PMID: 8949217Jun 1, 1996Paper

Almost 'like family': emergency nurses and 'frequent flyers'

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
R E Malone

Abstract

Heavy users (HUs) of emergency services ("repeaters" or "frequent flyers") are often regarded by emergency nurses as "problem patients." Yet, these patients also solicit deeper clinician involvement because of their familiarity and their often intractable medical and social problems. The primary objective of this study was to contribute to improved understanding of the phenomenon of heavy ED use by describing the context within which such use occurs and its meanings to patients and to clinicians. Observational and narrative data were collected during ethnographic fieldwork in two inner-city trauma center emergency departments. Data were interpreted using interpretive phenomenological strategies. Relationships between ED clinicians and HU patients in the study hospitals were characterized by complexity and ambivalence, but thematic analysis of interviews revealed commonalities. Recognition practices, discussed in this article, were central to both centers. Frustration with a system that focuses on control but often leaves ED clinicians feeling like failures as they try to pick up the pieces for failing or absent families, communities, and social programs can contribute to stigmatization of HU patients, missed clinical diagnoses,...Continue Reading

References

Jan 1, 1991·Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care·H HansagiP Allebeck
Aug 1, 1991·Hospital & Community Psychiatry·D K Padgett, E L Struening
Jan 1, 1990·Social Science & Medicine·A L Wright, W J Morgan
Jan 1, 1987·Social Science & Medicine·K Genell Andrén, U Rosenqvist
Jun 1, 1981·Annals of Emergency Medicine·F R PurdieP Rosen
Feb 1, 1995·Social Science & Medicine·R E Malone
Oct 23, 1987·Science·S Reverby

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Citations

Jan 30, 2007·Current Psychiatry Reports·Yvonne BergmansAnne S H Carruthers
Oct 30, 2003·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Angela Hackenschmidt
Jun 27, 2000·Journal of Substance Abuse Treatment·G WitbeckG W Dalack
Nov 20, 2002·Journal of Advanced Nursing·Margaret McAllisterCharles Farrugia
Apr 25, 2013·JAAPA : Official Journal of the American Academy of Physician Assistants·Jessalyn Kastner, Hank Lemke
Jul 25, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J H MandelbergM A Kohn
Jan 11, 2011·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·L MaugeinP Pillet
Jan 30, 2014·Emergency Medicine Journal : EMJ·Deborah T VintonAdit A Ginde
Feb 11, 2014·The Journal of Emergency Medicine·Sean M Murphy, Darin Neven
May 29, 2014·Population Health Management·Bon S KuKevin C Scott
Sep 2, 2000·ANS. Advances in Nursing Science·R E Malone
Jul 14, 2010·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Lorene PughMary Stauss
Mar 11, 2016·Administration and Policy in Mental Health·Deborah Wise-HarrisVicky Stergiopoulos
Oct 15, 2011·Emergency Medicine Australasia : EMA·Katherine NelsonTania Hussey
Oct 25, 2011·Journal of Clinical Nursing·Cara BaileyDavina Porock
Jan 10, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Gilles BielerPatrick Bodenmann
Jul 22, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kelly M DoranFederico E Vaca
Jan 15, 2005·Accident and Emergency Nursing·Lesley Baillie
Oct 4, 2005·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Matthew S HowardDerek Shelton
May 20, 2014·Journal of Clinical Nursing·Cheryle MossAmohia Boulton
Apr 29, 2006·Crisis·Carol StrikePaul Links
Oct 22, 2016·Journal of Advanced Nursing·Inger K HolmströmAnnelie J Sundler
Jan 31, 2006·Policy, Politics & Nursing Practice·Ruth E Malone
Jun 6, 1998·Western Journal of Nursing Research·P MinickT Oparah-Iwobi
Jan 10, 2018·Emergency Medicine Journal : EMJ·Karen UrbanoskiPaul Kurdyak
Nov 25, 2016·Nursing Philosophy : an International Journal for Healthcare Professionals·Carole Rushton, David Edvardsson
Jul 31, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Patrick BodenmannVéronique S Grazioli
Jun 22, 2011·Annals of Emergency Medicine·Fabrice AlthausPatrick Bodenmann

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