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Patient Experiences of the Emergency Laparotomy Pathway: A Qualitative Study
- Source :
- World Journal of Surgery. 45:1362-1369
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Emergency laparotomy (EL) is a commonly performed operation with high rates of morbidity and mortality. Despite a growing body of literature on outcomes from EL, there is sparse literature on the patient experience. The aim of this study is to capture the perspective of patients on their EL experience. Qualitative methodology is used as a platform to allow patients to express their personal experiences and ideas around the EL process. Participants were consented as a part of a large observational study, established across the three public teaching hospitals in Auckland, New Zealand. Patients who had an EL within the past 4 months were recruited. A recorded interview was conducted either face-to-face or over the telephone, using questions formulated from a previous systematic review on EL outcomes. Transcripts were transported to NVivo and thematically analysed by two reviewers. Fifteen participants were interviewed. The majority of participants were female, New Zealand European and 65 or older. Five important themes were identified. Overall, participants expressed satisfaction with their interactions with hospital staff. However, they wanted more information about their condition, operation and what outcomes might occur. Participants also described post-operative priorities in the acute setting, as well as long-standing physical and emotional impacts. This study provides a better understanding of what is important to patients during the EL process. This information is important when considering ways to improve care and communication with patients undergoing EL.
- Subjects :
- High rate
medicine.medical_specialty
business.industry
medicine.medical_treatment
Perspective (graphical)
MEDLINE
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
Family medicine
Laparotomy
Patient experience
medicine
030211 gastroenterology & hepatology
Surgery
Observational study
Personal experience
business
Qualitative research
Subjects
Details
- ISSN :
- 14322323 and 03642313
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- World Journal of Surgery
- Accession number :
- edsair.doi...........6050c72d62304a81172ec8258120834f