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Investigating the Wait Times in Emergency Departments in CanadaResearch Paper

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¶ … Wait Times Facing Older Adults in Emergency Departments in New Brunswick

Investigating Wait Times facing Seniors in Emergency Departments in New Brunswick

In the contemporary research environment, scientific research has delivered substantial health and social benefits, nevertheless, it has some troubling ethical dilemma. Typically, collecting data from human subject to complete health and medical research has been the major challenges facing researchers globally. One of the major challenges in understanding factors responsible for the longer wait times of older adults with ambulatory care is that the research will involve collecting sensitive information of subject participants.

Literature Review

In Canada, the hospital emergence departments are the major components of Canadian healthcare safety. Many patients suffering from life-threatening, serious illness and injuries present themselves to emergency departments because of symptoms that cannot be managed at home or in a healthcare provider's office.(Grudzen, Stone, & Morrison, 2011). The arrival of patients to the emergency department represents a key decision by which health care providers attempt to provide a quality healthcare and treatment plan for patients. Since the emergency departments focus on admitting patients facing serious life-threatening and serious illness, the efficiency and speed by which physicians receive the patients is very critical to the patient's outcomes. (ACEP, 2012). Since there is no proactive and systematic care system to prevent the use of emergency departments by older adults, the consequence has been associated to an increase in wait times for patients seeking for the EDs service., which can affect the quality of - times in the emergency departments and quality of healthcare delivery for the older adults in New Brunswick, Canada, there is still a shortage of quality scholarly research papers that investigate "wait times of seniors with Ambulatory Care Sensitive Condition in emergency departments of New Brunswick." "

A major factor responsible for the gap is that the data collection procedure to complete the proposal is based on medical ethical research principle that may affect the privacy of participants. This study attempts to fill the gap by carrying out an integrative research paper focusing on ethical issues that might be encountered in completing the proposal.

Research Questions

What are the ethical issues affecting the investigation of the wait times of senior citizens with Ambulatory Care Sensitive Condition in Emergency departments of New Brunswick?

What are the implementation strategies that can be employed to address the problem of ethical issues affecting the research?

What are the effective implementation strategies to reduce the "wait times of seniors with Ambulatory Care Sensitive Condition in emergency departments of New Brunswick, Canada"?

Rationale for Study

The rationale for the study is to investigate the ethical issue that might be encountered when investigating the "wait times of seniors with Ambulatory Care sensitive condition in emergency departments of New Brunswick." "

Research Methodology

The proposal will use quantitative technique to collect data using the survey method. A major benefit quantitative research is that it is cost effective and will allow the proposal to collect data from large number of participants. The researcher will collect demographic data of the participants, and EDs' wait times experience of participants. The Appendix 2 reveals the questionnaire format used to collect data.

Benefits of Research

The proposal will uncover the ethical issues affecting the data collection technique in order to understand the wait times in the emergency departments. The research findings will assist in developing strategies to reduce the wait times of older adults in the emergency departments. Apart from applying the research findings in the New Brunswick, the findings can be beneficial to other provinces in Canada. (Government Accountability Office, 2009).

Ethical Challenges

Ethical challenges associated to the proposal is that the participants are required to release some of their private information to complete the research.

Identification of Potential Ethical Issues

Wade, (2007) argues that ethical issues associated to the collection of patient's data for the research purpose make many potential participants be reluctant in releasing their private personal health data because of the fear that the data are no more private and can be released to the public. It is essential to realize that patients' data can consist of health issues which may reveal their level of cardiovascular risks, their rates of emergency admissions, the rate of their hospitalizations, and other private health issues that are highly confidential. Leila, Julie, Katie, et al. 2014) define data confidentiality "as a way of limiting how data about oneself may be used by others." (p 965). Due to high level of privacy associated to the patients' data, it may be challenging to collect data to complete the research. For example, some patients may feel embarrassed if approached with the intention to collect data concerning their rates of visits to the emergency departments.

Muthuswamy, (2013) contributes to the argument by pointing out that clinical research may face an ethical dilemma from the time the researcher formulates the research hypothesis till the research is complete. Safety and confidentiality of information released to the researcher is one of the major concern to the participants.

However, "record linkage of existing individual health-related data is a time and cost efficient way to answer important epidemiologic research questions"(Kerri, Clough-Gorr, Adrian Spoerri, et al. 2015 p 9). In Canada, health related data are protected with a strict protection regulation because of the issue of data privacy, thus, collecting health related data from patients can be a great challenge to the researcher. (Miriam, 2014).

Kim, (2012) also points out that participants are likely to be vulnerable when issues regarding collecting their private health information come in. The author argues that many participants will be concerned about the confidentiality of the data released. Due to the degree of risks associated to a collection of sensitive data, an intervention of clinicians is very critical to make patients believing that their private information is for the scientific advancement. (Perry, Linda, Sheryl, et al. 2007). However, the intervention of physicians may not work in the long run unless the researcher is sensitive to the degree of participants' data confidentiality. Despite the risks associated to the research, the proposal is still essential for the older adults seeking emergency services because the outcomes of the research will influence favorable health policy towards older adults seeking health services in the emergency departments. "In medical research ethics, the principles of beneficence and non-maleficence translate into the duties to maximize benefits while minimizing harms, especially for the research subjects." "( (Tangwa, 2009, p S5).

Different strategies the researcher will use in making the participants releasing their information. First, the researcher will counsel the participants on the importance of the proposal to their health benefits, and assure them that all the information collected will be used for the research purpose only and none of their private information will be revealed to the third party. Moreover, the researcher will assure them that none of their personal information such as names, addresses, emails, phone numbers, and other health or non-health information will be released to the public. To ascertain that the participant's information remains confidential, the proposal will use code to identify each participant, which is different from the participants' real names. Additionally, the researcher will assure all the participants that their information will be discarded after the study has been completed.

A report carried out by CIHR (2005) reveals that key ethical challenge facing the health research environment is the strategy to protect the privacy of participants. The CIHR report recommends it is critical for a researcher to limit the personal data collected from participants. This proposal will adhere to the CHIR guideline by collecting only data that will identify participants, and information collected will be restricted to achieve the research objectives. Thus, the proposal will collect the demographic data of the participants to identify their ages to ascertain whether they qualify for the research. Moreover, their address will be collected to ensure that they reside in the New Brunswick.

The researcher will also educate them on different potential benefits to be derived from the proposal. First, the research findings will make the health policy makers to increase the financial resources allotted to the emergency departments in each fiscal year, and the outcomes will make the departments to purchase necessary health materials that will reduce the wait times in the emergency department. (CIHI, 2012). In 2004, the Canada's first minister passed a policy for a 10-year plan to reduce the wait times for cardiac care, cancer treatment, joint replacement, and diagnostic imaging.

"Since the introduction of the 10-Year Plan, progress has been made in reducing wait times. In 2010-2011, about 8 out of every 10 has been made in reducing wait times. In 2010-2011, about 8 out of every 10 patients across Canada received their priority procedures within the patients across Canada received their priority procedures within the Benchmarks." (CIHI, 2011 p 111).

The findings of this research will also influence the policy makers to implement the similar plan to reduce the wait times experienced by the older adults in the emergency departments.… [END OF PREVIEW]

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Investigating The Wait Times In Emergency Departments In Canada.  (2015, December 5).  Retrieved September 21, 2017, from https://www.essaytown.com/subjects/paper/investigating-wait-times-emergency/3096063

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