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
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
346-356Informations 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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