Hospital care following emergency admission: a critical incident case study of the experiences of patients with advanced lung cancer and Chronic Obstructive Pulmonary Disease

dc.contributor.authorBailey, Cara
dc.contributor.authorHewison, Alistair
dc.contributor.authorKarasouli, Eleni
dc.contributor.authorStaniszewska, Sophie
dc.contributor.authorMunday, Daniel
dc.date.accessioned2024-06-14T13:24:46Z
dc.date.available2024-06-14T13:24:46Z
dc.date.issued2016-05-03
dc.description.abstractAims and objectives To explore the experiences of patients with advanced Chronic Obstructive Pulmonary Disease (COPD) and lung cancer, their carers and healthcare professionals following emergency admission to acute care hospital. Background Emergency admissions of people with lung cancer and COPD have increased and there is global concern about the number of patients who die in hospital. The experience of patients with advanced lung cancer and COPD admitted to hospital as an emergency when nearing the end of life has not previously been investigated. Design Qualitative critical incident case study. Methods Semistructured interviews were conducted with 39 patients (15 with COPD and 24 with lung cancer), 20 informal carers and 50 healthcare professionals, exploring patients’ experiences of emergency hospital admission. Interviews took place after admission and following discharge. Participants nominated relatives and healthcare professionals for interview. Data were analysed thematically. Results Patients were satisfied with their ‘emergency’ care but not the care they received once their initial symptoms had been stabilised. The poorer quality care they experienced was characterised by a lack of attention to their fundamental needs, lack of involvement of the family, poor communication about care plans and a lack of continuity between primary and secondary care. A conceptual model of ‘spectacular’ and ‘subtacular’ trajectories of care was used to relate the findings to the wider context of health care provision. Conclusion The complex nature of illness for patients with advanced respiratory disease makes emergency hospital admissions likely. Whilst patients (with COPD and lung cancer) were satisfied with care in the acute ‘spectacular’ phase of their admission, more attention needs to be given to the continuing care needs of patients in the ‘subtacular’ phase. Relevance to Clinical Practice This is the first study to explore the patient experience of acute care following an emergency admission and identifies where there is potential for care to be improved.
dc.funderOther external funder (please detail below)
dc.funder.otherMacmillan Cancer Support
dc.identifier.citationBailey, C., Hewison, A., Karasouli, E., Staniszewska, S., Munday, D. (2016) Hospital care following emergency admission: a critical incident case study of the experiences of patients with advanced lung cancer and Chronic Obstructive Pulmonary Disease. Journal of Clinical Nursing, 25 (15-16), pp. 2168-79
dc.identifier.doihttps://doi.org/10.1111/jocn.13170
dc.identifier.issn0962-1067
dc.identifier.issn1365-2702
dc.identifier.urihttps://hdl.handle.net/2086/23901
dc.peerreviewedYes
dc.publisherWiley
dc.relation.ispartofJournal of Clinical Nursing
dc.subjectemergency hospital admission
dc.subjectadvanced lung cancer
dc.subjectchronic obstructive pulmonary disease
dc.subjectcritical incident
dc.titleHospital care following emergency admission: a critical incident case study of the experiences of patients with advanced lung cancer and Chronic Obstructive Pulmonary Disease
dc.typeArticle
oaire.citation.issue15-16
oaire.citation.volume25

Files

License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
4.2 KB
Format:
Item-specific license agreed upon to submission
Description: