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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedWurcel AG, Zubiago J, Reyes J
Surgeons' perspectives on valve surgery in people with drug use-associated infective endocarditis.
Hospitalizations for drug-use associated infective endocarditis (DUA-IE) have contributed to increasing surgical consultations for valve replacement. Little is known about cardiothoracic surgeons' perspectives on the decision-making process around operations for people with DUA-IE. The purpose of this semiqualitative, multisite study was to collect the perspectives of cardiothoracic surgeons on initial and repeat valve surgery for people with DUA-IE. The researchers conducted purposeful sampling of surgeons at 7 hospitals: University of Alabama, Boston Medical Center, Massachusetts General Hospital, University of North Carolina-Chapel Hill, Rhode Island Hospital-Brown University, Tufts Medical Center, and Vanderbilt University Medical Center. Nineteen cardiothoracic surgeons (53% acceptance) were interviewed. The study found that perceptions of the drivers of addiction varied as did the approaches to repeat valve operations. There were mixed perspectives on multidisciplinary meetings, although many surgeons indicated interest in more efficient meetings and more intensive postoperative and posthospitalization multidisciplinary care.
AHRQ-funded; HS026008.
Citation: Wurcel AG, Zubiago J, Reyes J .
Surgeons' perspectives on valve surgery in people with drug use-associated infective endocarditis.
Ann Thorac Surg 2023 Sep; 116(3):492-98. doi: 10.1016/j.athoracsur.2021.12.068..
Keywords: Surgery, Provider: Physician, Substance Abuse
Isbell LM, Chimowitz H, Huff NR
A qualitative study of emergency physicians' and nurses' experiences caring for patients with psychiatric conditions and/or substance use disorders.
This study’s aim was to develop a comprehensive data-driven model of the complex challenges and unique dynamics associated with caring for patients with psychiatric conditions and/or substance use disorders (SUDs) in the emergency department (ED), as well as the effect on patient care quality. The authors conducted a preplanned topical analysis of grounded theory data obtained from semistructured interviews with 86 ED physicians and nurses from 8 hospitals in the Northeastern USA. Participants described in detail their experiences and challenges in caring for patients with psychiatric conditions and/or SUDs. The authors identified themes inductively using constant comparative analysis and developed a grounded model of physicians' and nurses' perceptions of challenges, biases, and effects on patient care. Challenges identified were emotional, diagnostic, and logistical. These challenges magnified existing health care system issues and social structures, which fuel and reinforce negative attitudes, expectations, and biases. This creates a cyclical process whereby challenges and biases associated with patients with psychiatric conditions and/or SUDs can reciprocally threaten patient care quality.
AHRQ-funded; HS025752.
Citation: Isbell LM, Chimowitz H, Huff NR .
A qualitative study of emergency physicians' and nurses' experiences caring for patients with psychiatric conditions and/or substance use disorders.
Ann Emerg Med 2023 Jun; 81(6):715-27. doi: 10.1016/j.annemergmed.2022.10.014..
Keywords: Behavioral Health, Substance Abuse, Emergency Department, Provider: Nurse, Provider: Physician