Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department
Objective. We explored perspectives of emergency department users (patients and visitors) regarding the management of acute behavioural disturbances in the emergency department and whether these disturbances influenced their levels of anxiety. Methods. Emergency department patients and visitors were...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2011/165738 |
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| author | Magdalen Lim Tracey Weiland Marie Gerdtz Andrew Dent |
| author_facet | Magdalen Lim Tracey Weiland Marie Gerdtz Andrew Dent |
| author_sort | Magdalen Lim |
| collection | DOAJ |
| description | Objective. We explored perspectives of emergency department users (patients and visitors) regarding the management of acute behavioural disturbances in the emergency department and whether these disturbances influenced their levels of anxiety. Methods. Emergency department patients and visitors were surveyed using the State-Trait Anxiety Inventory, and a purpose-designed questionnaire and semistructured interview. The main outcome measures were themes that emerged from the questionnaires, the interviews, and scores from the state component of the State-Trait Anxiety Inventory. Results. 70 participants were recruited. Users of the emergency department preferred behaviourally disturbed people be managed in a separate area from the general emergency department population so that the disturbance was inaudible (𝑛=32) and out of view (𝑛=40). The state anxiety levels of those that witnessed an acute behavioural disturbance were within the normal range and did not differ to that of ED patients that were not present during such a disturbance (median, control = 37, Code Grey = 33). Conclusions. Behavioural disturbances in the emergency department do not provoke anxiety in other users. However, there is a preference that such disturbances be managed out of visual and audible range. Innovative design features may be required to achieve this. |
| format | Article |
| id | doaj-art-741fb643b2dd4130b9b9964a2f247dc1 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-741fb643b2dd4130b9b9964a2f247dc12025-02-03T06:15:13ZengWileyEmergency Medicine International2090-28402090-28592011-01-01201110.1155/2011/165738165738Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency DepartmentMagdalen Lim0Tracey Weiland1Marie Gerdtz2Andrew Dent3St. Vincent's Hospital Melbourne and The University of Melbourne, 41 Victoria Parade, Fitzroy, VIC 3065, AustraliaSt. Vincent's Hospital Melbourne and The University of Melbourne, 41 Victoria Parade, Fitzroy, VIC 3065, AustraliaSchool of Nursing, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, VIC 3010, AustraliaSt. Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, VIC 3065, AustraliaObjective. We explored perspectives of emergency department users (patients and visitors) regarding the management of acute behavioural disturbances in the emergency department and whether these disturbances influenced their levels of anxiety. Methods. Emergency department patients and visitors were surveyed using the State-Trait Anxiety Inventory, and a purpose-designed questionnaire and semistructured interview. The main outcome measures were themes that emerged from the questionnaires, the interviews, and scores from the state component of the State-Trait Anxiety Inventory. Results. 70 participants were recruited. Users of the emergency department preferred behaviourally disturbed people be managed in a separate area from the general emergency department population so that the disturbance was inaudible (𝑛=32) and out of view (𝑛=40). The state anxiety levels of those that witnessed an acute behavioural disturbance were within the normal range and did not differ to that of ED patients that were not present during such a disturbance (median, control = 37, Code Grey = 33). Conclusions. Behavioural disturbances in the emergency department do not provoke anxiety in other users. However, there is a preference that such disturbances be managed out of visual and audible range. Innovative design features may be required to achieve this.http://dx.doi.org/10.1155/2011/165738 |
| spellingShingle | Magdalen Lim Tracey Weiland Marie Gerdtz Andrew Dent Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department Emergency Medicine International |
| title | Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department |
| title_full | Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department |
| title_fullStr | Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department |
| title_full_unstemmed | Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department |
| title_short | Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department |
| title_sort | expectations of care perceived safety and anxiety following acute behavioural disturbance in the emergency department |
| url | http://dx.doi.org/10.1155/2011/165738 |
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