Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users

Older adults are a major Emergency Department (ED) user group who may be especially vulnerable to the consequences of crowding and sub-optimal care. Patient experience is a critical component of high-quality ED care and has previously been conceptualised using a framework focusing on patients’ needs...

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Main Authors: Graham, B., Smith, J.E., Nelmes, P., Squire, R., Latour, Jos
Format: Journal Article
Language:English
Published: 2023
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/94017
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author Graham, B.
Smith, J.E.
Nelmes, P.
Squire, R.
Latour, Jos
author_facet Graham, B.
Smith, J.E.
Nelmes, P.
Squire, R.
Latour, Jos
author_sort Graham, B.
building Curtin Institutional Repository
collection Online Access
description Older adults are a major Emergency Department (ED) user group who may be especially vulnerable to the consequences of crowding and sub-optimal care. Patient experience is a critical component of high-quality ED care and has previously been conceptualised using a framework focusing on patients’ needs. This study aimed to explore the experiences of older adults attending the ED in relation to the existing needs-based framework. Semi-structured interviews were conducted during an emergency care episode with 24 participants aged over 65 years in a United Kingdom ED with an annual census ~100,000. Questions exploring patient experiences of care confirmed that meeting the communication, care, waiting, physical, and environmental needs were prominent determinants of experience for older adults. A further analytical theme emerged which did not align to the existing framework, focused on ‘team attitudes and values’. This study builds on existing knowledge relating to the experience of older adults in the ED. In addition, data will also contribute to the generation of candidate items for the development of a patient reported experience measure for older adults attending the ED.
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spelling curtin-20.500.11937-940172024-01-25T01:23:38Z Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users Graham, B. Smith, J.E. Nelmes, P. Squire, R. Latour, Jos aged communication emergency department emergency medicine patient experience Older adults are a major Emergency Department (ED) user group who may be especially vulnerable to the consequences of crowding and sub-optimal care. Patient experience is a critical component of high-quality ED care and has previously been conceptualised using a framework focusing on patients’ needs. This study aimed to explore the experiences of older adults attending the ED in relation to the existing needs-based framework. Semi-structured interviews were conducted during an emergency care episode with 24 participants aged over 65 years in a United Kingdom ED with an annual census ~100,000. Questions exploring patient experiences of care confirmed that meeting the communication, care, waiting, physical, and environmental needs were prominent determinants of experience for older adults. A further analytical theme emerged which did not align to the existing framework, focused on ‘team attitudes and values’. This study builds on existing knowledge relating to the experience of older adults in the ED. In addition, data will also contribute to the generation of candidate items for the development of a patient reported experience measure for older adults attending the ED. 2023 Journal Article http://hdl.handle.net/20.500.11937/94017 10.3390/healthcare11050717 eng http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle aged
communication
emergency department
emergency medicine
patient experience
Graham, B.
Smith, J.E.
Nelmes, P.
Squire, R.
Latour, Jos
Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users
title Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users
title_full Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users
title_fullStr Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users
title_full_unstemmed Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users
title_short Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users
title_sort initial development of a patient reported experience measure for older adults attending the emergency department: part i—interviews with service users
topic aged
communication
emergency department
emergency medicine
patient experience
url http://hdl.handle.net/20.500.11937/94017