Waiting and hoping: a phenomenographic study of the experiences of boarded patients in the emergency department
Aims and objectives To understand the experiences and concerns of patients in the emergency department during inpatient boarding. Background Boarding in the emergency department is an increasingly common phenomenon worldwide. Emergency department staff, patients and their families become more stress...
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| Veröffentlicht in: | Journal of clinical nursing 2017-03, Vol.26 (5-6), p.840-848 |
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| container_issue | 5-6 |
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| container_title | Journal of clinical nursing |
| container_volume | 26 |
| creator | Han, Chin‐Yen Lin, Chun‐Chih Goopy, Suzanne Hsiao, Ya‐Chu Barnard, Alan Wang, Li‐Hsiang |
| description | Aims and objectives
To understand the experiences and concerns of patients in the emergency department during inpatient boarding.
Background
Boarding in the emergency department is an increasingly common phenomenon worldwide. Emergency department staff, patients and their families become more stressed as the duration of boarding in the emergency department increases. Yet, there is limited knowledge of the experiences and concerns of boarded patients.
Design
The qualitative approach of phenomenography was used in the study.
Methods
The phenomenographic study was conducted in one emergency department that treats approximately 15,000 patients each month. Twenty emergency department boarding patients were recruited between July–September 2014. Semi‐structured interviews were used for data collection. The seven steps of qualitative data analysis for a phenomenographic study – familiarisation, articulation, condensation, grouping, comparison, labelling and contrasting – were employed to develop an understanding of participants’ experiences and concerns during their inpatient boarding in the emergency department.
Results
The perceptions that emerged from the data were collected into four categories of description of the phenomenon of emergency department boarding patients: a helpless choice; loyalty to specific hospitals and doctors; an inevitable challenge of life; and distrust of the healthcare system. The outcome space for the emergency department boarding patients was waiting and hoping for a cure.
Conclusion
The experiences and concerns of emergency department boarding patients include physical, psychological, spiritual and health system dimensions. It is necessary to develop an integrated model of care for these patients.
Relevance to clinical practice
Understanding the experiences and concerns of patients who are placed on boarding status in the ED will help emergency healthcare professionals to improve the quality of emergency care. There is a need to develop a care model and associated intervention measures for emergency department patients during the boarding process. The results of this study will help health regulatory authorities to develop an appropriate emergency department boarding system so that patients receive better emergency care. |
| doi_str_mv | 10.1111/jocn.13621 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1885866367</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2076572013</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4181-71d06a17c31ae043cdc59d1c7d9926dab86efffe5fe72d6694e134070b69a81e3</originalsourceid><addsrcrecordid>eNqN0UFr2zAUB3AxOpa022UfYAh6GQV3elIk2b2VsHYbZb1s7CgU6TlxiC1Xsuny7afM2Q47hAnEE48ffyE9Qt4Cu4a8PmyD665BKA4vyDxXWXDN-BmZs0rxApjSM3Ke0pYxEJyLV2TGdcmkljAn4YdthqZbU9t5ugl9Pt5QS_sNdqHNex1tv2kcTcPo9zTUdNggxZ89xgY7h-nQWgUbPXra2yE3h0SbbmItxnVWe-qxt3HIecNr8rK2u4RvjvWCfL_7-G35qXh4vP-8vH0o3AJKKDR4pixoJ8AiWwjnnaw8OO2riitvV6XCuq5R1qi5V6paIIgF02ylKlsCigvyfsrtY3gaMQ2mbZLD3c52GMZkoCxlqZRQ-j-okJJDxViml__QbRhjlx9iONNKap6_-JSCMhMlmDhcezUpF0NKEWvTx6a1cW-AmcNczWGu5vdcM353jBxXLfq_9M8gM4AJPDc73J-IMl8el1-n0F_maqyf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1872063037</pqid></control><display><type>article</type><title>Waiting and hoping: a phenomenographic study of the experiences of boarded patients in the emergency department</title><source>MEDLINE</source><source>Wiley Online Library</source><creator>Han, Chin‐Yen ; Lin, Chun‐Chih ; Goopy, Suzanne ; Hsiao, Ya‐Chu ; Barnard, Alan ; Wang, Li‐Hsiang</creator><creatorcontrib>Han, Chin‐Yen ; Lin, Chun‐Chih ; Goopy, Suzanne ; Hsiao, Ya‐Chu ; Barnard, Alan ; Wang, Li‐Hsiang</creatorcontrib><description>Aims and objectives
To understand the experiences and concerns of patients in the emergency department during inpatient boarding.
Background
Boarding in the emergency department is an increasingly common phenomenon worldwide. Emergency department staff, patients and their families become more stressed as the duration of boarding in the emergency department increases. Yet, there is limited knowledge of the experiences and concerns of boarded patients.
Design
The qualitative approach of phenomenography was used in the study.
Methods
The phenomenographic study was conducted in one emergency department that treats approximately 15,000 patients each month. Twenty emergency department boarding patients were recruited between July–September 2014. Semi‐structured interviews were used for data collection. The seven steps of qualitative data analysis for a phenomenographic study – familiarisation, articulation, condensation, grouping, comparison, labelling and contrasting – were employed to develop an understanding of participants’ experiences and concerns during their inpatient boarding in the emergency department.
Results
The perceptions that emerged from the data were collected into four categories of description of the phenomenon of emergency department boarding patients: a helpless choice; loyalty to specific hospitals and doctors; an inevitable challenge of life; and distrust of the healthcare system. The outcome space for the emergency department boarding patients was waiting and hoping for a cure.
Conclusion
The experiences and concerns of emergency department boarding patients include physical, psychological, spiritual and health system dimensions. It is necessary to develop an integrated model of care for these patients.
Relevance to clinical practice
Understanding the experiences and concerns of patients who are placed on boarding status in the ED will help emergency healthcare professionals to improve the quality of emergency care. There is a need to develop a care model and associated intervention measures for emergency department patients during the boarding process. The results of this study will help health regulatory authorities to develop an appropriate emergency department boarding system so that patients receive better emergency care.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.13621</identifier><identifier>PMID: 27805751</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; boarding ; emergency care ; Emergency medical care ; Emergency Service, Hospital - organization & administration ; Emergency services ; Female ; Hope ; Hospitalization ; Humans ; Inpatients - psychology ; Inpatients - statistics & numerical data ; Male ; Mental Disorders - therapy ; Middle Aged ; Nursing ; Patient Admission ; phenomenography ; Qualitative research ; Stress, Psychological ; Taiwan ; Young Adult</subject><ispartof>Journal of clinical nursing, 2017-03, Vol.26 (5-6), p.840-848</ispartof><rights>2016 John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4181-71d06a17c31ae043cdc59d1c7d9926dab86efffe5fe72d6694e134070b69a81e3</citedby><cites>FETCH-LOGICAL-c4181-71d06a17c31ae043cdc59d1c7d9926dab86efffe5fe72d6694e134070b69a81e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.13621$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.13621$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27805751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Chin‐Yen</creatorcontrib><creatorcontrib>Lin, Chun‐Chih</creatorcontrib><creatorcontrib>Goopy, Suzanne</creatorcontrib><creatorcontrib>Hsiao, Ya‐Chu</creatorcontrib><creatorcontrib>Barnard, Alan</creatorcontrib><creatorcontrib>Wang, Li‐Hsiang</creatorcontrib><title>Waiting and hoping: a phenomenographic study of the experiences of boarded patients in the emergency department</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives
To understand the experiences and concerns of patients in the emergency department during inpatient boarding.
Background
Boarding in the emergency department is an increasingly common phenomenon worldwide. Emergency department staff, patients and their families become more stressed as the duration of boarding in the emergency department increases. Yet, there is limited knowledge of the experiences and concerns of boarded patients.
Design
The qualitative approach of phenomenography was used in the study.
Methods
The phenomenographic study was conducted in one emergency department that treats approximately 15,000 patients each month. Twenty emergency department boarding patients were recruited between July–September 2014. Semi‐structured interviews were used for data collection. The seven steps of qualitative data analysis for a phenomenographic study – familiarisation, articulation, condensation, grouping, comparison, labelling and contrasting – were employed to develop an understanding of participants’ experiences and concerns during their inpatient boarding in the emergency department.
Results
The perceptions that emerged from the data were collected into four categories of description of the phenomenon of emergency department boarding patients: a helpless choice; loyalty to specific hospitals and doctors; an inevitable challenge of life; and distrust of the healthcare system. The outcome space for the emergency department boarding patients was waiting and hoping for a cure.
Conclusion
The experiences and concerns of emergency department boarding patients include physical, psychological, spiritual and health system dimensions. It is necessary to develop an integrated model of care for these patients.
Relevance to clinical practice
Understanding the experiences and concerns of patients who are placed on boarding status in the ED will help emergency healthcare professionals to improve the quality of emergency care. There is a need to develop a care model and associated intervention measures for emergency department patients during the boarding process. The results of this study will help health regulatory authorities to develop an appropriate emergency department boarding system so that patients receive better emergency care.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>boarding</subject><subject>emergency care</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>Emergency services</subject><subject>Female</subject><subject>Hope</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatients - psychology</subject><subject>Inpatients - statistics & numerical data</subject><subject>Male</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Patient Admission</subject><subject>phenomenography</subject><subject>Qualitative research</subject><subject>Stress, Psychological</subject><subject>Taiwan</subject><subject>Young Adult</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0UFr2zAUB3AxOpa022UfYAh6GQV3elIk2b2VsHYbZb1s7CgU6TlxiC1Xsuny7afM2Q47hAnEE48ffyE9Qt4Cu4a8PmyD665BKA4vyDxXWXDN-BmZs0rxApjSM3Ke0pYxEJyLV2TGdcmkljAn4YdthqZbU9t5ugl9Pt5QS_sNdqHNex1tv2kcTcPo9zTUdNggxZ89xgY7h-nQWgUbPXra2yE3h0SbbmItxnVWe-qxt3HIecNr8rK2u4RvjvWCfL_7-G35qXh4vP-8vH0o3AJKKDR4pixoJ8AiWwjnnaw8OO2riitvV6XCuq5R1qi5V6paIIgF02ylKlsCigvyfsrtY3gaMQ2mbZLD3c52GMZkoCxlqZRQ-j-okJJDxViml__QbRhjlx9iONNKap6_-JSCMhMlmDhcezUpF0NKEWvTx6a1cW-AmcNczWGu5vdcM353jBxXLfq_9M8gM4AJPDc73J-IMl8el1-n0F_maqyf</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Han, Chin‐Yen</creator><creator>Lin, Chun‐Chih</creator><creator>Goopy, Suzanne</creator><creator>Hsiao, Ya‐Chu</creator><creator>Barnard, Alan</creator><creator>Wang, Li‐Hsiang</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Waiting and hoping: a phenomenographic study of the experiences of boarded patients in the emergency department</title><author>Han, Chin‐Yen ; Lin, Chun‐Chih ; Goopy, Suzanne ; Hsiao, Ya‐Chu ; Barnard, Alan ; Wang, Li‐Hsiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4181-71d06a17c31ae043cdc59d1c7d9926dab86efffe5fe72d6694e134070b69a81e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>boarding</topic><topic>emergency care</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>Emergency services</topic><topic>Female</topic><topic>Hope</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatients - psychology</topic><topic>Inpatients - statistics & numerical data</topic><topic>Male</topic><topic>Mental Disorders - therapy</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Patient Admission</topic><topic>phenomenography</topic><topic>Qualitative research</topic><topic>Stress, Psychological</topic><topic>Taiwan</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Chin‐Yen</creatorcontrib><creatorcontrib>Lin, Chun‐Chih</creatorcontrib><creatorcontrib>Goopy, Suzanne</creatorcontrib><creatorcontrib>Hsiao, Ya‐Chu</creatorcontrib><creatorcontrib>Barnard, Alan</creatorcontrib><creatorcontrib>Wang, Li‐Hsiang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Chin‐Yen</au><au>Lin, Chun‐Chih</au><au>Goopy, Suzanne</au><au>Hsiao, Ya‐Chu</au><au>Barnard, Alan</au><au>Wang, Li‐Hsiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Waiting and hoping: a phenomenographic study of the experiences of boarded patients in the emergency department</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2017-03</date><risdate>2017</risdate><volume>26</volume><issue>5-6</issue><spage>840</spage><epage>848</epage><pages>840-848</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives
To understand the experiences and concerns of patients in the emergency department during inpatient boarding.
Background
Boarding in the emergency department is an increasingly common phenomenon worldwide. Emergency department staff, patients and their families become more stressed as the duration of boarding in the emergency department increases. Yet, there is limited knowledge of the experiences and concerns of boarded patients.
Design
The qualitative approach of phenomenography was used in the study.
Methods
The phenomenographic study was conducted in one emergency department that treats approximately 15,000 patients each month. Twenty emergency department boarding patients were recruited between July–September 2014. Semi‐structured interviews were used for data collection. The seven steps of qualitative data analysis for a phenomenographic study – familiarisation, articulation, condensation, grouping, comparison, labelling and contrasting – were employed to develop an understanding of participants’ experiences and concerns during their inpatient boarding in the emergency department.
Results
The perceptions that emerged from the data were collected into four categories of description of the phenomenon of emergency department boarding patients: a helpless choice; loyalty to specific hospitals and doctors; an inevitable challenge of life; and distrust of the healthcare system. The outcome space for the emergency department boarding patients was waiting and hoping for a cure.
Conclusion
The experiences and concerns of emergency department boarding patients include physical, psychological, spiritual and health system dimensions. It is necessary to develop an integrated model of care for these patients.
Relevance to clinical practice
Understanding the experiences and concerns of patients who are placed on boarding status in the ED will help emergency healthcare professionals to improve the quality of emergency care. There is a need to develop a care model and associated intervention measures for emergency department patients during the boarding process. The results of this study will help health regulatory authorities to develop an appropriate emergency department boarding system so that patients receive better emergency care.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27805751</pmid><doi>10.1111/jocn.13621</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over boarding emergency care Emergency medical care Emergency Service, Hospital - organization & administration Emergency services Female Hope Hospitalization Humans Inpatients - psychology Inpatients - statistics & numerical data Male Mental Disorders - therapy Middle Aged Nursing Patient Admission phenomenography Qualitative research Stress, Psychological Taiwan Young Adult |
| title | Waiting and hoping: a phenomenographic study of the experiences of boarded patients in the emergency department |
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