• Eija Paavilainen, Mari Salminen-Tuomaala, Sirpa Kurikka, and Paula Paussu.
• Department of Nursing Science, University of Tampere, Etelä-Pohjanmaa Hospital District, FIN-33014, Finland. eija.paavilainen@uta.fi
• J Clin Nurs. 2009 Aug 1;18(15):2217-24.

AimTo describe patients' experiences of counselling, defined as information giving and advice by nursing staff, in the emergency department. A particular focus was on the waiting period and on the importance of family participation in counselling.BackgroundCounselling is a widely studied topic in nursing. Too little is known about counselling in emergency departments and especially about participation of family members and suitability of counselling for the patient's life situation.DesignDescriptive quantitative study.MethodsData were collected by questionnaires from patients (n = 107) visiting a hospital emergency department. The data were subjected to statistical analysis.ResultsForty-two per cent of patients arrived at the emergency department with a family member: spouse or cohabiting partner, mother, father or daughter. Patients were fairly satisfied with the counselling. The presence of a family member was important to the majority of patients (75%). About half of the patients wanted information concerning their illness, condition and treatment to be given to their family members. Those visiting the department with a family member were more satisfied with counselling and felt that it promoted their participation in care.ConclusionIt is to encourage patients' family members to participate in counselling situations in emergency departments. However, the type of information passed on to family members should be carefully discussed and prepared.Relevance To Clinical PracticePatients' family members seem to be important partners in counselling situations. The presence of family members supports patients in the emergency department during the waiting period and helps them orientate in their situation. When family members are present, issues which patients wish to discuss should be carefully planned. Family presence should be encouraged in emergency departments.

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