Mohsen Abdolmaleki, Sima Lakdizaji, Akram Ghahramanian, Atefe Allahbakhshian, Mozhgan Behshid
Relationship between autonomy and moral distress in emergency nurses
Indian journal of medical ethics
patient visits emergency departments eds increase many countries result facilities often congested socioeconomic burden growing workload wellknown problem study patients reasons attending ed nonemergent needs analyzed october 2015 march 2016 patients n 499 attending ed academic teaching hospital without referral general practitioner gp surveyed regarding circumstances visit selfassessment illnessseverity reasons choosing ed instead gp results compared responses ed staff n 40 patients assessed case urgent patients 65 vs ed staff 28 p 0001 felt medical problem could treated gp 74 however patients ranked injuries mild 457 moderate 417 reasons prefer ed instead gp responded 801 cases contrast selfevaluation patients ed staff believed significant portion medical problems could treated gp understanding patientcentred reasons discrepancy selfperceived emergencies minor medical problems might help reduce inappropriate edadmissions