Ángela M Ortega-Galán1, M Dolores Ruiz-Fernández2, Rocío Ortiz-Amo3, José Cabrera-Troya4, Inés M Carmona-Rega5, Olivia Ibáñez-Masero6. 1. Departamento de Enfermería, Universidad de Huelva, Huelva, España. 2. Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, España. Distrito Sanitario Almería, Servicio Andaluz de Salud, Almería, España; Distrito Sanitario Almería, Servicio Andaluz de Salud, Almería, España. Electronic address: mrf757@ual.es. 3. Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, España. Distrito Sanitario Almería, Servicio Andaluz de Salud, Almería, España. 4. AGS Sevilla Sur, Servicio Andaluz de Salud, Sevilla, España. 5. Distrito Metropolitano Granada, Servicio Andaluz de Salud, Granada, España. 6. Unidad de Cuidados Intensivos, Complejo Hospitalario Universitario de Huelva, Huelva, España.
Abstract
OBJECTIVE: To discover the experiences of end-of-life patients attended by the emergency services, through the discourse of the family caregivers who accompanied the family member in this care transit. METHOD: A qualitative approach study, based on the paradigm of hermeneutical phenomenology. In total, 81 family caregivers participated. The techniques used were the in-depth interview and the discussion group, with a total of 5 discussion groups and 41 interviews. The period of data collection was carried out between January 2013 and June 2014. RESULTS: In the network of discourses obtained with respect to "Urgent Care", all the codes were grouped in relation to a single argumentative line: deficiencies in urgent care. Among them, we found different dimensions that are established depending on the different times of care, or the different determinant aspects of these deficiencies: disorganization of the care received, lack of experience of the professionals in emergencies, application of general protocols in the emergency services, inadequate care in the treatment received, delays in emergency care. CONCLUSIONS: In general, we highlight the dissatisfaction of the family members with respect to the care received from the emergency services. The needs of these types of situation are not covered from these services and are of low quality. Therefore, it is necessary to reorient the care protocols for these patients.
OBJECTIVE: To discover the experiences of end-of-life patients attended by the emergency services, through the discourse of the family caregivers who accompanied the family member in this care transit. METHOD: A qualitative approach study, based on the paradigm of hermeneutical phenomenology. In total, 81 family caregivers participated. The techniques used were the in-depth interview and the discussion group, with a total of 5 discussion groups and 41 interviews. The period of data collection was carried out between January 2013 and June 2014. RESULTS: In the network of discourses obtained with respect to "Urgent Care", all the codes were grouped in relation to a single argumentative line: deficiencies in urgent care. Among them, we found different dimensions that are established depending on the different times of care, or the different determinant aspects of these deficiencies: disorganization of the care received, lack of experience of the professionals in emergencies, application of general protocols in the emergency services, inadequate care in the treatment received, delays in emergency care. CONCLUSIONS: In general, we highlight the dissatisfaction of the family members with respect to the care received from the emergency services. The needs of these types of situation are not covered from these services and are of low quality. Therefore, it is necessary to reorient the care protocols for these patients.
Keywords:
Atención; Attention; Caregivers; Cuidadores; Emergency medical services; End of life; Final de la vida; Investigación cualitativa; Qualitative research; Servicios médicos de urgencias
Authors: E Begoña García-Navarro; Alicia Medina-Ortega; Sonia García Navarro Journal: Int J Environ Res Public Health Date: 2021-12-26 Impact factor: 3.390