ArticleIsrael journal of health policy research2018
Factors related to negative feelings experienced by emergency department patients and accompanying persons: an Israeli study.
Article in Israel journal of health policy research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Pooled it
- Assessing emergency department nurses' ability to communicate with angry patients and the factors that influence it.Frontiers in public health · 2023Article
- An Analysis of Waiting Time for Emergency Treatment and Optimal Allocation of Nursing Manpower.Healthcare (Basel, Switzerland) · 2022Article
- Use of "Finding Cards" to Improve Relative Experience on Arrival at an Emergency Department.Journal of patient experience · 2022Article
- Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review.International journal of environmental research and public health · 2021Article
- Israeli Willingness to be Treated by a Physician Assistant.Journal of community health · 2020Article
- Patient Opinion of Visiting Therapy Dogs in a Hospital Emergency Department.International journal of environmental research and public health · 2020Article
- Utilizing compassion and collaboration to reduce violence in healthcare settings.Israel journal of health policy research · 2018Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies on hospital violence have emphasized the importance of staff- service recipient interaction in leading to violent incidents. These incidents are the extreme result of service recipients' frustration and anger in their interaction with staff. The aim of this study was to analyze factors related to negative experiences of emergency department (ED) patients and accompanying persons in Israeli hospitals.
methodsStructured interviews with 692 participants in seven major general Israeli hospitals: 322 patients and 370 accompanying persons.
resultsNegative feelings while in the ED were reported by 23.6% of patients and 20.5% of accompanying persons. Eight aggregate variables relating to staff-patients/accompanying persons interaction were identified: 1. General attitudes of staff and quality of ED experience; 2. Staff attitudes towards patients; 3. Staff attitudes towards accompanying persons; 4. Waiting; 5. Quality of perceived medical care; 6. Information provided to patients and accompanying persons; 7. Information provided to patients, as reported by accompanying persons; and 8. Severity of medical problem. Among patients, the only significant aggregate variable related to anger and frustration was perceived quality of care. Among accompanying persons, the three significant contributors to negative feelings were: 1. Staff's general attitudes; 2. Attitudes towards patients; and 3. Severity of patients' medical problem. Analysis of specific items within the variables revealed that, whereas patients' negative feelings were related to nurses' perceived negative attitudes those of accompanying persons were related to the doctors' perceived negative attitudes. In addition, patients' negative feelings were related to low severity of medical problem, whereas accompanying persons' negative feelings were related to patients' low severity of pain.
conclusionsThe study reveals the importance of including both patients and accompanying persons in the analysis of staff-service recipient interactions in EDs. The results are discussed in terms of patients' and accompanying persons' different perspectives. Three practical implications of the results are put forward, aiming at reducing patients/accompanying persons-staff frictions in the EDs, thus decreasing the potential of violent outbursts against ED staff: (1) implementing a framework based on "patient-centeredness" for the restoration of patient's sense of agency and empowerment; (2) broadening the scope of laws concerning patient's rights to include their families and other accompanying persons; and (3) implementing courses on interpersonal and human service skills, as well as teaching skills of handling emotional stressors experienced by both the staff and service recipients.
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