Admission Decision-Making in Hospital Emergency Departments: the Role of the Accompanying Person
Article
Rance, S., Westlake, D., Brant, H., Holme, I., Endacott, R., Pinkney, J. and Byng, R. 2020. Admission Decision-Making in Hospital Emergency Departments: the Role of the Accompanying Person. Global Qualitative Nursing Research. 7. https://doi.org/10.1177/2333393620930024
Authors | Rance, S., Westlake, D., Brant, H., Holme, I., Endacott, R., Pinkney, J. and Byng, R. |
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Abstract | In resource-stretched emergency departments, people accompanying patients play key roles in patients' care. This article presents analysis of the ways health professionals and accompanying persons talked about admission decisions and caring roles. The authors used ethnographic case study design involving participant observation and semi-structured interviews with 13 patients, 17 accompanying persons and 26 healthcare professionals in four National Health Service hospitals in south-west England. Focused analysis of interactional data revealed that professionals’ standardization of the patient-carer relationship contrasted with accompanying persons' varied connections with patients. Accompanying persons could directly or obliquely express willingness, ambivalence and resistance to supporting patients’ care. The drive to avoid admissions can lead health professionals to deploy conversational skills to enlist accompanying persons for discharge care without exploring the meanings of their particular relations with patients. Taking a relationship-centered approach could improve attention to accompanying persons as co-producers of healthcare and participants in decision-making. |
Journal | Global Qualitative Nursing Research |
Journal citation | 7 |
ISSN | 2333-3936 |
Year | 2020 |
Publisher | SAGE Publications |
Accepted author manuscript | License File Access Level Repository staff only |
Publisher's version | License File Access Level Anyone |
Digital Object Identifier (DOI) | https://doi.org/10.1177/2333393620930024 |
Publication dates | |
Online | 18 Jun 2020 |
Publication process dates | |
Accepted | 21 Apr 2020 |
Funder | National Institute for Health Research |
Copyright holder | © The Authors |
https://repository.uel.ac.uk/item/87yyw
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