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Area of Science:

  • Emergency Medicine
  • Qualitative Health Research
  • Advanced Practice Nursing

Background:

  • Return visits to the emergency department (ED) are a significant concern in healthcare.
  • Understanding patient perspectives on these return visits is crucial for improving care quality.
  • The role of advanced practice nurses (APNs) in managing patient follow-up requires further investigation.

Observation:

  • A qualitative study interviewed 60 patients who revisited the ED within 9 days for the same complaint.
  • Patients reported returning due to inadequate initial complaint resolution and a need for clinical assurance.
  • A lack of interim provider contact for questions or ongoing concerns was frequently cited.

Findings:

  • Patient concerns about unresolved symptoms and the need for reassurance were primary drivers for return ED visits.
  • Insufficient communication and follow-up support between initial and subsequent visits contributed to patient anxiety.
  • The study underscores the critical role of APNs in addressing patient concerns and facilitating effective communication.

Implications:

  • APNs can play a vital role in enhancing patient satisfaction and reducing unnecessary ED return visits.
  • Implementing robust communication strategies and follow-up protocols is essential for effective patient management.
  • Integrating APN-led follow-up care can improve health outcomes and patient reassurance post-emergency visit.