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The lived experiences of patients and ambulance ramping in a regional Australian emergency department: An interpretive phenomenology study
Journal article   Peer reviewed

The lived experiences of patients and ambulance ramping in a regional Australian emergency department: An interpretive phenomenology study

Christopher J Kingswell, Ramon Z Shaban and Julia Crilly
Australasian Emergency Nursing Journal, Vol.18(4), pp.182-189
2015
DOI: https://doi.org/10.1016/j.aenj.2015.08.003
url
https://doi.org/10.1016/j.aenj.2015.08.003View
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Abstract

Nursing Public Health and Health Services ambulances emergency departments paramedics patients qualitative research
Background: Internationally,the workload of emergency departments (ED) has increased, resulting in overcrowding and frequent delays in the offloading of patients arriving via ambulance - referred to in Australia as 'ambulance ramping'. Methods: Using interpretive phenomenology, this study sought to understand the experience of ambulance ramping from the perspective of patients. Semi-structured interviews were undertaken with seven patients who presented to a regional Queensland ED via ambulance, and experienced an ambulance offload delay of >30 min. Results: Ambulance ramping in the ED was described as 'Being a patient, patient', and three major themes emerged: Understanding the emergency healthcare system; Making do within the emergency healthcare system; and Being 'in the dark' during ambulance ramping. Most participants did not understand the antecedents to ambulance ramping, but understood some of the consequences. Most were happy to wait with paramedics for a bed and, although without privacy, felt safe. However, most participants felt 'in the dark' during ambulance ramping, due to communication difficulties regarding bed availability, and this led to frustration. Conclusions: In light of the Australian Charter of Healthcare Rights, service improvement opportunities xist for patients arriving to the ED by ambulance to ensure delays are minimised and quality care is delivered.

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