Experiences of patients with acute abdominal pain in the ED or acute surgical ward - A qualitative comparative study

International Emergency Nursing

Volumn 21, Issue 4, 2013, Pages 228-235

  Schultz, Helen ^a   Qvist, Niels ^b   Mogensen, Christian Backer ^c   Pedersen, Birthe D ^a  

^a UNIVERSITY OF SOUTHERN DENMARK   (Denmark)

^b ODENSE UNIVERSITY HOSPITAL   (Denmark)

^c Hospital of Southern Jutland   (Denmark)

Author keywords

Acute abdominal pain; Acute patient; Acute surgical ward; Emergency department; Emergency department observation unit; Emergency nursing; Interview; Participant observation; Patient experience; Short stay unit

Indexed keywords

ABDOMINAL PAIN; ACUTE ABDOMEN; ACUTE PATIENT; ACUTE SURGICAL WARD; ADOLESCENT; ADULT; AGED; ARTICLE; COMPARATIVE STUDY; DENMARK; EMERGENCY DEPARTMENT OBSERVATION UNIT; EMERGENCY HEALTH SERVICE; EMERGENCY NURSING; EMERGENCY WARD; FEMALE; HOSPITAL DEPARTMENT; HUMAN; INTERVIEW; MALE; MIDDLE AGED; NURSE ATTITUDE; NURSING; PARTICIPANT OBSERVATION; PATIENT EXPERIENCE; QUALITATIVE RESEARCH; SHORT STAY UNIT; STANDARD; UNIVERSITY HOSPITAL;

ACUTE ABDOMINAL PAIN; ACUTE PATIENT; ACUTE SURGICAL WARD; EMERGENCY DEPARTMENT; EMERGENCY DEPARTMENT OBSERVATION UNIT; EMERGENCY NURSING; INTERVIEW; PARTICIPANT OBSERVATION; PATIENT EXPERIENCE; SHORT STAY UNIT;

ABDOMINAL PAIN; ADOLESCENT; ADULT; AGED; DENMARK; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; MALE; MIDDLE AGED; NURSE'S ROLE; QUALITATIVE RESEARCH; SURGERY DEPARTMENT, HOSPITAL;

EID: 84887180004     PISSN: 1755599X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ienj.2013.01.004     Document Type: Article

References (42)

1. Beigel R., Oieru D., Goitein O., Chouraqui P., Feinberg M.S., Brosh S., Asher E., Konen E., Shamiss A., Eldar M., Hod H., Or J., Matetzky S. Fast track evaluation of patients with acute chest pain: experience in a large-scale chest pain unit in Israel. Isr. Med. Assoc. J. 2010, 12:329-333.
2. Bullard M.J., Villa-Roel C., Guo X., Holroyd B.R., Innes G., Schull M.J., Vandermeer B., Ospina M., Rowe B.H. The role of a rapid assessment zone/pod on reducing overcrowding in emergency departments: a systematic review. Emerg. Med. J. 2012, 29:372-378.
3. Considine J., Kropman M., Stergiou H.E. Effect of clinician designation on emergency department fast track performance. Emerg. Med. J. 2010, 27:838-842.
4. Considine J., Smith R., Hill K., Weiland T., Gannon J., Behm C., Wellington P., McCarthy S. Older peoples' experience of accessing emergency care. Australasian Emerg. Nurs. J. 2010, 13:61-69.
5. Coughlan M., Corry M. The experiences of patients and relatives/significant others of overcrowding in accident and emergency in Ireland: a qualitative descriptive study. Accid. Emerg. Nurs. 2007, 15:201-209.
6. Cross E., Goodacre S. Patient satisfaction with chest pain unit care: findings from the Effectiveness and Safety of Chest Pain Assessment to Prevent Emergency Admissions (ESCAPE) cluster randomised trial. Emerg. Med. J. 2010, 27:774-778.
7. Cross E., Goodacre S., O'Cathain A., Arnold J. Rationing in the emergency department: the good, the bad, and the unacceptable. Emerg. Med. J. 2005, 22:171-176.
8. Decker W.W., Smars P.A., Vaidyanathan L., Goyal D.G., Boie E.T., Stead L.G., Packer D.L., Meloy T.D., Boggust A.J., Haro L.H., Laudon D.A., Lobl J.K., Sadosty A.T., Schears R.M., Schiebel N.E., Hodge D.O., Shen W.-K. A prospective, randomized trial of an emergency department observation unit for acute onset atrial fibrillation. Ann. Emerg. Med. 2008, 52:322-328.
9. Dieterich A. The modern patient - threat or promise? Physicians' perspectives on patients' changing attributes. Patient Educ. Couns. 2007, 67:279-285.
10. Dorsey S.T., Harrington E.T., Iv W.F., Emerman C.L. Ileus and small bowel obstruction in an emergency department observation unit: are there outcome predictors?. West J. Emerg. Med. 2011, 12:404-407.
11. Downing H., Scott C., Kelly C. Evaluation of a dedicated short-stay unit for acute medical admissions. Clin. Med. 2008, 8:18-20.
12. Frank C., Asp M., Dahlberg K. Patient participation in emergency care - a phenomenographic study based on patients' lived experience. Int. Emerg. Nurs. 2009, 17:15-22.
13. Gilligan P., Gupta V., Singh I., Winder S., O'Kelly P., Hegarty D. Why are we waiting? A study of the patients' perspectives about their protracted stays in an emergency department. Ir. Med. J. 2007, 100:627-629.
14. Goodacre S., Nicholl J., Dixon S., Cross E., Angelini K., Arnold J., Revill S., Locker T., Capewell S.J., Quinney D., Campbell S., Morris F. Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care. BMJ 2004, 328:254-257.
15. Gordon J., Sheppard L.A., Anaf S. The patient experience in the emergency department: a systematic synthesis of qualitative research. Int. Emerg. Nurs. 2010, 18:80-88.
16. Hoskins R. Evaluating new roles within emergency care: a literature review. Int. Emerg. Nurs. 2011, 19:125-140.
17. Iannone P., Lenzi T. Effectiveness of a multipurpose observation unit: before and after study. Emerg. Med. J. 2009, 26:407-414.
18. Juan A., Salazar A., Alvarez A., Perez J.R., Garcia L., Corbella X. Effectiveness and safety of an emergency department short-stay unit as an alternative to standard inpatient hospitalisation. Emerg. Med. J. 2006, 23:833-837.
19. Kihlgren A.L., Nilsson M., Skovdahl K., Palmblad B., Wimo A. Older patients awaiting emergency department treatment. Scand. J. Caring Sci. 2004, 18:169-176.
20. Lindseth A., Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand. J. Caring Sci. 2004, 18:145-153.
21. Maggio A.Q., Reece-Smith A.M., Tang T.Y., Sadat U., Walsh S.R. Early laparoscopy versus active observation in acute abdominal pain: systematic review and meta-analysis. Int. J. Surg. 2008, 6:400-403.
22. Mazzocato P., Forsberg H.H., Schwarz v.T.S. Team behaviors in emergency care: a qualitative study using behavior analysis of what makes team work. Scand. J. Trauma Resusc. Emerg. Med. 2011, 19:70-78.
23. Moller M., Fridlund B., Goransson K. Patients' conceptions of the triage encounter at the emergency department. Scand. J. Caring Sci. 2010, 24:746-754.
24. Nairn S., Whotton E., Marshal C., Roberts M., Swann G. The patient experience in emergency departments: a review of the literature. Accid. Emerg. Nurs. 2004, 12:159-165.
25. Nystrom M., Dahlberg K., Carlsson G. Non-caring encounters at an emergency care unit - a life-world hermeneutic analysis of an efficiency-driven organization. Int. J. Nurs. Stud. 2003, 40:761-769.
26. O'Cathain A., Coleman P., Nicholl J. Characteristics of the emergency and urgent care system important to patients: a qualitative study. J. Health Serv. Res. Policy 2008, 13(Suppl. 2):19-25.
27. Olsson M., Hansagi H. Repeated use of the emergency department: qualitative study of the patient's perspective. Emerg. Med. J. 2001, 18:430-434.
28. Oredsson S., Jonsson H., Rognes J., Lind L., Goransson K.E., Ehrenberg A., Asplund K., Castren M., Farrohknia N. A systematic review of triage-related interventions to improve patient flow in emergency departments. Scand. J. Trauma Resusc. Emerg. Med. 2011, 19:43-51.
29. Paavilainen E., Salminen-Tuomaala M., Kurikka S., Paussu P. Experiences of counselling in the emergency department during the waiting period: importance of family participation. J. Clin. Nurs. 2009, 18:2217-2224.
30. Pedersen B.D. Sygeplejepraksis, Sprog & Erkendelse (Nursing Practice, Language and Cognition) 1999, The Faculty of Health Sciences, Aarhus University, Aarhus.
31. Realdi G., Giannini S., Fioretto P., Fabris F., Vettore G., Tosato F. Diagnostic pathways of the complex patients: rapid intensive observation in an acute medical unit. Intern. Emerg. Med. 2011, 6(Suppl. 1):85-92.
32. Richardson S., Casey M., Hider P. Following the patient journey: older persons' experiences of emergency departments and discharge. Accid. Emerg. Nurs. 2007, 15:134-140.
33. Ricoeur, P., 1979. Fortolkningsteori. Vintens Forlag, København.
34. Rydman R.J., Zalenski R.J., Roberts R.R., Albrecht G.A., Misiewicz V.M., Kampe L.M., McCarren M. Patient satisfaction with an emergency department chest pain observation unit. Ann. Emerg. Med. 1997, 29:109-115.
35. Rydman R.J., Roberts R.R., Albrecht G.L., Zalenski R.J., McDermott M. Patient satisfaction with an emergency department asthma observation unit. Acad. Emerg. Med. 1999, 6:178-183.
36. Schrock J.W., Reznikova S., Weller S. The effect of an observation unit on the rate of ED admission and discharge for pyelonephritis. Am. J. Emerg. Med. 2010, 28:682-688.
37. Scott I., Vaughan L., Bell D. Effectiveness of acute medical units in hospitals: a systematic review. Int. J. Qual. Health Care 2009, 21:397-407.
38. Stuart P.J., Parker S., Rogers M. Giving a voice to the community: a qualitative study of consumer expectations for the emergency department. Emerg. Med. 2003, 15:369-375.
39. Trout A., Magnusson A.R., Hedges J.R. Patient satisfaction investigations and the emergency department: what does the literature say?. Acad. Emerg. Med. 2000, 7:695-709.
40. Watt D., Wertzler W., Brannan G. Patient expectations of emergency department care: Phase I - a focus group study. CJEM: The Journal of the Canadian Association of Emergency Physicians 2005, 7:12-16.
41. Welch S.J. Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am. J. Med. Qual. 2010, 25:64-72.
42. Wiler J.L., Gentle C., Halfpenny J.M., Heins A., Mehrotra A., Mikhail M.G., Fite D. Optimizing emergency department front-end operations. Ann. Emerg. Med. 2010, 55:142-160.