了解地震期间的患者安全:对灾害响应的现象学研究
Tunçay Palteki1, Saleh Salimi2, Ahtisham Younas3
1Department of Emergency and Disaster Management, Biruni University, Istanbul, Turkey.
BMJ quality & safety
|January 28, 2025
概括
医疗保健专业人员在地震期间面临着影响患者安全的重大挑战,包括通信故障和资源短缺. 加强防灾准备对于减轻风险和确保患者在自然灾害中的福祉至关重要.
科学领域:
- 医疗灾难响应医疗灾难响应
- 医疗保健系统的弹性 医疗系统的弹性
- 在紧急情况下的患者安全.
背景情况:
- 像地震这样的自然灾害严重危及公众和医疗保健专业人员的安全.
- 在灾难期间医疗保健服务的中断会损害患者的护理.
- 了解医疗保健专业人员的经验对于改善自然灾害期间的安全至关重要.
研究的目的:
- 探索医疗保健专业人员在自然灾害,特别是地震期间对患者安全的实践经验.
- 确定医疗保健提供者在地震事件期间维护患者安全时所面临的关键挑战.
- 在易受灾害影响的地区,为提高医疗保健弹性制定战略.
主要方法:
- 描述性的现象学方法,遵循统一的标准报告定性研究 (COREQ) 的指导方针.
- 与23名医疗保健专业人员 (医生,护士,护理人员) 进行半结构面试,使用有目的的抽样.
- 通过Colaizzi的方法进行数据分析,通过研究人员的共识和参与者的反来验证发现.
主要成果:
- 九个主题出现了,包括沟通中断,患者识别困难,资源稀缺,运营混乱和道德困境.
- 对工作人员的情绪损失和对患者的心理影响是影响患者安全的重要因素.
- 这些相互关联的因素共同影响了地震期间患者护理的质量和安全.
结论:
- 通信故障,患者识别问题和资源短缺加剧了在地震期间提供安全护理的挑战.
- 加强灾难准备是必不可少的,重点是改善沟通,资源管理,心理支持和机构间协调.
- 建议定期进行现实的灾害演习,以提高医疗保健系统的准备能力,并保障患者在未来事件中的安全.
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