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PP27 Staff views on health promotion in emergency care settings – a qualitative scoping study
  1. Behnaz Schofield1,
  2. Ursula Rolfe2,
  3. Rebecca Hoskins1,
  4. Stuart McClean1,
  5. Sarah Voss1,
  6. Jonathan Benger1
  1. 1University of West of England, Bristol, UK
  2. 2University of Bournemouth, UK


Background Frontline NHS staff can recognise appropriate times and situations in which to engage with individuals and help them on the pathway to improving their health and wellbeing. Urgent care and emergency department staff are tasked with exploring opportunities for health promotion to be an integral function of their care planning. Emergency care and public health are naturally intertwined although emergency care staff may not identify themselves as public health practitioners. Whilst these clinical settings can prove challenging when considering health promotion activities, it is also these precise environments that affords an opportunity for a ‘teachable moment’ for health behaviour change.

Methods We used direct enquiry targeting a convenience sample of staff (emergency department nurses and ambulance service paramedics). We conducted six one-to-one semi-structured interviews exploring the attitudes of staff about health promotion. The virtual interviews were audio-recorded, transcribed, and analysed thematically.

Findings Two main themes were determined: health promotion as part of the role of emergency care staff; barriers to health promotion in the emergency care setting.

The study findings indicate that staff working in emergency care have the time to engage with health promotion activities and see it as part of their job. They reported understaffing and lack of knowledge in the breadth of topics they may have to engage with as barriers.

Conclusions A system-wide approach to health promotion in these clinical settings could provide staff with the training and framework (educational support, support from clinical managers, resources for in-house education and dissemination of information e.g., leaflets/apps) that they need to support their patients by incorporating health promotion activities into the routine processes of care.

The findings of this qualitative scoping study underpin the promotED study (funded by the NIHR) to explore barriers to health promotion advice delivered by staff working in urgent care and emergency departments.

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