实施在紧急医疗服务系统中的影响因素 - - 范围审查
Yu-Chen Chiu1,2, Cheng-Heng Liu2,3,4, Yen-Lin Chiu2
1Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
在紧急医疗服务 (EMS) 中实施新做法需要了解促进者和障碍. 本次审查确定了十个关键主题,包括从业人员的特点和资源,以改善医院前护理.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 紧急医疗服务 (EMS) 在相当大的时间和资源限制下运作.
- 在医院前环境中引入新型治疗或修改现有做法,带来了独特的实施挑战.
- 有效的实施策略对于在EMS中成功采用新的医疗干预措施至关重要.
研究的目的:
- 系统地识别和分类潜在的促进者和影响医院前紧急医疗服务实施的障碍.
- 开发一个全面的框架,以了解在医院前环境中的实施因素.
主要方法:
- 使用PubMed和EMbase数据库进行了系统范围审查,遵守PRISMA指南.
- 包含了2023年12月之前以英语出版的原始研究文章,重点关注影响医院前EMS实施的因素.
- 提取的影响因素被主题分类.
主要成果:
- 从371篇获取的论文中选择了19篇文章,产生了46个影响因素.
- 这些因素被分为十个不同的主题:外部系统,内部系统,从业者特征,资源,沟通和协作,患者因素,干预特征,退出先前实践,物流问题和质量改进.
- 确定的主要影响因素包括培训,设备,医院沟通和从业者的态度.
结论:
- 基于对文献的审查,提出了EMS实施因素的10个主题框架.
- 了解这些主题对于在医院前护理中成功采用新实践和技术至关重要.
- 专注于培训,资源,沟通和从业者的态度可以加强EMS实施努力.
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