Companion restrictions in the emergency department during COVID-19: physician perceptions from the Western Cape, South Africa DOI Creative Commons
Lauren E Wiebe, Helle Mølsted Alvesson, Willem Stassen

et al.

BMJ Open, Journal Year: 2023, Volume and Issue: 13(5), P. e070982 - e070982

Published: May 1, 2023

To determine emergency department (ED) physicians' perceptions regarding hospital companions being prohibited from accompanying the patient during COVID-19.Two qualitative datasets were combined. Data collected included voice recordings, narrative interviewing and semistructured interviews. A reflexive thematic analysis was conducted guided by Normalisation Process Theory.Six EDs in Western Cape, South Africa.Convenience sampling used to recruit a total of eight physicians working full time ED COVID-19.The lack physical provided an opportunity for assess reflect on companion's role efficient care. Physicians perceived that COVID-19 restrictions illuminated engaged as providers contributing care providing collateral information support, while simultaneously engaging consumers detracting their priorities These prompted consider how they understand patients largely through companions. When became virtual, forced shift perceive patient, which increased empathy.The reflections can feed into discussions about values within healthcare system help explore balance between medical social safety, especially with companion still practised some hospitals. illuminate various tradeoffs had throughout pandemic may be improve policies when planning continuation future disease outbreaks.

Language: Английский

‘I am afraid the news is not good’ – Breaking bad news in the time of COVID: Experiences from a field hospital DOI Creative Commons
Charmaine Cunningham, Pat Mayers, Janet Giddy

et al.

African Journal of Primary Health Care & Family Medicine, Journal Year: 2024, Volume and Issue: 16(1)

Published: Feb. 23, 2024

Background: The COVID-19 Pandemic had profound effects on healthcare systems around the world. In South Africa, field hospitals, such as Mitchell's Plain Field Hospital, managed many COVID patients and deaths, largely without family presence. Communicating with families, preparing them for death breaking bad news was a challenge all staff. Aim: This study explores experiences of professionals working in hospital, specifically having to break remotely. Setting: A150-bed Mitchells Hospital (MPFH) Cape Town. Methods: A qualitative exploratory design utilised using semi-structured interview guide. Results: Four themes were identified: teamwork, death, communication lessons learnt. thread linking importance unpredictability disease progression barriers effective communication. Key learnt included management leadership. Many families no access digital technology linguo-cultural existed. Conclusion: We found that challenges exacerbated by illness impact restrictions visiting news. identified need training different modalities, multidisciplinary team approach palliative care guidelines inform practice. Contribution: Breaking is never easy workers. article unpacks some dealing an extraordinary number deaths newly formed era.

Language: Английский

Citations

0
Companion restrictions in the emergency department during COVID-19: physician perceptions from the Western Cape, South Africa DOI Creative Commons
Lauren E Wiebe, Helle Mølsted Alvesson, Willem Stassen

et al.

BMJ Open, Journal Year: 2023, Volume and Issue: 13(5), P. e070982 - e070982

Published: May 1, 2023

To determine emergency department (ED) physicians' perceptions regarding hospital companions being prohibited from accompanying the patient during COVID-19.Two qualitative datasets were combined. Data collected included voice recordings, narrative interviewing and semistructured interviews. A reflexive thematic analysis was conducted guided by Normalisation Process Theory.Six EDs in Western Cape, South Africa.Convenience sampling used to recruit a total of eight physicians working full time ED COVID-19.The lack physical provided an opportunity for assess reflect on companion's role efficient care. Physicians perceived that COVID-19 restrictions illuminated engaged as providers contributing care providing collateral information support, while simultaneously engaging consumers detracting their priorities These prompted consider how they understand patients largely through companions. When became virtual, forced shift perceive patient, which increased empathy.The reflections can feed into discussions about values within healthcare system help explore balance between medical social safety, especially with companion still practised some hospitals. illuminate various tradeoffs had throughout pandemic may be improve policies when planning continuation future disease outbreaks.

Language: Английский

Citations

0