Experiences of an Emergency Department Visit Among Older Adults and Their Families: Qualitative Findings From a Mixed-Methods Study.

emergency medicine family older adults patient experiences transitional care

Journal

Journal of patient experience
ISSN: 2374-3735
Titre abrégé: J Patient Exp
Pays: United States
ID NLM: 101688338

Informations de publication

Date de publication:
Jun 2020
Historique:
entrez: 22 8 2020
pubmed: 22 8 2020
medline: 22 8 2020
Statut: ppublish

Résumé

Emergency department (ED) visits are critical events for older adults, but little is known regarding their experiences, particularly about their physical needs, the involvement of accompanying family members, and the transition back to the community. To explore experiences of an ED visit among patients aged 75 and older. In a mixed-methods study, a cohort of patients aged 75 and older (or a family member) discharged from the ED back to the community was recruited from 4 urban EDs. A week following discharge, structured telephone interviews supplemented with open-ended questions were conducted. A subsample (76 patients, 32 family members) was purposefully selected. Verbatim transcripts of responses to the open-ended questions were thematically analyzed. Experiences related to physical needs included comfort, equipment supporting mobility and autonomy, help when needed, and access to drink and food. Family members required opportunities to provide patient support and greater involvement in their care. At discharge, patients/families required adequate discharge education, resolution of their health problem, information on medications, and greater certainty about planned follow-up medical and home care services. Our findings suggest several areas that could be targeted to improve patient and family perceptions of the care at an ED visit.

Sections du résumé

BACKGROUND BACKGROUND
Emergency department (ED) visits are critical events for older adults, but little is known regarding their experiences, particularly about their physical needs, the involvement of accompanying family members, and the transition back to the community.
OBJECTIVE OBJECTIVE
To explore experiences of an ED visit among patients aged 75 and older.
METHODS METHODS
In a mixed-methods study, a cohort of patients aged 75 and older (or a family member) discharged from the ED back to the community was recruited from 4 urban EDs. A week following discharge, structured telephone interviews supplemented with open-ended questions were conducted. A subsample (76 patients, 32 family members) was purposefully selected. Verbatim transcripts of responses to the open-ended questions were thematically analyzed.
RESULTS RESULTS
Experiences related to physical needs included comfort, equipment supporting mobility and autonomy, help when needed, and access to drink and food. Family members required opportunities to provide patient support and greater involvement in their care. At discharge, patients/families required adequate discharge education, resolution of their health problem, information on medications, and greater certainty about planned follow-up medical and home care services.
CONCLUSIONS CONCLUSIONS
Our findings suggest several areas that could be targeted to improve patient and family perceptions of the care at an ED visit.

Identifiants

pubmed: 32821794
doi: 10.1177/2374373519837238
pii: 10.1177_2374373519837238
pmc: PMC7410141
doi:

Types de publication

Journal Article

Langues

eng

Pagination

346-356

Informations de copyright

© The Author(s) 2019.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Deniz Cetin-Sahin (D)

St. Mary's Research Centre, Montreal, Quebec, Canada.
McGill University, Montreal, Quebec, Canada.
Center for Research in Aging, Donald Berman Maimonides Geriatric Centre, Montreal, Quebec, Canada.

Francine Ducharme (F)

University of Montreal, Montreal, Quebec, Canada.
Research Centre, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada.

Jane McCusker (J)

St. Mary's Research Centre, Montreal, Quebec, Canada.
McGill University, Montreal, Quebec, Canada.

Nathalie Veillette (N)

University of Montreal, Montreal, Quebec, Canada.
Research Centre, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada.

Sylvie Cossette (S)

University of Montreal, Montreal, Quebec, Canada.
Montreal Heart Institute Research Center, Montreal, Quebec, Canada.

T T Minh Vu (TTM)

University of Montreal, Montreal, Quebec, Canada.
Research Centre, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada.
Centre hospitalier de l'université de Montréal, Montreal, Quebec, Canada.

Alain Vadeboncoeur (A)

University of Montreal, Montreal, Quebec, Canada.
Emergency Medicine Services, Montreal Heart Institute, Montreal, Quebec, Canada.

Paul-André Lachance (PA)

University of Montreal, Montreal, Quebec, Canada.
Hôpital de la Cité-de-la-Santé, Laval, Quebec, Canada.

Rick Mah (R)

St. Mary's Hospital Center, Montreal, Quebec, Canada.

Simon Berthelot (S)

Centre de recherche du CHU de Québec-Université Laval, Quebec, Canada.

Classifications MeSH