探索两步和一步的紧急护理电话分拣:一项基于英国的半结构面试研究
Vanashree Sexton1, Jeremy Dale1, Carol Bryce1
1Warwick Medical School, University of Warwick, Coventry, UK.
BJGP open
|June 4, 2025
概括
患者发现两步紧急护理分拣与一步分拣相比,复杂而令人丧. 与非临床医生的沟通往往是编剧的,而临床医生则提供了更自然,更富同情心的互动.
科学领域:
- 医疗保健管理的管理
- 患者体验研究 研究研究
- 紧急护理服务紧急护理服务
背景情况:
- 在英国,有两种紧急护理电话分拣模式:一步 (临床医生领导) 和两步 (非临床医生跟随临床医生).
- 数字分拣 (计算机决策支持) 可以集成到两个模型中.
- 患者对两步选的经验尚未得到充分了解.
研究的目的:
- 探索和比较患者和护理人员对两步紧急护理分拣与单步分拣的经验.
主要方法:
- 在英格兰和北爱尔兰,与25名患者/护理人员进行了半结构面试.
- 采访发生在2021年7月至2022年2月期间.
- 采用了主题分析,使用Oben的解释框架和SRQR进行报告.
主要成果:
- 两步选与复杂性,延迟和患者丧有关.
- 与非临床医生的沟通被认为是有脚本和不灵活的.
- 临床医师的沟通被视为更自然和富有同情心,提供了保证,有时可以实现自我照顾.
结论:
- 对于两步选的服务规划,应优先考虑将患者经历的复杂性降至最低.
- 需要进一步的研究,以适应数字选为自然的沟通流程,并利用同情的沟通自我照顾.
- 临床医师培训应强调同情的沟通和适当的患者时间在分拣.
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