紧急救护车工作人员的反:通过现实主义评估方法来告知当前实践的全国性审查
Caitlin Wilson1,2,3, Gillian Janes4, Rebecca Lawton1,3
1School of Psychology, University of Leeds, Leeds LS2 9JT, UK.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
英国的紧急医疗服务 (EMS) 主要使用员工要求的反来提高质量. 了解反机制是提高救护车服务中的专业发展和患者护理的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 紧急医疗服务研究 医疗服务研究
- 现实主义的评估框架
背景情况:
- 反被认为对紧急医疗服务 (EMS) 护理质量和专业发展产生积极影响.
- 通过反影响医疗保健机构结果的具体机制需要进一步阐明.
- 了解英国救护车服务的反提供对于优化其有效性至关重要.
研究的目的:
- 调查英国救护车服务如何向EMS专业人员提供反.
- 开发一个解释EMS内部反工作机制的程序理论.
- 在EMS反系统中识别挑战和最佳实践.
主要方法:
- 采用了一种混合方法,现实的评估框架.
- 一项全国跨部门调查确定了英国救护车服务的40个医院前反计划.
- 四个深入的案例研究使用了定性访谈和文档分析.
主要成果:
- 反倡议主要提供个人患者的结果反,通常由工作人员的请求 ("拉动"倡议) 发起.
- 关于信息治理的重大挑战被确定为有效反的障碍.
- 开发了一个全面的程序理论,详细介绍了EMS中反的背景,机制和结果.
结论:
- 大多数英国的救护车服务都实施各种反计划,以支持EMS专业人员.
- 该研究提供了24个经验基础,可测试的假设,用于未来对EMS反的研究.
- 需要进一步的研究来完善和验证程序理论以更广泛的医疗保健应用.
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