Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study

Togher, Fiona and O'Cathain, Alicia and Phung, Viet-Hai and Turner, Janette and Siriwardena, A. Niroshan (2015) Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study. Health Expectations, 18 (6). pp. 2951-2961. ISSN 1369-6513

Full content URL: http://onlinelibrary.wiley.com/enhanced/doi/10.111...

Documents
Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study

Request a copy
[img] PDF
Togher Reassurance as a key outcome HE 2014 online first.pdf - Whole Document
Restricted to Repository staff only until 31 December 2099.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

174kB
Item Type:Article
Item Status:Live Archive

Abstract

Background
There is an increasing need to assess the performance of emergency ambulance services using measures other than the time taken for an ambulance to arrive on scene. In line with government policy, patients and carers can help to shape new measures of ambulance service performance.

Objective
To investigate the aspects of emergency ambulance service care valued by users.

Design
Qualitative interview study.

Setting
One of 11 ambulance services in England.

Participants
Twenty-two users and eight of their spouses (n = 30).

Results
Users of the emergency ambulance service, experiencing different types of ambulance service response, valued similar aspects of their pre-hospital care. Users were often extremely anxious about their health, and the outcome they valued was reassurance provided by ambulance service staff that they were receiving appropriate advice, treatment and care. This sense of being reassured was enhanced by the professional behaviour of staff, which instilled confidence in their care; communication; a short wait for help; and continuity during transfers. A timely response was valued in terms of allaying anxiety quickly.

Discussion and conclusions
The ability of the emergency ambulance service to allay the high levels of fear and anxiety felt by users is crucial to the delivery of a high quality service. Measures developed to assess and monitor the performance of emergency ambulance services should include the proportion of users reporting feeling reassured by the response they obtained.

Keywords:Emergency Medical Systems, ambulance services, qualitative research, interviews, Patient Related Experience Measures, communication, prehospital care, patient experience, patient satisfaction, bmjgoldcheck
Subjects:B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Social Science > School of Health & Social Care
ID Code:15454
Deposited On:14 Oct 2014 16:34

Repository Staff Only: item control page