent, and to schedule the interview. Data were collected through in-depth interviews averaging 45 minutes in length, using a semi-structured interview guide. All interviews were audiotaped and transcribed verbatim. Member checking with study participants ensured authenticity. Results: The inductive interpretation revealed that the meaning of care delivery for the patients in the emergency department was framed within the context of the patients' feelings of vulnerability in the emergency setting. Specific safety and security needs arose, and these needs permeated the patients' experience of care delivery in the emergency department. Conclusions: Included in the patients' experience of safety and security needs were the need for privacy, information, quick intervention, reassurance, and care provider receptivity and competence. The findings of this study illustrate, most importantly, that patients experiencing care in the emergency setting equated competence to caring. [Research Paper 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.titlePatients' Experience of Care Delivery in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162933-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patients' Experience of Care Delivery in the Emergency Department</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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Denomy, Eileen, RN, BScN, MScN, ENC(C)</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">London Health Sciences Centre</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Box 5010, London, Ontario, N6A 4G5, Canada</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(519) 685-8500</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">eileen.denomy@lhsc.on.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Carol McWilliam, RN, MScN, EdD</td></tr><tr><td colspan="2" class="item-abstract">Purpose: While factors associated with the level of satisfaction with care in the emergency department have been well documented, little is known about how patients actually experience health care in this setting. The purpose of this inquiry was to gain a better understanding of the patient?s lived experience of care delivery within the context of the chaotic, unpredictable environment of the emergency department, from admission to disposition. Design: Phenomenological research methodology was used. Setting: This study was conducted in two acute care teaching hospital emergency departments, with a combined total of 64,500 visits per year, in a mid-sized city in southwestern Ontario, Canada.<br/>Sample: The researcher purposefully selected 10 adult-aged patients who were first-time recipients of care in the emergency setting. Participants ranged from 18 to 61 years of age (mean age = 33 years) and included 6 women and 4 men. Three were triaged as urgent and 7 were triaged as less urgent. Methodology: Following the triage process, the registration clerks obtained further information from patients, briefly explained the study, and informed the investigator of interested study participants. The investigator contacted potential study participants by telephone to provide more information about the study, to answer questions, to make arrangements to obtain consent, and to schedule the interview. Data were collected through in-depth interviews averaging 45 minutes in length, using a semi-structured interview guide. All interviews were audiotaped and transcribed verbatim. Member checking with study participants ensured authenticity. Results: The inductive interpretation revealed that the meaning of care delivery for the patients in the emergency department was framed within the context of the patients' feelings of vulnerability in the emergency setting. Specific safety and security needs arose, and these needs permeated the patients' experience of care delivery in the emergency department. Conclusions: Included in the patients' experience of safety and security needs were the need for privacy, information, quick intervention, reassurance, and care provider receptivity and competence. The findings of this study illustrate, most importantly, that patients experiencing care in the emergency setting equated competence to caring. [Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:39Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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