在拥挤的急诊室里做一个病人:一种定性服务评估
Alex I P Craston1, Harriet Scott-Murfitt1, Mariam T Omar1
1Medical School, University of Leicester, Leicester, UK.
Emergency medicine journal : EMJ
|July 31, 2024
概括
在拥挤的急诊室 (ED) 中,患者感到脆弱,失去自主权. 改善信息提供和设施导航可以减轻高占用期的负面体验.
科学领域:
- 紧急医疗 紧急医疗
- 患者体验研究 研究研究
- 质量健康研究 质量健康研究
背景情况:
- 紧急部门 (ED) 的拥挤与死亡率增加和医疗保健专业人员的倦怠有关.
- 患者对ED拥挤的看法经常被忽视,除了指标之外的理解有限.
- 这项研究旨在探索拥挤的ED患者的体验,并确定潜在的干预措施.
研究的目的:
- 为了调查患者在拥挤的急诊室的经历.
- 为了确定患者产生的干预措施,以减轻ED拥挤的负面影响.
主要方法:
- 使用半结构面试对成年患者及其伴侣进行高占用期间的定性服务评估.
- 对字面转录的解释性现象学分析,以了解参与者的经历.
- 探索参与者建议的潜在缓解干预措施.
主要成果:
- 7名患者和3名合作伙伴参与了这项研究,代表了当地流域人口.
- 确定的主要主题是"失去自主权"",未满足的期望"和"脆弱性".
- 干预措施的重点是改善信息提供和对现有ED设施的更清晰的标志.
结论:
- 拥挤的ED患者经历了显著的不确定性,无助感和不适.
- 建议包括加强患者的过程和环境导向.
- 解决患者的观点对于改善拥挤ED的护理质量至关重要.
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