Health promotion in Fiji: Is it feasible in the emergency department?

Abstract

Complications of diabetes, hypertension and asthma are commonly seen in EDs in Fiji. Time spent in the ED offers an opportunity for health promotion activities. The aim of the intervention was to provide information on diabetes, hypertension and asthma to patients in the ED. The aim of the project was to determine whether such an intervention could be implemented using public health students. The aim of this paper is to document the experiences of those who delivered and supervised the intervention. This pilot project took place in the Colonial War Memorial Hospital, Suva, in August-October 2015. Patient suitability was assessed by the supervising emergency physician. Patients were invited to receive a 10-min information session relating to asthma, hypertension or diabetes. Once the project had concluded, the students and supervisor were given a questionnaire, requiring them to reflect on their experiences of the project. Data was analysed using an inductive approach with thematic content analysis. Students required intensive coaching to gain the skills and confidence to deliver the intervention. The intervention was well received by patients, whose knowledge of hypertension, diabetes and asthma was poor. Health literacy among patients in Fiji is low and measures to address this must be taken. Intensive training and supervision is required for public health students to be able to deliver such activities in the ED setting.