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Care experiences of older people with mental health needs and their families in emergency medical services settings
BACKGROUND: There are challenges to person‐centred care provision in Emergency Medical Services (EMS) settings. The environment is often busy and noisy which can influence the experience of older people and their carer/partners when they attend emergency departments. Older people with mental health...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10078226/ https://www.ncbi.nlm.nih.gov/pubmed/36017887 http://dx.doi.org/10.1111/opn.12500 |
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author | Goode, Deborah Ryan, Assumpta Melby, Vidar Slater, Paul |
author_facet | Goode, Deborah Ryan, Assumpta Melby, Vidar Slater, Paul |
author_sort | Goode, Deborah |
collection | PubMed |
description | BACKGROUND: There are challenges to person‐centred care provision in Emergency Medical Services (EMS) settings. The environment is often busy and noisy which can influence the experience of older people and their carer/partners when they attend emergency departments. Older people with mental health needs are a vulnerable group of people who are at risk of not having their needs met in acute care settings. This is due to complex presentations and increased pressures on the EMS system. AIM: The aim of the paper was to explore the care experience of older people with mental health needs and their carer/partners in pre‐hospital and in‐hospital Emergency Medical Services settings. METHOD: This study used an interpretive qualitative approach incorporating in‐depth, individual interviews to gather information on the experience of the older person with mental health needs and carers/partners. Data were analysed using Braun and Clarke's (2006) thematic analysis. RESULTS: Fifteen individual interviews were carried out with older people with mental health needs (n = 10) and with carers/partners (n = 5). Six themes on ‘Getting there, getting in and getting out’, ‘Seeing the person’, ‘Perceptions and experiences of the pre‐hospital and Emergency Department (ED)’, ‘The effects of the experience on personal well‐being’, ‘Older person/carer/partner perceptions and experiences of the EMS staff’ and ‘Making it better’ emerged from the data. CONCLUSIONS: The results suggest that previous experiences with the emergency care system influence the way older people with mental health needs and their carers make decisions on current and future care needs. Negative experiences can be influenced by the layout and organisation of the ED. Participants remain reluctant to discuss or disclose their diagnosis in the Emergency Medical Services setting due to a perceived stigma. Health and social care systems and services need to undergo transformations to ensure that all people who access services are treated fairly and effectively. |
format | Online Article Text |
id | pubmed-10078226 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100782262023-04-07 Care experiences of older people with mental health needs and their families in emergency medical services settings Goode, Deborah Ryan, Assumpta Melby, Vidar Slater, Paul Int J Older People Nurs Original Articles BACKGROUND: There are challenges to person‐centred care provision in Emergency Medical Services (EMS) settings. The environment is often busy and noisy which can influence the experience of older people and their carer/partners when they attend emergency departments. Older people with mental health needs are a vulnerable group of people who are at risk of not having their needs met in acute care settings. This is due to complex presentations and increased pressures on the EMS system. AIM: The aim of the paper was to explore the care experience of older people with mental health needs and their carer/partners in pre‐hospital and in‐hospital Emergency Medical Services settings. METHOD: This study used an interpretive qualitative approach incorporating in‐depth, individual interviews to gather information on the experience of the older person with mental health needs and carers/partners. Data were analysed using Braun and Clarke's (2006) thematic analysis. RESULTS: Fifteen individual interviews were carried out with older people with mental health needs (n = 10) and with carers/partners (n = 5). Six themes on ‘Getting there, getting in and getting out’, ‘Seeing the person’, ‘Perceptions and experiences of the pre‐hospital and Emergency Department (ED)’, ‘The effects of the experience on personal well‐being’, ‘Older person/carer/partner perceptions and experiences of the EMS staff’ and ‘Making it better’ emerged from the data. CONCLUSIONS: The results suggest that previous experiences with the emergency care system influence the way older people with mental health needs and their carers make decisions on current and future care needs. Negative experiences can be influenced by the layout and organisation of the ED. Participants remain reluctant to discuss or disclose their diagnosis in the Emergency Medical Services setting due to a perceived stigma. Health and social care systems and services need to undergo transformations to ensure that all people who access services are treated fairly and effectively. John Wiley and Sons Inc. 2022-08-26 2023-01 /pmc/articles/PMC10078226/ /pubmed/36017887 http://dx.doi.org/10.1111/opn.12500 Text en © 2022 The Authors. International Journal of Older People Nursing published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Goode, Deborah Ryan, Assumpta Melby, Vidar Slater, Paul Care experiences of older people with mental health needs and their families in emergency medical services settings |
title | Care experiences of older people with mental health needs and their families in emergency medical services settings |
title_full | Care experiences of older people with mental health needs and their families in emergency medical services settings |
title_fullStr | Care experiences of older people with mental health needs and their families in emergency medical services settings |
title_full_unstemmed | Care experiences of older people with mental health needs and their families in emergency medical services settings |
title_short | Care experiences of older people with mental health needs and their families in emergency medical services settings |
title_sort | care experiences of older people with mental health needs and their families in emergency medical services settings |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10078226/ https://www.ncbi.nlm.nih.gov/pubmed/36017887 http://dx.doi.org/10.1111/opn.12500 |
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