Premium
‘I knew I'd be taken care of’ : Exploring patient experiences in the Emergency Department
Author(s) -
Bull Claudia,
Latimer Sharon,
Crilly Julia,
Spain David,
Gillespie Brigid M.
Publication year - 2022
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.15317
Subject(s) - emergency department , medical emergency , emergency nursing , medicine , medline , psychology , nursing , political science , law
Aims To explore adult Emergency Department patient experiences to inform the development of a new Emergency Department patient‐reported experience measure. Design Descriptive, exploratory qualitative study using semi‐structured individual interviews with adult Emergency Department patients. Methodology 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). Results 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. Conclusion 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. Impact 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.