改善儿科急诊室的患者护理体验:一个系统性审查
Evan Abram1, Bhavan Dhaliwal1, Banke Oketola1
1The Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
CJEM
|April 18, 2025
概括
儿科急诊室 (ED) 的患者满意度很高,但等待时间,隐私和沟通需要改进. 解决这些因素,包括基于种族的护理差异,可以提高整体患者体验.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 患者体验研究 患者体验研究
背景情况:
- 儿科急诊室 (ED) 对于儿童的急性护理至关重要.
- 了解患者体验对于改善医疗保健质量和结果至关重要.
- 公平,多样性和包容 (EDI) 原则越来越被认为在医疗保健提供中至关重要.
研究的目的:
- 系统地审查和总结有关儿科ED患者患者经验的现有证据.
- 描述患者的护理体验,识别障碍,并探索EDI的影响.
- 为增强儿科紧急护理提供见解.
主要方法:
- 进行了对队列,横截面和受控临床研究的系统审查.
- 在多个数据库 (MEDLINE,Embase,PsycInfo,Cochrane,CENTRAL,CINAHL) 进行了搜索,截至2023年9月.
- 使用了叙事和描述分析,并得到了患者和家庭咨询委员会的意见.
主要成果:
- 六项研究评估了12名患者的体验,所有这些都来自大量的中心.
- 整体患者满意度超过70%,但隐私,通信和等待区的评分较低.
- 等待时间和隐私是重要的障碍,种族影响患者的声音和隐私得分.
结论:
- 尽管整体满意度很高,但通过解决患者报告的关键问题,可以改善儿科ED护理.
- 减少等待时间,改善等待区和加强隐私是必不可少的.
- 解决EDI因素,特别是基于种族的差异,对于公平和最佳的患者护理至关重要.
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