Projekter pr. år
Abstrakt
Aims and objectives: To investigate the experiences of patients with acute abdominal pain at discharge from an emergency department observation unit compared with discharge from a surgical assessment unit. Background: The increase in emergency department observation units has increased short-term admissions and changed the patient journey from admission and discharge from specialised wards staffed by specialist nurses to admission and discharge from units staffed by emergency nurses. Design: A comparative qualitative interview study. Methods: The study included 20 patients: 10 from an emergency department observation unit and 10 from a surgical assessment unit, and took a phenomenological-hermeneutic approach. Patients were interviewed at discharge and three months later. Results: More patients from the emergency department observation unit experienced readiness for discharge and had plans for follow-up, compared with patients from the surgical assessment unit. In the surgical assessment unit, more patients were readmitted, had unanswered questions after three months and experienced a follow-up visit at the general practitioner as insufficient. More patients from the surgical assessment unit reported receiving useful self-care advice, compared with those from the emergency department observation unit. Conclusion: The experience of emergency department observation unit patients on discharge and follow-up was that the health professionals were more supportive, compared with surgical assessment unit patients, who felt discharge occurred too early, but with more preparation for independent home self-care. These results are an important factor in the patient experience of discharge from hospital and may reflect differences in specialisation of the nurses. Relevance to clinical practice: Units discharging patients with acute abdominal pain could be inspired by scheduled fast-track surgery programmes with structured information about admission, treatment and follow-up and easy access to relevant health professionals after discharge.
Originalsprog | Engelsk |
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Tidsskrift | Journal of Clinical Nursing |
Vol/bind | 23 |
Udgave nummer | 19/20 |
Sider (fra-til) | 2779–2789 |
ISSN | 0962-1067 |
DOI | |
Status | Udgivet - 1. okt. 2014 |
Fingeraftryk
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The journey of patients with acute abdominal pain
Schultz, H., Qvist, N., Mogensen, C. B. & Pedersen, B.
01/12/2010 → 30/11/2013
Projekter: Projekt › Forskning