Why are we waiting? Patients' perspectives for accessing emergency department services with non-urgent complaints.

Abstract:

:[Background] Emergency departments world-wide report service demands which exceed resource availability. Themes such as crowding, non-urgent presentations, ambulance diversion and access block have been linked to complications in care, poorer patient outcomes, increased morbidity and staff burnout. People attending the emergency department with problems perceived as non-urgent are frequently attributed blame for increased service demand, yet little is known from the patients' perspective. [Method] This project utilised a descriptive cross-sectional waiting room survey of non-urgent patients to identify factors contributing to their decision making process to access ED services at a regional hospital in Tasmania, Australia. Data were analysed using a statistical software package and comparison made between the sample and population groups to determine broad representation. [Results] Patients' decision making processes were found to be influenced by convenience, perceived need and referral by a health care provider. Cost did not present as a significant factor. A high incidence of patients under 25years of age were identified and musculoskeletal complaints were the most common complaint across all age groups. [Conclusion] Further consideration is required to determine how to best meet service demand to facilitate the provision of the right service at the right time to the right patient.

journal_name

Int Emerg Nurs

authors

Unwin M,Kinsman L,Rigby S

doi

10.1016/j.ienj.2016.09.003

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

3-8

eissn

1755-599X

issn

1878-013X

pii

S1755-599X(16)30099-4

journal_volume

29

pub_type

杂志文章
  • Anesthesia with topical lidocaine hydrochloride gauzes in acute traumatic wounds in triage, a pilot study.

    abstract:BACKGROUND:Topical application of lidocaine in wounds has been studied in combination with vasoconstrictive additives, but the effect without these additives is unknown. The objective was to examine use of lidocaine-soaked gauzes without vasoconstrictive agents, in traumatic wounds in adult patients, applied in triage....

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2016.02.005

    authors: Ridderikhof ML,Leenders N,Goddijn H,Schep NW,Lirk P,Goslings JC,Hollmann MW

    更新日期:2016-09-01 00:00:00

  • The knowledge desired by emergency medical service managers of their ambulance clinicians - A modified Delphi study.

    abstract:AIM:The aim of the study was to identify the types of knowledge that Swedish Emergency Medical Service (EMS) managers considered desirable in their Ambulance Clinicians. BACKGROUND:Emergency medical service managers are responsible for organisational tasking and in this are dependent on the knowledge possessed by thei...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2017.03.007

    authors: Holmberg M,Fagerberg I,Wahlberg AC

    更新日期:2017-09-01 00:00:00

  • Evaluation of an emergency department falls pathway for older people: A patient chart review.

    abstract::The number of older adults presenting to EDs following a fall continues to rise, yet falls management often ignores opportunities for secondary falls risk reduction. Advanced Nurse Practitioners (ANPs) in EDs have an important clinical leadership role in improving outcomes for this group of patients. AIM:This study d...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2020.100869

    authors: O' Keeffe A,O' Grady S,Cronin F,Dolan C,O' Hea A,O' Shea KL,Naughton C

    更新日期:2020-07-01 00:00:00

  • The impact of introducing the Modified Early Warning Score 'MEWS' on emergency nurses' perceived role and self-efficacy: A quasi-experimental study.

    abstract:BACKGROUND:Early warning Score is a bedside track and trigger system used to facilitate early detection and management of deteriorating patients. Although emergency department nurses are the key to implement this task, their interaction and contribution to provide an estimate of patients' severities is still suboptimal...

    journal_title:International emergency nursing

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ienj.2019.03.005

    authors: Al-Kalaldeh M,Suleiman K,Abu-Shahroor L,Al-Mawajdah H

    更新日期:2019-07-01 00:00:00

  • Assessing health professionals' perceptions of family presence during resuscitation: a replication study.

    abstract:BACKGROUND:Family witnessed resuscitation is the practice of enabling patients' family members to be present during resuscitation. Research is inconsistent as to the effectiveness or usefulness of this initiative. AIM:To evaluate the performance of two scales that assess perceptions of family witnessed resuscitation a...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2011.10.003

    authors: Chapman R,Watkins R,Bushby A,Combs S

    更新日期:2013-01-01 00:00:00

  • 'I don't want to think about it': Psychosocial experiences of road traffic accident survivors in Ghana.

    abstract:INTRODUCTION:Road traffic injuries are among the top ten traumatic events that affect the psychosocial wellbeing and quality of life of survivors. The aim of this study was to explore the experiences of road traffic accident survivors in Ghana, a low-middle-income country in sub-Saharan Africa. METHODS:The study adopt...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2020.100935

    authors: Wilson P,Dzansi G,Ohene LA

    更新日期:2020-11-01 00:00:00

  • A descriptive study on emergency department doctors' and nurses' knowledge and attitudes concerning substance use and substance users.

    abstract:AIM:The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. METHODS:Data were collected using an adapted survey questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of convenience/opportunistic s...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2008.08.003

    authors: Kelleher S,Cotter P

    更新日期:2009-01-01 00:00:00

  • 'Care in a chair' - The impact of an overcrowded Emergency Department on the time to treatment and length of stay of self-presenting patients with abdominal pain.

    abstract:OBJECTIVES:The aim in this study was to investigate the impact of overcrowding on the Australasian Triage Score's (ATS) time to treatment target and the National Emergency Access Target (NEAT) for patients who self-present to the Emergency Department (ED) with abdominal pain. BACKGROUND:The causes and effects of ED ov...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2016.08.003

    authors: Smith B,Bouchoucha S,Watt E

    更新日期:2016-11-01 00:00:00

  • Emergency preparedness for heat illness in China: A cross-sectional observational study.

    abstract:BACKGROUND:The morbidity and mortality rates from heat illness have increased due to a higher number of heatwaves. Effective urgent care of heat illness is crucial for optimizing patient outcomes. However, few studies have examined the emergency preparedness measures required for treating such patients. METHODS:From D...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2020.100957

    authors: Zhao L,Lin X,Zang Y

    更新日期:2021-01-01 00:00:00

  • Actions to improve documented pain assessment in adult patients with injury to the upper extremities at the Emergency Department - A cross-sectional study.

    abstract:BACKGROUND:Pain is one of the most common symptoms in the Emergency Department (ED) and is the cause of more than half of the visits to the ED. Several attempts to improve pain management have been done by using, for example, standards/guidelines and education. To our knowledge no one has investigated if and how differ...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2015.06.006

    authors: Sturesson L,Lindström V,Castrén M,Niemi-Murola L,Falk AC

    更新日期:2016-03-01 00:00:00

  • Different patient groups request different emergency care - a survey in a Swedish emergency department.

    abstract:AIM:This study investigates possible differences in the perception of quality of care at an emergency department, as related to patient background and visit characteristics. METHODS:The study uses a prospective, descriptive survey design with data collected in May 2002 from the emergency department of a Swedish univer...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2008.07.006

    authors: Muntlin AM,Gunningberg LA,Carlsson MA

    更新日期:2008-10-01 00:00:00

  • Grey areas: New Zealand ambulance personnel's experiences of challenging resuscitation decision-making.

    abstract:INTRODUCTION:When faced with a patient in cardiac arrest, ambulance personnel must rapidly make complex decisions with limited information. Much of the research examining decisions to commence, continue, withhold or terminate resuscitation has used retrospective audits of registry data and clinical documentation. This ...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2017.08.002

    authors: Anderson NE,Gott M,Slark J

    更新日期:2018-07-01 00:00:00

  • Low acuity abdominal pain in the emergency department: still a long wait.

    abstract:BACKGROUND:There are many pressures placed on Emergency Departments (EDs) and anecdotally patients with low acuity abdominal pain can spend a long time in ED waiting for treatment. AIMS:This paper examines the practices in two EDs in Melbourne, Australia. Firstly, the characteristics of low acuity abdominal pain prese...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2008.01.006

    authors: Lee G,Smith S,Jennings N

    更新日期:2008-04-01 00:00:00

  • Educating Emergency Department Registered Nurses (EDRNs) in screening, brief intervention, and referral to treatment (SBIRT): Changes in attitudes and knowledge over time.

    abstract::Alcohol and other drug (AOD) diagnoses in the ED co-occur with injury-related presenting conditions including: falls, motor vehicle accidents, poisonings, and both intentional and unintentional injuries. Clinical attention to ED admissions resulting from hazardous AOD use can significantly improve patient care and red...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2016.12.003

    authors: Mitchell AM,Kane I,Lindsay DL,Hagle H,Puskar K,Aiello J,Boucek L,Knapp E

    更新日期:2017-07-01 00:00:00

  • Attitudes of emergency care staff towards young people who self-harm: a scoping review.

    abstract:AIM:To determine whether reported attitudes towards patients who attend A&E following self-harm extend to young people. BACKGROUND:Historically A&E staff have displayed negative attitudes towards patients who self-harm, although more recent research suggests that attitudes have shifted. There is retrospective evidence...

    journal_title:International emergency nursing

    pub_type: 杂志文章,评审

    doi:10.1016/j.ienj.2013.04.001

    authors: Cleaver K

    更新日期:2014-01-01 00:00:00

  • Congruence of pain assessment between nurses and emergency department patients: a replication.

    abstract:AIM:To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. METHODS:This study adopted a replication methodology which aimed to ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. Raw statis...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2007.09.003

    authors: Duignan M,Dunn V

    更新日期:2008-01-01 00:00:00

  • The everyday work at a Swedish emergency department--the practitioners' perspective.

    abstract:UNLABELLED:In the everyday work at emergency departments (EDs), the patients being cared for have different needs and perceived symptoms. To meet their need for emergency care, knowledge of the work is important. The aim of this study is to explore the everyday work at a Swedish ED from a practitioner's perspective. M...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2011.06.007

    authors: Andersson H,Jakobsson E,Furåker C,Nilsson K

    更新日期:2012-04-01 00:00:00

  • Family presence during resuscitation: A descriptive study with Iranian nurses and patients' family members.

    abstract:BACKGROUND:Family presence during resuscitation (FPDR) has advantages for the patients' family member to be present at the bedside. However, FPDR is not regularly practiced by nurses, especially in low to middle income countries. The purpose of this study was to determine Iranian nurses' and family members' attitudes t...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2017.05.001

    authors: Zali M,Hassankhani H,Powers KA,Dadashzadeh A,Rajaei Ghafouri R

    更新日期:2017-09-01 00:00:00

  • The association between alcohol, medicinal drug use and post-traumatic stress symptoms among Norwegian rescue workers after the 22 July twin terror attacks.

    abstract:BACKGROUND:The aim of this study was to assess whether the use of alcohol and medicinal drugs among rescue workers as a consequence of the 22 July terrorist attack was associated with post-traumatic stress symptoms, and explore if there were differences between affiliated and unaffiliated rescue workers. METHODS:Ten m...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2016.03.003

    authors: Bogstrand ST,Skogstad L,Ekeberg Ø

    更新日期:2016-09-01 00:00:00

  • Knowledge of inter-facility transport among emergency nurses in Hong Kong: a questionnaire survey.

    abstract:INTRODUCTION:Inter-facility transport (IFT) is a dynamic process and its quality largely depends on pre-transport preparation, emergency equipment support and recognition of possible en route adverse events. This study aims to evaluate knowledge of IFT among emergency nurses of three Accident and Emergency Departments ...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2008.05.001

    authors: Yeung KL,Yeung GW,Chan MW,Lee SB,Choi KT,Lee LL,Tang SY,Graham CA,Chan JT

    更新日期:2008-07-01 00:00:00

  • Factors influencing violence at emergency departments: Patients' relatives' perspectives.

    abstract:INTRODUCTION:In hospitals, the places where the highest rate of violence is perpetrated are emergency departments (EDs). Evaluating patient relatives' perceptions of violence and obtaining their views about how to prevent violence incidents are important in terms of uncovering the factors that increase violent behavior...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2020.100942

    authors: Bingöl S,İnce S

    更新日期:2021-01-01 00:00:00

  • How effective is trauma simulation as an educational process for healthcare providers within the trauma networks? A systematic review.

    abstract:BACKGROUND:Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs). OBJECTIVE:The aim is to undertake a...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2018.03.007

    authors: Barleycorn D,Lee GA

    更新日期:2018-09-01 00:00:00

  • Elder abuse in the emergency department.

    abstract::Elder abuse is an important challenge in global societies. Detection of and intervention in elder abuse is crucial to the well-being of older people. Older people are high consumers of health care services and the consequences of elder abuse may provide a catalyst to attendance in the emergency department. This paper ...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2012.03.009

    authors: Phelan A

    更新日期:2012-10-01 00:00:00

  • Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice.

    abstract:INTRODUCTION:There are a number of perceived benefits and barriers to family presence during resuscitation (FPDR) in the emergency department, and debate continues among health professionals regarding the practice of family presence. AIM:This review of the literature aims to develop an understanding of the perceived b...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2013.07.001

    authors: Porter JE,Cooper SJ,Sellick K

    更新日期:2014-04-01 00:00:00

  • The nurse-patient relationship in pre-hospital emergency care--from the perspective of Swedish specialist ambulance nursing students.

    abstract::The development of the Swedish ambulance service has resulted in three different competence levels in Swedish ambulance teams: specialist ambulance nurses, registered nurses and emergency medical technicians. A nursing scientific model developed by Peplau (Peplau, H., 1991. Interpersonal Relations in Nursing. Springer...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2012.10.003

    authors: Berntsson T,Hildingh C

    更新日期:2013-10-01 00:00:00

  • Nurses' perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study.

    abstract::Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) in Thailand is currently not available in a useable form. A care bundle was used to summarise an evidence-based approach to the initial emergency nursing management of patients with severe TBI and was implemented in o...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2015.04.004

    authors: Damkliang J,Considine J,Kent B,Street M

    更新日期:2015-10-01 00:00:00

  • Patient experience of the triage encounter in a Swedish emergency department.

    abstract:UNLABELLED:Emergency department triage is a prerequisite for the rapid identification of critically ill patients and for allocation of the correct acuity level which is pivotal for medical safety. The patient's first encounter with a medical professional in the emergency department is often with the triage nurse. OBJE...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2009.10.001

    authors: Göransson KE,von Rosen A

    更新日期:2010-01-01 00:00:00

  • Nurse-led ED support for residential aged care facility staff: an evaluation study.

    abstract:OBJECTIVES:To evaluate the impact of a nurse-led telephone support service to Residential Aged Care Facilities (RACFs) on a range of measures relating to the transfer of acutely unwell residents to the Emergency Department (ED) of a large tertiary referral hospital in New South Wales, Australia over a 9 month period. ...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2014.11.005

    authors: Conway J,Higgins I,Hullick C,Hewitt J,Dilworth S

    更新日期:2015-04-01 00:00:00

  • Atrial fibrillation in the elderly -- not a benign condition.

    abstract::Atrial fibrillation (AF) is the most commonly seen arrhythmia and its prevalence increases with age. In the general population, rates of 1-2% are reported but in older patients, the rates increase to over 10% (in those aged 85years or older). Many older patients present to the emergency department (ED) with complaints...

    journal_title:International emergency nursing

    pub_type: 杂志文章

    doi:10.1016/j.ienj.2012.05.003

    authors: Lee GA,Stub D,Ling H

    更新日期:2012-10-01 00:00:00

  • Top ten: A model of dominating factors influencing job satisfaction of emergency nurses.

    abstract:BACKGROUND:Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction ...

    journal_title:International emergency nursing

    pub_type: 杂志文章,评审

    doi:10.1016/j.ienj.2019.100814

    authors: Staempfli S,Lamarche K

    更新日期:2020-03-01 00:00:00