Table 1 ‘Categorization matrix of the experiences of patients with life-threatening conditions related to fundamental care in the emergency room, based on the Fundamentals of Care Framework’
Dimensions from the Fundamentals of Care Framework | Categories | Codes |
|---|---|---|
Relationship | I want to know who you are See me, I am not an object | The staff need to introduce themselves by name and role Want to know who in the staff I’m talking to Need to gain trust in the staff Trust in staff who seemed competent Lonely despite presence of staff Treated kindly, with respect Want the staff to show focus Not seen as a person, being objectified |
Integration of care | Relational caregiver actions: Maintain the relationship with me throughout my stay in the emergency room Psychosocial care recipient needs: I feel a lack of privacy and integrity Psychosocial care recipient needs: I am in need of continuous, timely and personalized communication and information Physical care recipient needs: I am in discomfort, but I cannot move or see you Physical care recipient needs: I am in need of personalized and timely pain management | Engagement decreases The staff focuses on the medical aspects Physical needs met, not psychosocial Non-privacy Mobility and field of vision is reduced Lack of personalized information and communication Not being able to bring relatives Not being able to move Being placed facing a wall Low degree of involvement Non-optimal analgesics Lack of personalized pain management |
Context of care | I adapt to a patient role by taking the healthcare providers’ situation in consideration I sense a proximity to strangers I am not familiar with the emergency room organization | High presence of staff Don’t want to disturb the staff Don’t want to add to staff stress Hear other people die The emergency room evokes existential thoughts The staff have your life in their hands After being disconnected from monitoring equipment no one cares about you Chaotic, stressful environment Bizarre place |