Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/15583
Title: Rural patients' experiences of the open disclosure of adverse events
Contributor(s): Piper, Donella  (author)orcid ; Iedema, Rick (author); Bower, Kate (author)
Publication Date: 2014
DOI: 10.1111/ajr.12124
Handle Link: https://hdl.handle.net/1959.11/15583
Abstract: Objective: To analyse rural patients' and their families' experiences of open disclosure and offer recommendations to improve disclosure in rural areas. Design: Retrospective qualitative study based on a subset of 13 semistructured, in-depth interviews with rural patients from a larger dataset. The larger data set form a nationwide, multisite, retrospective-qualitative study that included 100 semistructured, in-depth interviews with 119 patients and family members who were involved in high-severity health care incidents and incident disclosure. The larger study is known as the '100 Patient Stories' study. Interviews were transcribed verbatim and analysed by one analyst (D.P.) for recurrent experiences and concerns. Setting: Acute care. Participants: A sub-set of 13 of the 100 participants from the '100 Patient Stories' study who identified as experiencing an adverse incident in a rural or regional area. Main outcome measures: Patients' and family members' perceptions and experiences of health care incident disclosure, as expressed in interviews. Results: Rural patients and clinicians experience additional challenges to metropolitan patients and clinicians in their experiences of health care incidents. These additional barriers include: a lack of resources at small hospitals; delays in diagnosis and transfer; distance between services; and a lack of communication between providers. These challenges impact not only upon how patients and their families experience incidents, but also how open disclosure is implemented. Conclusions: This analysis of 13 of the 100 Patient Stories interviews provides guidance to rural health services on how to conduct open disclosure.
Publication Type: Journal Article
Source of Publication: Australian Journal of Rural Health, 22(4), p. 197-203
Publisher: John Wiley & Sons, Inc
Place of Publication: Australia
ISSN: 1440-1584
1038-5282
Fields of Research (FoR) 2008: 111709 Health Care Administration
Fields of Research (FoR) 2020: 420306 Health care administration
Socio-Economic Objective (SEO) 2008: 920506 Rural Health
920208 Health Policy Evaluation
Socio-Economic Objective (SEO) 2020: 200508 Rural and remote area health
200205 Health policy evaluation
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

Files in This Item:
2 files
File Description SizeFormat 
Show full item record

SCOPUSTM   
Citations

13
checked on Mar 23, 2024

Page view(s)

1,194
checked on Mar 17, 2024

Download(s)

2
checked on Mar 17, 2024
Google Media

Google ScholarTM

Check

Altmetric


Items in Research UNE are protected by copyright, with all rights reserved, unless otherwise indicated.