Health promotion in emergency care settings: investigating staff views and experiences

Schofield, Behnaz; Hoskins, Rebecca; Rolfe, Ursula; McClean, Stuart; Voss, Sarah; Benger, Jonathan

Abstract

BACKGROUND: Emergency departments (EDs) afford 'teachable moments' for health behaviour change, but staff may not see themselves as public health practitioners and it can be challenging to undertake health promotion activities in emergency care settings. Furthermore, the evidence on health promotion in these settings is limited. AIM: To investigate the views and experiences of emergency nurses and ambulance service paramedics regarding health promotion in emergency care settings. METHOD: A convenience sample of emergency nurses (n=3) and ambulance service paramedics (n=3) was recruited. An inductive and descriptive qualitative study design using semi-structured interviews and thematic analysis was employed. FINDINGS: The participants understood health promotion and were willing to have conversations about it with patients. However, they cited several barriers to health promotion, including understaffing, a lack of understanding of the relevance of health promotion among staff, a lack of training and information, and the sensitivity of topics such as body weight and sexual health. Lack of time was not cited as a barrier. CONCLUSION: There are opportunities for developing the health promotion aspect of practice in emergency care settings, where staff and patients would benefit from a more structured, system-wide approach to health promotion.

• Journal Article Type: Article
• Acceptance Date: Dec 13, 2022
• Online Publication Date: Apr 18, 2023
• Publication Date: Oct 31, 2023
• Deposit Date: May 18, 2023
• Publicly Available Date: May 18, 2023
• Journal: Emergency nurse
• Print ISSN: 1354-5752
• Electronic ISSN: 2047-8984
• Publisher: RCN Publishing
• Peer Reviewed: Peer Reviewed
• Volume: 31
• Issue: 6
• Pages: 26-32
• DOI: https://doi.org/10.7748/en.2023.e2156
• Keywords: accident and emergency, patient education, clinical, patients, emergency care, health promotion, emergency services, public health, professional, paramedics
• Public URL: https://uwe-repository.worktribe.com/output/10746727
• Publisher URL: https://journals.rcni.com/emergency-nurse/evidence-and-practice/health-promotion-in-emergency-care-settings-investigating-staff-views-and-experiences-en.2023.e2156/abs