Exploring the Associations Between Patient Affect, Self-Care Actions, and Emergency Department Use for Community-Dwelling Adults

J Nurs Care Qual. 2019 Apr/Jun;34(2):175-179. doi: 10.1097/NCQ.0000000000000348.

Abstract

Background: Nurses and other health care providers need to ensure that patients receive care that addresses their specific needs and wants.

Purpose: This exploratory study examined the associations between patients' self-reported positive and negative affect, the perceived importance of 57 self-care actions, the desire and ability to perform them, and emergency department use in the past 3 months.

Methods: A secondary analysis from a cross-sectional survey project that surveyed 250 community-dwelling adults living in the southern United States, 2015-2016. Independent t tests and the χ test were used.

Results: Positive affect was associated with positive perceptions of self-care actions and having no emergency department visit. Patients with a more negative affect perceived finding and using services that support their health behaviors as being important and expressed a desire to participate in local health screening or wellness events.

Conclusions: Patients' perceptions of their self-care actions could lead to better outcomes.

MeSH terms

  • Adult
  • Affect*
  • Aged
  • Cross-Sectional Studies
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Health Behavior*
  • Humans
  • Independent Living / psychology*
  • Male
  • Patient Participation / psychology
  • Self Care*
  • Self Report
  • Surveys and Questionnaires
  • United States