Evidence map›Paper›PMID 34753758›Full record

ArticleBMJ open2021

What are the needs and preferences of patients and family members discharged from the emergency department within 24 hours? A qualitative study towards a family-centred approach.

Christina Østervang, Annmarie Touborg Lassen, Charlotte Myhre Jensen, Elisabeth Coyne, Karin Brochstedt Dieperink

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

5 authors.

Christina ØstervangDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark christina.oestervang.nielsen@rsyd.dk.ORCID 0000-0001-5990-0167
Annmarie Touborg LassenDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.ORCID 0000-0003-4942-6152
Charlotte Myhre JensenClinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.ORCID 0000-0002-7058-4641
Elisabeth CoyneClinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.ORCID 0000-0001-8511-600X
Karin Brochstedt DieperinkClinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.ORCID 0000-0003-4766-3242

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is an increase in patients being discharged after short stays in the emergency department, but there is limited knowledge of their perspectives on treatment and care. This study aims to explore and understand the needs and preferences of emergency care from the perspective of patients and family members discharged from the emergency department within 24 hours of admission.

designThe study reports from the first phase in an overall participatory design project. Systematic text condensation was used to identify key themes from field observations and interviews with patients and family members.

settingThis study was conducted in two emergency departments in the Region of Southern Denmark.

participantsAll adults aged ≥18 years who had been discharged from the emergency department within 24 hours were eligible to take part. Purposeful sampling was used to recruit patients and family members with different sociodemographic features.

resultsField observational studies (n=50 hours), individual interviews with patients (N=19) and family members (N=3), and joint interviews with patients and family members (N=4) were carried out. Four themes were derived from the material: (1) being in a vulnerable place-having emotional concerns; (2) having a need for person-centred information; (3) the atmosphere in the emergency department and (4) implications of family presence.

conclusionThis study demonstrates a gap between patients' and family members' needs and preferences and what current emergency departments deliver. The findings highlight the importance of family and person-centred care. Tailored communication and information with genuine involvement of family members is found to be essential needs during acute illness.

Indexed as

FamilyPatient DischargeAdolescentAdultCommunicationEmergency Service, HospitalHumansQualitative Researchaccident & emergency medicinequalitative researchquality in health care

Identifiers

PMID34753758
PMCPMC8578985

What OpenQuestion holds

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LicenceCC BY-NC
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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.