Don't Label Me: A Qualitative Study of Patients' Perceptions and Experiences of Sedation During Behavioral Emergencies in the Emergency Department

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Celene Y L YapDavid M Taylor

Abstract

Behavioral emergencies are commonly seen in emergency departments (EDs). Acutely agitated patients can be difficult to manage and sedation may be required to decrease dangerous behavior and to ensure the safety of both the patient and the staff. While the experience of staff caring for this population has been reported, patients' experiences with their overall management remains unknown. We aimed to describe the perceptions and experiences of patients regarding the use of sedation during acute behavioral emergencies. Face-to-face semistructured interviews were conducted with adults aged 18 years or older, who had received parenteral sedative medication for the management of a behavioral emergency and were deemed capable to participate. The participants were asked about their experiences of receiving care in the ED during the episode and their perceptions of sedation. All interviews were transcribed verbatim and analyzed thematically. Data saturation was reached after 13 interviews. Two broad themes emerged: trusting relationships and needs or wants following sedation. A trusting relationship is built through 1) confidence in care, 2) sedation as an appropriate treatment, 3) insight into own behavior, and 4) humane treatment. Fo...Continue Reading

References

Feb 1, 1995·Psychiatric Services : a Journal of the American Psychiatric Association·A Lucksted, R D Coursey
Feb 22, 2001·Addiction·D D Simpson
Jan 1, 1996·European Psychiatry : the Journal of the Association of European Psychiatrists·D NaberK Hessel
Feb 1, 2003·Journal of Psychiatric and Mental Health Nursing·K HaglundL Von Essen
Jun 30, 2005·Journal of Psychiatric Practice·Michael H AllenRuth Ross
Aug 11, 2005·Emergency Medicine Australasia : EMA·Jonathan C KnottDavid McD Taylor
Feb 5, 2008·Psychiatric Services : a Journal of the American Psychiatric Association·Eline VeltkampLen Bowers
Jun 17, 2009·Emergency Medicine Australasia : EMA·Michael A DownesGeoffrey K Isbister
Jan 8, 2010·The International Journal of Social Psychiatry·Pat MayersAlan J Flisher
Apr 26, 2011·The Psychiatric Quarterly·Irina GeorgievaA Wierdsma
Jul 1, 2014·Annals of Emergency Medicine·Ryan P McCormackElizabeth M Norman
Oct 16, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ambrose Hon-Wai WongMaureen Gang
Oct 18, 2016·Annals of Emergency Medicine·David McD TaylorDavid J Castle

❮ Previous
Next ❯

Citations

Jul 19, 2019·Journal of Evaluation in Clinical Practice·Eimear Muir-CochraneKaren Grimmer
Mar 22, 2020·International Journal of Mental Health Nursing·Tahani HawsawiDebra Jackson
Sep 6, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marc L MartelJon B Cole
Mar 17, 2021·Journal of Nursing Management·C J CabilanAmy N B Johnston

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.