Evidence map›Paper›PMID 32841463›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Stakeholders' perspectives on models of care in the emergency department and the introduction of health and social care professional teams: A qualitative analysis using World Cafés and interviews.

Marica Cassarino, Rosie Quinn, Fiona Boland, Marie E Ward, Rosa McNamara, Margaret O'Connor, Gerard McCarthy, Damien Ryan, Rose Galvin, Katie Robinson

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. 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.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Integrated Care ModelInternational journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marica CassarinoFaculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, School of Allied Health, University of Limerick, Limerick, Ireland.ORCID 0000-0002-1624-921X
Rosie QuinnEmergency Department, Our Lady of Lourdes Hospital Drogheda, Drogheda, Ireland.
Fiona BolandHRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland.
Marie E WardSchool of Psychology, Trinity College, the University of Dublin, Dublin 2, Ireland.ORCID 0000-0002-6638-8461
Rosa McNamaraEmergency Department, St. Vincent University Hospital, Dublin, Ireland.
Margaret O'ConnorDepartment of Ageing and Therapeutics, University Hospital Limerick, Limerick, Ireland.
Gerard McCarthyEmergency Department, Cork University Hospital, Cork, Ireland.
Damien RyanFaculty of Education and Health Sciences, Graduate Entry Medical School, University of Limerick, Limerick, Ireland.ORCID 0000-0001-7457-2640
Rose GalvinFaculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, School of Allied Health, University of Limerick, Limerick, Ireland.ORCID 0000-0002-8171-224X
Katie RobinsonFaculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, School of Allied Health, University of Limerick, Limerick, Ireland.ORCID 0000-0003-1008-9857

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is some evidence that health and social care professional (HSCP) teams contribute to enhanced patient and process outcomes in increasingly crowded emergency departments (EDs), but the views of service users and providers on this model of care need investigation to optimize implementation.

objectiveThis qualitative study investigated the perspectives of key ED stakeholders about HSCP teams working in the ED.

methodsUsing a participatory design, we conducted World Café focus groups and individual interviews in two Irish hospital sites with 65 participants (purposive sampling) including ED patients and carers/relatives, ED doctors and nurses, HSCPs and pre-hospital staff. Data were thematically analysed using NVivo software.

resultsParticipants reported that ED-based HSCP teams could improve quality and integration of care and staff experience (Theme 1) and would be appropriate for older adults with complex needs and non-urgent complaints (Theme 2). Concerns were raised about operational and relational barriers to implementation (Theme 3), and changes in processes and culture were considered necessary for HSCPs to work successfully in the ED (Theme 4). In contrast to service providers, service users' concerns centred on the importance of positive communication and relations (Theme 5).

conclusionsOur study indicates potential acceptability of HSCP teams working in the ED, especially to care for older adults; however, operational and relational aspects, particularly developing interdisciplinary and integrated care, need addressing to ensure successful implementation. Differences in priorities between service users and providers (relational vs operational) highlighted the usefulness of gathering views from multiple stakeholders to understand ED processes.

Indexed as

Emergency Service, HospitalPatient Care TeamAgedFocus GroupsHumansPersonnel, HospitalQualitative ResearchSocial Supportemergency departmenthealth and social care professionalsimplementationinterdisciplinary careparticipatory researchWorld Café

Identifiers

PMID32841463
PMCPMC7696138

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.