为低资源环境开发医院前紧急护理系统评估工具 (PEC-SET) 的障碍和促进因素:定性分析
Anjni Joiner1,2,3, Audrey L Blewer2,4, Pin Pin Pek2,5
1Duke University School of Medicine, Durham, North Carolina, USA anjni.joiner@duke.edu.
BMJ open
|December 9, 2023
概括
在南亚和东南亚开发一个医院前紧急护理系统评估工具 (PEC-SET) 需要解决上下文因素,并吸引医院前人员. 关键障碍包括劳动力短缺和国家紧急医疗服务 (EMS) 欠发达.
科学领域:
- 紧急医疗 紧急医疗
- 卫生系统研究 卫生系统研究
- 实施科学 实施科学
背景情况:
- 加强医院前紧急护理系统对于减少死亡率和残疾至关重要.
- 需要制定标准化的评估工具,以提高低收入和中等收入国家 (LMICs) 的医院前护理质量.
研究的目的:
- 识别障碍和促进者,开发和实施医院前紧急护理系统评估工具 (PEC-SET).
- 收集南亚和东南亚 (SE) 国家的医院前服务提供者的观点.
主要方法:
- 使用焦点小组讨论 (FGD) 与来自南亚和东南亚六个LMIC的医院前提供者进行定性研究.
- 实施研究综合框架 (CFIR) 指导了FGDs.
- 字面转录的诱导和演编码.字面转录的诱导和演编码.
主要成果:
- 在CFIR构造中出现的关键主题是:干预特征 (特定上下文工具,分阶段推出),内部设置 (数据传输,劳动力短缺),外部设置 (EMS发展不足) 和个人特征 (人员买入).
- 参与者建议针对心血管,创伤和围产期紧急情况的具体过程和结果措施.
- 障碍包括数据传输问题,劳动力短缺以及缺乏国家EMS发展.
结论:
- 该CFIR框架为与LMICs的当地利益相关者共同开发PEC-SET提供了基础.
- 这项研究可以为资源有限的环境中医院前紧急护理系统的质量改进工具的开发提供信息.
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