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Patients’ expectations and experiences of being involved in their own care in the emergency department: A qualitative interview study
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Acute Health Care in Norrköping.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Operations management NSÖ.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.ORCID iD: 0000-0001-8007-1770
2021 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 13-14, p. 1942-1952Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To investigate patients’ experiences of being involved in their care in the emergency department (ED).

Background

Previous research shows that when patients experience involvement during care visits, this increased their trust in the care, gave a sense of control and promoted their autonomy.

Design

A qualitative descriptive design with semi‐structured interviews, using the "Consolidated criteria for reporting qualitative research" (COREQ) checklist.

Methods

Using convenience sampling, semi‐structured interviews were conducted with 16 patients in the ED.

Results

The study identified four categories: attention and inattention; communication and understanding; varying levels of participation; and inefficient and inaccessible care. The results show that patients expected to be treated with respect and to be involved in an open dialogue about their care. Patients’ experiences of participation were related to their sense of control.

Conclusions

Based on the results of the study, the authors found that factors such as dialogue, information, attention and participation affected the patients’ involvement during the ED visit. Experiences of involvement and control were linked to patients’ experiences of care and of patients as individuals.

Relevance to clinical practice

Healthcare providers’ awareness of the importance of paying attention to the patient as an individual, and of the need for simple, continuous communication could facilitate patient involvement in own care.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2021. Vol. 30, no 13-14, p. 1942-1952
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-174922DOI: 10.1111/jocn.15746ISI: 000637581000001PubMedID: 33829575Scopus ID: 2-s2.0-85103645486OAI: oai:DiVA.org:liu-174922DiVA, id: diva2:1543170
Available from: 2021-04-09 Created: 2021-04-09 Last updated: 2022-05-24Bibliographically approved

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Eriksson-Liebon, MagdaRoos, SusanneHellström, Ingrid

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Division of Nursing Sciences and Reproductive HealthFaculty of Medicine and Health SciencesDepartment of Acute Health Care in NorrköpingOperations management NSÖ
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Journal of Clinical Nursing
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