探索医院前紧急护理的挑战和干预措施,以减少急诊室过度拥挤:一个定性元综合
Erica Chua1, Shuo Ji1, Hui Wen Kok2
1Biological Sciences, Faculty of Science, National University of Singapore, Singapore.
BMJ open
|August 13, 2025
概括
医院前紧急护理 (PEC) 的干预可以减少急诊室 (ED) 的过度拥挤,但实施需要特定的支持者. 支持PEC医疗保健工作者和改善替代护理途径是成功的关键.
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
- 定性研究是指质量研究.
背景情况:
- 医院前紧急护理 (PEC) 的挑战显著影响急诊室 (ED) 的护理.
- ED过度拥挤是一个主要问题,由非紧急访问和服务效率低下等因素驱动.
- 减少ED需求的现有PEC干预措施面临实施限制和混合结果.
研究的目的:
- 提供PEC干预措施的综合概述,旨在减少ED过度拥挤.
- 介绍国际视角对这些干预所面临的挑战.
- 确定能够为成功实施医疗保健系统行动提供信息的推动因素.
主要方法:
- 进行了定性系统审查和元合成.
- 搜索包括多个数据库:PubMed,Embase,CINAHL,PsycINFO,Web of Science和Scopus. 这些数据库包括:PubMed,Embase,CINAHL,PsycINFO,Web of Science和Scopus.
- 从21项定性研究中提取了数据,并在质量评估后进行了元合成.
主要成果:
- 出现了四个主题:PEC干预的类型,感知到的好处,实施挑战和关键推动因素.
- 干预措施旨在缓解ED需求和正确位置的患者.
- 关键的推动因素包括可访问的替代护理服务途径 (ACSP) 和对PEC工作者的支持 (指导方针,教育,培训).
结论:
- 启用者对于整合和优化PEC干预措施至关重要,例如远程选和虚拟ED.
- 应对实施挑战需要专注于ACSP和医疗保健专业人员的强大支持系统.
- 成功实施PEC干预措施以打击ED过度拥挤,需要补充支持者.
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