Co‐Design of a Framework for Person‐Centred Care at Emergency Department Triage and Waiting Room
Bibliographic Data
| ID | 19506237 |
|---|---|
| Authors | Carrie Janerka (0000-0002-5989-4147, School of Nursing Curtin University Bentley Western Australia Australia, corresponding author), Gavin Leslie (0000-0001-8939-9801, School of Nursing Curtin University Bentley Western Australia Australia), Fenella J Gill (0000-0003-4697-9640, School of Nursing Curtin University Bentley Western Australia Australia), PCC ED Triage Group |
| Year | 2025 |
| Volume | 28 |
| Issue | 5 |
| Pages | e70442-e70442 |
| Publication date | 2025-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hex.70442 |
| PMID | 40977609 |
| OpenAlex | W4414385690 |
| Language | EN |
| References cited | 29 |
INTRODUCTION: Patients presenting to an emergency department (ED) are typically assessed by a triage nurse and often required to wait for further assessment and care. Ongoing issues of ED overcrowding and prolonged wait times can impact the processes and patients' experiences. A person-centred approach is recommended. This study aimed to develop a person-centred care framework for use in the ED triage and waiting room. METHODS: The multi-phase research involved a synergistic partnership-based fully integrated mixed-methods approach based on person-centred care principles. Framework development followed target population-centred and partnership-based processes of conception, planning and designing. A consumer group was actively involved throughout. Data collection involved two literature reviews, a patient survey and triage nurse survey. Findings were synthesised through focus group sessions and the framework was developed during a collaborative workshop. RESULTS: A total of 225 patients and 176 triage nurses responded to the respective surveys. Patients reported the need for better communication, efficiencies and comfort in the waiting room. Nurses identified barriers to person-centred care, such as workloads, poor environment and long wait times. Strategies for overcoming barriers included enhanced communication, addition of waiting room staff and family involvement. Focus groups recommendations were synthesised as support for staff, systems and processes, environment and facilities, communication and information, and individual care needs, forming the framework elements/components. Practical micro, meso and macro level interventions were also recommended. CONCLUSIONS: The newly developed framework can now be applied to ED triage settings and inform person-centred interventions
Emergency department · MEDLINE · Patient care · Triage · Emergency and Acute Care Studies · Family and Patient Care in Intensive Care Units · Psychiatric care and mental health services · Emergency Medical Services · Emergency Nursing
What are the core elements of patient‐centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing
“Same same or different?” A review of reviews of person-centered and patient-centered care
Taxonomy of approaches to developing interventions to improve health
The Quality of Mixed Methods Studies in Health Services Research
Measurable outcomes of consumer engagement in health research
Centredness in health care
| Citation velocity | historical |
|---|---|
| Highly cited | No |