Kaytlena Stillman, Bianca Luna-Lupercio, Antonina Caudill, Susan Jackman, Joel Geiderman, Sam Torbati, Celina H Shirazipour
{"title":"急诊科患者对社会风险筛查信念及接受程度的定性分析。","authors":"Kaytlena Stillman, Bianca Luna-Lupercio, Antonina Caudill, Susan Jackman, Joel Geiderman, Sam Torbati, Celina H Shirazipour","doi":"10.1016/j.jen.2025.04.009","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The emergency department is an appropriate location to screen for social risks because it serves as a safety net for some of the most vulnerable patients. Several institutions nationwide have adopted this practice, but little is known about patient attitudes toward such screening. The objective of this study was to qualitatively assess patient experience and acceptability of social risk screening in the emergency department.</p><p><strong>Methods: </strong>This was a qualitative study conducted in the emergency department at an urban quaternary hospital. Semistructured interviews were conducted at the bedside with 17 patients who had undergone social risk screening. Reflexive thematic analysis was conducted to explore participants' experiences and attitudes toward social risks and the screening process.</p><p><strong>Results: </strong>Patients were able to appreciate the ways in which social risks in their own lives affect their physical health. Despite the general perception that patients may find questions about social risks too sensitive, participants in this study overwhelmingly expressed feeling comfortable answering the screening questions. Four themes were identified encompassing these perspectives: (1) social risks affect physical health, (2) social risk screening benefits vulnerable patients, (3) patients feel comfortable answering social risk questions, and (4) screening questions are comprehensive. Patients identified previous health care experience as a missing component that was not evaluated by the screener despite this not traditionally being considered a social need.</p><p><strong>Discussion: </strong>The findings from this study provide insight into patient attitudes and perspectives on social risk screening in the emergency department. Further work is needed to understand how questions about previous health care experience may contribute to the screening process.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Qualitative Analysis of Patient Beliefs and Acceptability of Social Risk Screening in the Emergency Department.\",\"authors\":\"Kaytlena Stillman, Bianca Luna-Lupercio, Antonina Caudill, Susan Jackman, Joel Geiderman, Sam Torbati, Celina H Shirazipour\",\"doi\":\"10.1016/j.jen.2025.04.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>The emergency department is an appropriate location to screen for social risks because it serves as a safety net for some of the most vulnerable patients. Several institutions nationwide have adopted this practice, but little is known about patient attitudes toward such screening. The objective of this study was to qualitatively assess patient experience and acceptability of social risk screening in the emergency department.</p><p><strong>Methods: </strong>This was a qualitative study conducted in the emergency department at an urban quaternary hospital. Semistructured interviews were conducted at the bedside with 17 patients who had undergone social risk screening. Reflexive thematic analysis was conducted to explore participants' experiences and attitudes toward social risks and the screening process.</p><p><strong>Results: </strong>Patients were able to appreciate the ways in which social risks in their own lives affect their physical health. Despite the general perception that patients may find questions about social risks too sensitive, participants in this study overwhelmingly expressed feeling comfortable answering the screening questions. Four themes were identified encompassing these perspectives: (1) social risks affect physical health, (2) social risk screening benefits vulnerable patients, (3) patients feel comfortable answering social risk questions, and (4) screening questions are comprehensive. Patients identified previous health care experience as a missing component that was not evaluated by the screener despite this not traditionally being considered a social need.</p><p><strong>Discussion: </strong>The findings from this study provide insight into patient attitudes and perspectives on social risk screening in the emergency department. Further work is needed to understand how questions about previous health care experience may contribute to the screening process.</p>\",\"PeriodicalId\":51082,\"journal\":{\"name\":\"Journal of Emergency Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-05-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Emergency Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jen.2025.04.009\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jen.2025.04.009","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
A Qualitative Analysis of Patient Beliefs and Acceptability of Social Risk Screening in the Emergency Department.
Introduction: The emergency department is an appropriate location to screen for social risks because it serves as a safety net for some of the most vulnerable patients. Several institutions nationwide have adopted this practice, but little is known about patient attitudes toward such screening. The objective of this study was to qualitatively assess patient experience and acceptability of social risk screening in the emergency department.
Methods: This was a qualitative study conducted in the emergency department at an urban quaternary hospital. Semistructured interviews were conducted at the bedside with 17 patients who had undergone social risk screening. Reflexive thematic analysis was conducted to explore participants' experiences and attitudes toward social risks and the screening process.
Results: Patients were able to appreciate the ways in which social risks in their own lives affect their physical health. Despite the general perception that patients may find questions about social risks too sensitive, participants in this study overwhelmingly expressed feeling comfortable answering the screening questions. Four themes were identified encompassing these perspectives: (1) social risks affect physical health, (2) social risk screening benefits vulnerable patients, (3) patients feel comfortable answering social risk questions, and (4) screening questions are comprehensive. Patients identified previous health care experience as a missing component that was not evaluated by the screener despite this not traditionally being considered a social need.
Discussion: The findings from this study provide insight into patient attitudes and perspectives on social risk screening in the emergency department. Further work is needed to understand how questions about previous health care experience may contribute to the screening process.
期刊介绍:
The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice.
The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics.
The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.