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Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff
BACKGROUND: Not much is known about emergency care delivered in patients’ homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff’s experiences of encountering and counseling patients and their family members. METHODS: A descriptive cross-sectional design...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324227/ https://www.ncbi.nlm.nih.gov/pubmed/28250716 http://dx.doi.org/10.1186/s12912-017-0205-7 |
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author | Paavilainen, Eija Mikkola, Riitta Salminen-Tuomaala, Mari Leikkola, Päivi |
author_facet | Paavilainen, Eija Mikkola, Riitta Salminen-Tuomaala, Mari Leikkola, Päivi |
author_sort | Paavilainen, Eija |
collection | PubMed |
description | BACKGROUND: Not much is known about emergency care delivered in patients’ homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff’s experiences of encountering and counseling patients and their family members. METHODS: A descriptive cross-sectional design was applied. Data were collected from a hospital district in Finland from emergency care staff via an electronic survey questionnaire specifically developed for this purpose (N = 125, N = 142 reponse rate 59%, response rate 53%) and analyzed using descriptive statistics. RESULTS: Respondents succeeded in encountering (up to 3.88/4) and counseling (up to 3.89/4) patients and family members. Challenges were related to introducing themselves to family members (3.20/4), to interacting with patients from different cultures (3.38/4) and to allowing family members to be present in care situations (2.29/4). Providing emotional support (2.56/4), especially to family members, and confirming (3.16/4) and ensuring continuity of care instructions (3.00/4) were found to be challenging. CONCLUSIONS: High-level counseling in acute out-of-hospital situations demands that care providers can put themselves into the patient’s and family’s situation, ensure follow-up care and provide care instructions to both patients and families. The presence and participation of family members is essential in acute care situations outside hospital contexts. Ensuring that these contents are included and practiced during basic and continuing emergency care education for nurses and other emergency staff is crucial for developing counseling practices. |
format | Online Article Text |
id | pubmed-5324227 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53242272017-03-01 Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff Paavilainen, Eija Mikkola, Riitta Salminen-Tuomaala, Mari Leikkola, Päivi BMC Nurs Research Article BACKGROUND: Not much is known about emergency care delivered in patients’ homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff’s experiences of encountering and counseling patients and their family members. METHODS: A descriptive cross-sectional design was applied. Data were collected from a hospital district in Finland from emergency care staff via an electronic survey questionnaire specifically developed for this purpose (N = 125, N = 142 reponse rate 59%, response rate 53%) and analyzed using descriptive statistics. RESULTS: Respondents succeeded in encountering (up to 3.88/4) and counseling (up to 3.89/4) patients and family members. Challenges were related to introducing themselves to family members (3.20/4), to interacting with patients from different cultures (3.38/4) and to allowing family members to be present in care situations (2.29/4). Providing emotional support (2.56/4), especially to family members, and confirming (3.16/4) and ensuring continuity of care instructions (3.00/4) were found to be challenging. CONCLUSIONS: High-level counseling in acute out-of-hospital situations demands that care providers can put themselves into the patient’s and family’s situation, ensure follow-up care and provide care instructions to both patients and families. The presence and participation of family members is essential in acute care situations outside hospital contexts. Ensuring that these contents are included and practiced during basic and continuing emergency care education for nurses and other emergency staff is crucial for developing counseling practices. BioMed Central 2017-02-23 /pmc/articles/PMC5324227/ /pubmed/28250716 http://dx.doi.org/10.1186/s12912-017-0205-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Paavilainen, Eija Mikkola, Riitta Salminen-Tuomaala, Mari Leikkola, Päivi Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
title | Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
title_full | Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
title_fullStr | Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
title_full_unstemmed | Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
title_short | Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
title_sort | counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324227/ https://www.ncbi.nlm.nih.gov/pubmed/28250716 http://dx.doi.org/10.1186/s12912-017-0205-7 |
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