Rural patients' experiences of the open disclosure of adverse events.
Aust J Rural Health
; 22(4): 197-203, 2014 Aug.
Article
em En
| MEDLINE
| ID: mdl-25123624
ABSTRACT
OBJECTIVE:
To analyse rural patients' and their families' experiences of open disclosure and offer recommendations to improve disclosure in rural areas.DESIGN:
Retrospective qualitative study based on a subset of 13 semistructured, in-depth interviews with rural patients from a larger dataset. The larger data set form a nationwide, multisite, retrospective-qualitative study that included 100 semistructured, in-depth interviews with 119 patients and family members who were involved in high-severity health care incidents and incident disclosure. The larger study is known as the '100 Patient Stories' study. Interviews were transcribed verbatim and analysed by one analyst (D.P.) for recurrent experiences and concerns.SETTING:
Acute care.PARTICIPANTS:
A sub-set of 13 of the 100 participants from the '100 Patient Stories' study who identified as experiencing an adverse incident in a rural or regional area. MAIN OUTCOMEMEASURES:
Patients' and family members' perceptions and experiences of health care incident disclosure, as expressed in interviews.RESULTS:
Rural patients and clinicians experience additional challenges to metropolitan patients and clinicians in their experiences of health care incidents. These additional barriers include a lack of resources at small hospitals; delays in diagnosis and transfer; distance between services; and a lack of communication between providers. These challenges impact not only upon how patients and their families experience incidents, but also how open disclosure is implemented.CONCLUSIONS:
This analysis of 13 of the 100 Patient Stories interviews provides guidance to rural health services on how to conduct open disclosure.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
População Rural
/
Erros Médicos
/
Revelação
Tipo de estudo:
Guideline
/
Observational_studies
/
Qualitative_research
Limite:
Adolescent
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Adult
/
Aged
/
Aged80
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Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Aust J Rural Health
Assunto da revista:
ENFERMAGEM
/
SAUDE PUBLICA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Austrália