The aim of my diploma thesis was to find out what extent there is to the awareness of emergency care service in the Prachatice territorial administrative district. The thesis is divided into two parts, a theoretical and a practical part. The theoretical part deals with the emergency care service itself, with the issue of aging, with the needs and life quality of aging people. The qualitative part of the research used the method of a semi-structured interview. Data was analysed via the grounded theory methodology. Ten informants were interviewed. The research file consisted of municipality mayors or responsible workers of municipal offices. Quantitative research has shown that respondents were aware of social services, however, only 25 % were aware of the emergency care service. The interviews also proved that most informants were aware of available social services within Prachatice, however, only a minimum of informants were aware of the specific emergency care service. Acquired information may be useful not only for students of the Faculty of Health and Social Sciences, but they may as well improve wider population´s awareness, perhaps they may be used within community planning in the individual municipalities of Prachatice.

Bakgrund: Smärta är en av de vanligaste orsakerna till att människor söker akut vård. Adekvat smärtbedömning är förutsättningen för god smärtbehandling. Syfte: Att belysa resultatet av sjuksköterskans användande av smärtskattningsinstrument för bedömning av akut smärta hos vuxna patienter på akutmottagning. Metod: Litteraturstudie med ett systematiskt arbetssätt. Resultat: Val av smärtskattningsinstrument: VAS och NRS är tillförlitliga instrument för att bedöma akut smärta. Professionell smärtbehandling: Användandet av smärtskattningsinstrument förkortade tiden till smärtbehandling samtidigt som fler blev smärtbehandlade. Upplevd kontra tolkad smärta: Sjuksköterskor underskattade ofta patienters akuta smärtintensitet. Kontinuerligt dokumenterade smärtanalyser: För att tillgodose att patienter får en så bra smärtbehandling som möjligt krävs att smärtanalyser utförs och dokumenteras vid inskrivning och kontinuerligt till utskrivning. Med regelbunden smärtskattning och dokumentation kan patienters smärtutveckling och eventuella behandlingsresultat följas. Slutsats: Förutsättningen för en adekvat smärtbehandling är att en smärtanalys utförts med ett smärtskattningsinstrument. Användandet av smärtskattningsinstrument leder till att patienter får adekvat smärtbehandling fortare. Smärtskattningsskalor är goda redskap för att bedöma smärta. En metod för att förbättra smärtbehandlingen kan vara att ha tydliga riktlinjer och rutiner som förespråkar användandet av smärtskattningsinstrument. / Background: Pain is one of the most common reasons for seeking emergency care. Adequate pain assessment is a prerequisite for good pain management. Aim: To illustrate the results of the nurse's use of pain assessment tools for the assessment of acute pain in adult patients in the emergency department. Method: Literature study with a systematic approach. Results: Choice of pain assessment tool: VAS and NRS are reliable tools for the measurement of acute pain. Professional pain management: The use of pain assessment tools shortened the time to pain relief, while more patients received analgesics. Experienced versus interpreted pain: Nurses often underestimated the patients' pain intensity. Continuously documented pain assessments: To assure that patients get the best pain management possible, documented pain assessments at enrollment and continuously to discharge are required. With regular pain assessment and documentation patients' pain development and possible treatment outcomes can be followed. Conclusion: The prerequisite for adequate pain management is a pain analysis performed with a pain assessment tool. The use of pain assessment tools leads to more patients getting adequate pain relief more rapidly. Pain rating scales are excellent tools to assess pain. A method to improve pain treatment may be to have policies and guidelines that advocate the use of pain rating scales.

Könsroller i samhället påverkar män och kvinnors val av arbetsområde inom vården. Enligt statistik från Socialstyrelsen väljer manliga sjuksköterskor främst att specialistutbilda sig inom akutsjukvård samt psykiatri, medan vissa områden har brist på män. De patienter som önskar bli omhändertagen av en manlig sjuksköterska kan i dagsläget inte få detta uppfyllt överallt. Syftet med denna studie var att beskriva manliga sjuksköterskors motiv att söka sig till och att arbeta inom sluten psykiatri samt akutmottagning. Metoden för studien var kvalitativ deskriptiv, genom semistrukturerade intervjuer vilka analyserades med kvalitativ innehållsanalys. Undersökningsgruppen valdes ut genom ändamålsenligt urval och bestod av fyra sjuksköterskor inom psykiatri samt fyra inom akutmottagning, vid ett sjukhus i norra Sverige och ett i mellersta Sverige. I resultatet framkom att ett motiv för de manliga sjuksköterskornas arbetsval var att det inom akutmottagning samt sluten psykiatri fanns bra möjligheter att göra skillnad för patienten, vilket medförde att sjuksköterskorna upplevde att de verkligen kunde göra nytta för patienten och fick känna sig behövda. Sjuksköterskorna ansåg att de hade bra utvecklingsmöjligheter inom sitt yrke och många karriärvägar. Arbetsmiljön upplevdes som tillfredsställande i förhållande till självständighet, variation och arbetstempo. Deltagarna ansåg att deras arbete var ett intressant område med roliga arbetsuppgifter. Slutsatsen var att det bland manliga sjuksköterskor inom psykiatri och akutmottagning fanns en attraktion till arbete som upplevs som intressant, självständigt, varierande, bra med utvecklingsmöjligheter och där sjuksköterskan får känna att han gör ett bra arbete. Sjuksköterskorna hade en negativ föreställning om att arbetet på somatisk vårdavdelning inte motsvarade dessa viktiga faktorer. / Gender roles in society influence the choices of men and women regarding working area in healthcare. According to statistics from the Health and Human Services Department of Sweden, (Socialstyrelsen) men tend to mainly specialize in emergency care and psychiatry, while some other specialization areas have a shortage of men. Patients who wish to be tended to by a male nurse can not get this fulfilled everywhere. The aim of this study was to describe why male nurses most commonly choose to work in psychiatric wards and emergency rooms. The method, which has been used, is a qualitative interview study using a descriptive design, which later was analyzed through qualitative content analysis. The informants were chosen using purpose selection and consisted of four nurses within the field of psychiatry, and an additional four that worked in emergency rooms, distributed on one hospital in northern Sweden, and one in the central part of the country. In the result the reasons for the choice regarding work place of the male nurses were that at the emergency rooms and psychiatric wards, the possibility of making a difference for the patient and also having time for him/her was great, which made the nurses feel that they could be of good use for the patient, and also felt needed. In the work place it was considered that the nurses had good potential for professional development. The working environment was perceived as satisfactory in relation to independence, variation and working place. The participants considered that their field of work offered an interesting work place and providing enjoyable work tasks. The conclusion drawn in this study, showed that among male nurses within the fields of psychiatry and emergency care, found an attraction to their work because the work is perceived as interesting, independent, varying, providing good opportunities for further professional development, and where the nurse gets to feel as if he is doing a good job. The nurses had a negatory conception regarding somatic care, since they thought that it did not meet these important key factors.

Darbo tikslas. Įvertinti V.Į. Greitosios Medicinos Pagalbos Stoties ir Privačios Greitosios Medicinos Pagalbos Stoties veiklą Kauno rajone. Tyrimo metodika. Analizuota 2007 m. Kauno rajono V.Į. Greitosios medicinos pagalbos (GMP) stoties ir privačios GMP stoties veikla. GMP paslaugų kokybės ir veiklos rodikliai gauti iš GMP kvietimo kortelių, duomenys apie diagnozių sutapimus ir ligonių stacionarizavimą gauti iš GMP siuntimų, o duomenys apie GMP finansinę veiklą Kauno rajone gauti iš finansinių įstaigų ataskaitų. Rezultatai. 2007 m. Kauno rajono tiek privati GMP, tiek valstybinė GMP iki 5 min. greitąją medicinos pagalbą suteikė dešimtadaliui ligonių, kai tuo tarpu pagalbą iki 15 min. reikšmingai didesnei daliai ligonių suteikė privati GMP, lyginant su valstybine GMP, atitinkamai 78,2 proc. ir 43,5 proc. Privačios GMP pervežtų į ligonines ir stacionarizuotų ligonių dalis buvo reikšmingai didesnė negu valstybinės GMP, atitinkamai 91,9 proc. ir 54,2 proc. Valstybinėje GMP dirbančių gydytojų nustatytų diagnozių nesutapimo procentas buvo reikšmingai didesnis negu privačios GMP dirbančių gydytojų, atitinkamai 6,4 proc. ir 2,8 proc. Valstybinė GMP vyko į ligonių pervežimus, nelaimingų atsitikimų vietas bei pas susirgusius asmenis namuose daug dažniau, lyginant su privačia GMP, tačiau pagal vienai GMP brigadai skirtus pervežimus bei pagal vienam etatui tenkančias suteiktas paslaugas privati GMP suteikė iš viso daugiau paslaugų ir vyko pas susirgusius pacientus į namus. Kilometražas... [toliau žr. visą tekstą] / Aim of the study. To evaluate the activity of public and private prehospital emergency service stations in Kaunas district. Methods. The activities of public and private prehospital emergency service stations in Kaunas district in 2007 were analyzed. Data on quality and activities indicators of prehospital emergency service was obtained from prehospital emergency service invitation card, data about diagnosis coincidence and patients hospitalization was obtained from prehospital emergency service committals, while data about prehospital emergency service financial activities in Kaunas district was obtained from financial reports of the insitutions. Results. In Kaunas district in 2007, public as well as private prehospital emergency service provided first medical aid until 5 minutes for one tenth of patients, while until 15 minutes private prehospital emergency service comparing with public prehospital emergency service provided first medical aid for significantly bigger proportion of patients, respectively 78.2% and 43.5%. The proportion of patients who were transported to the hospital and who were hospitalized was significantly bigger of private prehospital emergency service than that of public prehospital emergency service, respectively 91.9% and 54.2%. The proportion of wrong diagnoses in the public prehospital emergency service was significantly bigger than that in the private prehospital emergency service, respectively 6.4% and 2.8%. The public prehospital emergency... [to full text]

Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Masters Abstracts International, Volume: 47-01, page: . Adviser: Charles E. Begley. Includes bibliographical references.

Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Masters Abstracts International, Volume: 46-05, page: 2672. Adviser: Wendell C. Taylor. Includes bibliographical references.

O presente estudo teve por objetivo analisar a percepção dos usuários sobre um serviço hospitalar de emergência em oftalmologia, na perspectiva da responsividade. Trata-se de uma pesquisa qualitativa com delineamento descritivo-exploratório. Os dados foram coletados por meio de entrevista semiestruturada, com 27 usuários do Serviço de Emergência SUS do Hospital Banco de Olhos (HBO) de Porto Alegre, no período de julho a agosto de 2016. Para a realização das entrevistas foi utilizado um roteiro com questões sobre o atendimento, com base nos domínios da responsividade. A análise dos dados foi realizada segundo a técnica de análise de conteúdo temática, com identificação das seguintes categorias: dignidade, autonomia, comunicação, confidencialidade, dimensões da qualidade de amenidades básicas (infraestrutura), escolha, suporte social (acesso a redes de apoio social) e atenção imediata (agilidade no atendimento). No domínio interpessoal, a dignidade foi entendida como ser respeitado em sua individualidade, bem orientado e encaminhado em sua necessidade; a autonomia foi ressaltada como participação e compreensão do diagnóstico e das indicações terapêuticas para saber lidar com o seu problema; a comunicação foi descrita como empatia, linguagem acessível e possibilidade de fazer perguntas de esclarecimento; a confidencialidade foi compreendida como privacidade, segurança e confiança em relação às informações pessoais durante o atendimento. 9Continua) No domínio estrutural, na infraestrutura, foi destacada a situação de limpeza dos ambientes e a qualidade da sala de espera; na escolha foi identificada a opção por um serviço especializado em oftalmologia; no suporte social foi indicada a possibilidade de um acompanhante na consulta e o acolhimento de diversidade de situações do usuário; na agilidade foi evidenciado o longo tempo de espera e a acessibilidade, qualidade e resolutividade do atendimento especializado, tendo presente que é um serviço SUS. Esse fato de ser um atendimento público qualificado foi várias vezes mencionado positivamente pelos entrevistados. Quanto à agilidade, o serviço de emergência caracteriza-se como porta de entrada para patologias da visão, causando, em certos momentos, excessiva demanda e consequentemente longo tempo de espera constatada pelos participantes da pesquisa. O que os entrevistados mais apreciam é o profissionalismo do atendimento, por ser um serviço especializado que vai direto ao problema, por ter um acolhimento com classificação de risco bem organizado, por orientar os cuidados terapêuticos que o usuário precisa ter e, se necessário, encaminhar para um outro serviço de atendimento. Essa caracterização de profissionalismo determina em grande parte a percepção dos usuários. Diante desses resultados conclui-se que a acessibilidade e a qualidade do serviço especializado do HBO foram os dois aspectos mais destacados no atendimento. Esses aspectos identificam-se com duas dimensões centrais da responsividade, a agilidade e a dignidade, que foram percebidas pelos entrevistados e corresponderam às suas expectativas. / The present study aimed to analyze the perceptions of users about a hospital emergency service in ophthalmology from the perspective of responsiveness. It is a qualitative research with descriptive-exploratory design. The data were collected through semi-structured interviews with 27 users of emergency service at the Eye Hospital (HBO) in Porto Alegre-RS between July and August 2016. A script with questions about the service based on responsiveness dimensions was used to carry out the interviews. Data analysis was performed according to the technique of thematic content analysis, with identification of the following thematic categories: dignity, autonomy, communication, confidentiality, dimensions of basic amenities’ quality (infrastructure), choice, social support (access to social support networks), and immediate attention (agility in service). In the interpersonal domain, ‘dignity’ was understood as being respected in one’s own individuality, well guided and followed in one’s own needs; ‘autonomy’ was highlighted as participation and understanding of the diagnosis and therapeutic indications to know how to deal with one’s own problem; ‘communication’ was described as empathy, accessible language and the possibility of clarifying questions; ‘confidentiality’ was underst bood as privacy, security and trust in relation to personal information provided during the service. In the structural domain, in relation to ‘infrastructure’, it was highlighted the cleanliness of the rooms and the quality of the waiting room; in ‘choice’ the option for a specialized service in ophthalmology was mentioned; in ‘social support’ the possibility of a company in the doctor’s appointment and the welcoming of diversity of situations was pointed out; in ‘agility’, long waiting time and accessibility were evidenced as well as quality and specialized care efficaciousness, bearing in mind that it is a Unified Health Care System service. The fact of being a qualified public service was several times positively emphasized by the respondents. As for ‘agility’, the emergency service is characterized as a gateway to eye pathologies, causing, at certain moments, excessive demand and consequently long waiting time faced by the participants of the survey. What respondents most appreciated was the professionalism of the service, since it is a specialized service that goes straight to the problem, by having a well-organised risk rating system, by guiding the therapeutic care the user needs and, if necessary, forwarding him/her to another service. This characterization of professionalism largely determines users’ perception. Based on these results, it is concluded that the accessibility and the quality of the HBO specialized service were the two most prominent aspects in service offered. These aspects are identified with two core dimensions of responsiveness, agility and dignity, which were perceived by the interviewed ones and matched to their expectations.

O Sistema de Triagem de Manchester (STM) é um protocolo de classificação de risco que possibilita a rápida avaliação do paciente e determina uma categoria de risco conforme sua prioridade clínica, a partir da seleção de fluxogramas e discriminadores, indicando uma das cinco categorias e um tempo limite em que o paciente pode esperar para ser atendido. O estudo teve como objetivo geral caracterizar os atendimentos por meio da classificação de risco pelo Sistema de Triagem de Manchester em uma Emergência Pediátrica de um Hospital Universitário. Trata-se de um estudo quantitativo transversal, que incluiu todos os atendimentos da Emergência Pediátrica de um Hospital Universitário de Porto Alegre, no período de 01 de janeiro a 31 de dezembro de 2013, com idade inferior a 14 anos. Os dados referentes à classificação de risco foram obtidos por meio de uma query dos prontuários dos pacientes, solicitada para o Serviço de Arquivo Médico e Informação em Saúde. O Comitê de Ética e Pesquisa da instituição emitiu parecer favorável à realização do estudo. Foram respeitados os princípios éticos em saúde, conforme a Resolução do Conselho Nacional de Saúde n° 466/2012. Durante o período que compreendeu a pesquisa, foram realizados 10.921 atendimentos na Emergência Pediátrica, em sua maioria do sexo masculino, com idade entre 29 dias e dois anos, procedentes do município de Porto Alegre. A categoria de risco que prevaleceu foi a categoria Urgente, com 4.762 (43,6%) atendimentos. O fluxograma Pais Preocupados prevaleceu em relação aos demais, totalizando 2.446 (22,4%) atendimentos. Quanto aos discriminadores, houve prevalência do discriminador Evento Recente, com 1.671 (15,3%) atendimentos. Com relação ao desfecho dos pacientes, 49,1% foram direcionados para a Sala de Procedimentos Pediátrica e 12,7% para a Sala de Observação Pediátrica após a consulta médica e antes de receber alta ou ser encaminhados para internação no próprio hospital. Os pacientes que obtiveram alta domiciliar após a consulta médica somaram 4.161 (38,1%) pacientes e 1.136 (10,4%) pacientes foram encaminhados para internação após a classificação de risco e a primeira consulta médica. O maior número de internações aconteceu na Unidade de Internação Pediátrica (76,7%). Conhecer o perfil dos atendimentos na Emergência Pediátrica que passam pela classificação de risco de acordo com o STM auxilia o enfermeiro no planejamento de ações e intervenções em saúde baseadas nas necessidades de saúde de pacientes pediátricos, permitindo ao profissional direcionar seu atendimento às demandas que buscam assistência à saúde nos serviços de emergência, com qualidade e eficiência na atenção voltada à saúde da criança. / The Manchester Triage System (MTS) is a risk classification protocol which enables the fast evaluation of the patient and determines a risk category according to their clinical priority, from the selection of flowcharts and discriminators, indicating one of the five categories and a time limit in which the patient can wait to be seen. The main goal of the study was to characterize the treatments through the risk classification by the Manchester Triage System in a Pediatric Emergency at a University Hospital. It was a quantitative cross-sectional study, which included all the patients assisted at the Pediatric Emergency at a University Hospital, during the period of January 1st to December 31st of 2013, age group inferior to 14 years old. The data referring to the risk classification was obtained through a query of the patients’ records, requested at the Service of Medical Archives and Health Information (Serviço de Arquivo Médico e Informação em Saúde). The Research and Ethics Committee of the institution issued a favorable assent towards the performance of the study. The basic principles of health care ethics were respected, according to the Brazilian National Health Council Resolution nº 466/2012. During the period of the research, 10.921 treatments were performed at the Pediatric Emergency, in its majority of the male gender, ages between 29 days and two years old, coming from the city of Porto Alegre. The risk category that prevailed was the Urgent category, with 4.762 (43,6%) patients assisted. The Worried Parents flowchart prevailed in relation to the others, reaching a total of 2.446 (22,4%) patients assisted. As for the discriminators, there was a prevalence of the Recent Event one, with 1.671 (15,3%) patients assisted. In relation to the outcome of the patients, 49,1% were directed to the Pediatric Procedures Room and 12,7% to the Pediatric Observation Room after examination and before being discharged or being sent to hospitalization to hospital. The patients who received a discharge home after examination added a total of 4.161 (38,1%) patients and 1.136 (10,4%) patients were sent to hospitalization after the risk classification and the first medical examination. The highest number of hospitalizations happened at the Pediatric Hospitalization Unit (76,7%). Getting to know the profile of the treatments at the Pediatric Emergency that go through the risk classification according to MTS supports the nurse on the planning of action and interventions in health based on the health needs of pediatric patients, allowing the professional to direct his assistance towards the demands of search for health assistance at emergency services, with quality and efficiency in attention towards children’s health.

O presente estudo teve por objetivo analisar a percepção dos usuários sobre um serviço hospitalar de emergência em oftalmologia, na perspectiva da responsividade. Trata-se de uma pesquisa qualitativa com delineamento descritivo-exploratório. Os dados foram coletados por meio de entrevista semiestruturada, com 27 usuários do Serviço de Emergência SUS do Hospital Banco de Olhos (HBO) de Porto Alegre, no período de julho a agosto de 2016. Para a realização das entrevistas foi utilizado um roteiro com questões sobre o atendimento, com base nos domínios da responsividade. A análise dos dados foi realizada segundo a técnica de análise de conteúdo temática, com identificação das seguintes categorias: dignidade, autonomia, comunicação, confidencialidade, dimensões da qualidade de amenidades básicas (infraestrutura), escolha, suporte social (acesso a redes de apoio social) e atenção imediata (agilidade no atendimento). No domínio interpessoal, a dignidade foi entendida como ser respeitado em sua individualidade, bem orientado e encaminhado em sua necessidade; a autonomia foi ressaltada como participação e compreensão do diagnóstico e das indicações terapêuticas para saber lidar com o seu problema; a comunicação foi descrita como empatia, linguagem acessível e possibilidade de fazer perguntas de esclarecimento; a confidencialidade foi compreendida como privacidade, segurança e confiança em relação às informações pessoais durante o atendimento. 9Continua) No domínio estrutural, na infraestrutura, foi destacada a situação de limpeza dos ambientes e a qualidade da sala de espera; na escolha foi identificada a opção por um serviço especializado em oftalmologia; no suporte social foi indicada a possibilidade de um acompanhante na consulta e o acolhimento de diversidade de situações do usuário; na agilidade foi evidenciado o longo tempo de espera e a acessibilidade, qualidade e resolutividade do atendimento especializado, tendo presente que é um serviço SUS. Esse fato de ser um atendimento público qualificado foi várias vezes mencionado positivamente pelos entrevistados. Quanto à agilidade, o serviço de emergência caracteriza-se como porta de entrada para patologias da visão, causando, em certos momentos, excessiva demanda e consequentemente longo tempo de espera constatada pelos participantes da pesquisa. O que os entrevistados mais apreciam é o profissionalismo do atendimento, por ser um serviço especializado que vai direto ao problema, por ter um acolhimento com classificação de risco bem organizado, por orientar os cuidados terapêuticos que o usuário precisa ter e, se necessário, encaminhar para um outro serviço de atendimento. Essa caracterização de profissionalismo determina em grande parte a percepção dos usuários. Diante desses resultados conclui-se que a acessibilidade e a qualidade do serviço especializado do HBO foram os dois aspectos mais destacados no atendimento. Esses aspectos identificam-se com duas dimensões centrais da responsividade, a agilidade e a dignidade, que foram percebidas pelos entrevistados e corresponderam às suas expectativas. / The present study aimed to analyze the perceptions of users about a hospital emergency service in ophthalmology from the perspective of responsiveness. It is a qualitative research with descriptive-exploratory design. The data were collected through semi-structured interviews with 27 users of emergency service at the Eye Hospital (HBO) in Porto Alegre-RS between July and August 2016. A script with questions about the service based on responsiveness dimensions was used to carry out the interviews. Data analysis was performed according to the technique of thematic content analysis, with identification of the following thematic categories: dignity, autonomy, communication, confidentiality, dimensions of basic amenities’ quality (infrastructure), choice, social support (access to social support networks), and immediate attention (agility in service). In the interpersonal domain, ‘dignity’ was understood as being respected in one’s own individuality, well guided and followed in one’s own needs; ‘autonomy’ was highlighted as participation and understanding of the diagnosis and therapeutic indications to know how to deal with one’s own problem; ‘communication’ was described as empathy, accessible language and the possibility of clarifying questions; ‘confidentiality’ was underst bood as privacy, security and trust in relation to personal information provided during the service. In the structural domain, in relation to ‘infrastructure’, it was highlighted the cleanliness of the rooms and the quality of the waiting room; in ‘choice’ the option for a specialized service in ophthalmology was mentioned; in ‘social support’ the possibility of a company in the doctor’s appointment and the welcoming of diversity of situations was pointed out; in ‘agility’, long waiting time and accessibility were evidenced as well as quality and specialized care efficaciousness, bearing in mind that it is a Unified Health Care System service. The fact of being a qualified public service was several times positively emphasized by the respondents. As for ‘agility’, the emergency service is characterized as a gateway to eye pathologies, causing, at certain moments, excessive demand and consequently long waiting time faced by the participants of the survey. What respondents most appreciated was the professionalism of the service, since it is a specialized service that goes straight to the problem, by having a well-organised risk rating system, by guiding the therapeutic care the user needs and, if necessary, forwarding him/her to another service. This characterization of professionalism largely determines users’ perception. Based on these results, it is concluded that the accessibility and the quality of the HBO specialized service were the two most prominent aspects in service offered. These aspects are identified with two core dimensions of responsiveness, agility and dignity, which were perceived by the interviewed ones and matched to their expectations.

Bakgrund:Patienten som besöker akutmottagningen idag möts av vårdpersonal som ska ta hand om ett ökande antal patienter med svårare och mer komplexa vårdbehov. Studier visar att det skapar trygghet för patienten att själv få delge sina tankar om sitt hälsotillstånd, bli tagen på allvar och lyssnad på. Patientens berättelse har inte varit i fokus då personalen värderar vitala parametrar högre, tycker det syns om patienten mår dåligt och menar att patientberättelsen kan ta lång tid. Samtidigt visar forskning att personcentrerad vård, med den inledande patientberättelsen, har positiva effekter både för patienten och personalen samt ger minskade vårdkostnader. Syfte:Beskriva patientens upplevelse av att lämna sin patientberättelse på akutmottagning och vad som bidrog till upplevelsen. Metod:Semistrukturerade intervjuer med 20 patienter på två akutmottagningar analyserades med kvalitativ innehållsanalys. Resultat:Patienten hade både positiva och negativa upplevelser av att lämna sin berättelse. Studiens resultat delades in i tre kategorier av upplevelser. Den första kategorin beskriver upplevelser som påverkades av både den fysiska och psykosociala miljön. Den andra kategorin handlar om personalens påverkan av upplevelsen genom att ge plats, skapa bekvämlighet och visa närvaro i samtalet. Den tredje kategorin beskriver patientens egenskaper som påverkade upplevelsen. Förslag på åtgärder som kan förbättra patientens upplevelse framkom. Slutsats:Personalens beteende och miljön hade stor betydelse för patientens upplevelse av att lämna sin patientberättelse på akutmottagning, men även patientens personliga egenskaper behöver beaktas. Att förstå och göra sig förstådd, känna sig trygg, bekväm, delaktig och bli lyssnad på i en lugn ostörd miljö var viktigt för patienten. Detta var möjligt genom anpassningar i personalens beteenden och miljön. Kunskapen bör användas till att utveckla vården mot att ge goda förutsättningar för patienten att lämna den viktiga berättelsen. Resultatet kan på så sätt användas för att förbättra patientens upplevelse på akutmottagningen genom en mer personcentrerad vård. / Background:The patient visiting the Emergency Department today are met by staff who care for an increasing number of patients, with more difficult and more complex care needs. Studies show that the patient feel safer in their care when they have an opportunity to share their thoughts about their state of health and feel taken seriously and listened to. The patient's narrative has not been in focus since the staff prioritizes ​​vital signs, considers the patient's illness to be obvious and believes that listening to the patient's narrative may take a long time. At the same time, research shows that person-centered care, including an initial patient narrative, has positive effects for the patient, the staff and the reduction of healthcare costs. Aim:Describe the patient's experience of reporting the patient narrative at the emergency department, and what contributed to the experience. Method:Semi-structured interviews with 20 patients at two emergency departments were analyzed with qualitative content analysis. Results:The patient had both positive and negative experiences from expressing their patient narrative. The study results are divided into three categories.The first category describes that the experience was influenced by the physical and psychosocial environment. The second category concerns how the staff influenced the experience by providing space, creating comfort and being present in the conversation. The third category describes that the experience was influenced by the patient's personal characteristics. Suggestions for arrangements that improve the patient’s experience have been achieved. Conclusion:The person's behavior and environment were of great importance to the patient's experience of expressing their patient narrative at the Emergency Department, but also the patient's personal characteristics need to be considered. To understand and make yourself understood, feel safe, comfortable, participated and be listened to in a calm undisturbed environment was important to the patient. This was possible through adjustments in staff behavior and the environment. Knowledge should be used to develop health care to provide good conditions for the patient to report the important narrative. Therefore, the results can be used to improve the patient’s experience in the Emergency Department through more person-centered care.