ORCID Profile
0000-0002-1819-4371
Current Organisations
Monash University
,
Monash University/Federation University
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Publisher: Wiley
Date: 13-07-2022
DOI: 10.1111/JAN.15336
Abstract: This paper explores the personal, social and structural factors that influence patients' experiences of acute deterioration and medical emergency team (MET) encounter. Patient experience is recognized as a means of assessing healthcare delivery with a positive experience being linked to high‐quality healthcare, improved patient safety and reduced length of stay. The experience of acute deterioration is unique, extensive and complex. However, little is known about this experience from the patient's perspective. Constructivist grounded theory, informed by Kathy Charmaz, was used to explore the personal, social and structural factors that influence patients' experiences of acute deterioration and MET encounter. Using a semi‐structured interview guide, in‐depth in idual interviews were conducted with 27 patients from three healthcare services in Victoria, Australia. Data were collected over a 12‐month period from 2018 to 2019. Interview data were analysed using grounded theory processes. Contextual factors exert a powerful influence on patients' experiences of acute deterioration and MET encounter. The most significant factors identified include patients' expectations and illness perception, relationship with healthcare professionals during MET call and past experiences of acute illness. The expectations and perceptions patients had about their disease can condition their overall experience. Healthcare professional–patient interactions can significantly impact quality of care, patient experience and recovery. Patients' experiences of illness and healthcare can impact a person's future health‐seeking behaviour and health status. Patients' actions and processes about their experiences of acute deterioration and MET encounter are the result of the complex interface of contextual factors. The findings from this study have highlighted the need for revised protocols for screening and management of patients who experience acute deterioration.
Publisher: Elsevier BV
Date: 2020
DOI: 10.1016/J.IJNURSTU.2019.103404
Abstract: Patient experience is recognised as a means of assessing healthcare delivery with organisations in many countries now gathering patient experience or satisfaction data. It is well documented that the benefits of improving a patients' experience include increased satisfaction, reduced length of stay, improved patient outcomes and reduction of costs. The experience of acute clinical deterioration is unique, extensive and complex as well as being a difficult experience for all involved. However, little is known about this experience from the patient's perspective. To explore what is known about the experiences of acute deterioration from the perspective of the patient. A scoping review of international, peer-reviewed research studies and grey literature published between the years of 2000 and 2018. This review was guided by the three-step search strategy recommended by the Joanna Briggs Institute (JBI). A range of databases were searched, including CINAHL, Medline, Health Source, Joanna Briggs Institute, PsycINFO, Embase via Ovid, Cochrane library, Ovid Emcare, Scopus as well as grey literature, reference lists and the search engine Google Scholar. Joanna Briggs Institute (JBI) scoping review framework was utilised to identify patients' experiences of acute deterioration. Ten databases were searched, and 249 articles were retrieved. After screening the titles and abstracts, 102 articles were assessed in full text for eligibility, and finally 23 articles were further analysed and synthesised using inductive thematic analysis. 19 qualitative studies, three quantitative and one mixed methods study met the inclusion criteria. Seven key themes emerged related to patients' experience of acute deterioration: (1) transformation of perception: memories of factual events (2) psychological transformation: emotional distress and well-being (3) physiological transformation: physical distress (4) facing death (5) the severity of acute deterioration: from the perspective of the patient (6) relationship with healthcare professionals and the clinical environment and (7) the value of relationships: the support of family and friends. Participants had considerable recall of their experiences and hospital admissions. The themes highlight the important issues patients face during their own acute physiological deterioration. This review has highlighted that further research is needed to specifically explore the patients' experience of acute deterioration and the emergency management they receive, for ex le from a hospital's rapid response team (RRT) or medical emergency team (MET).
No related grants have been discovered for Catherine Chung.