哪些因素可以让急诊室的病人更舒服地等待? 一个全面的回顾
Vicki Binnie1, Robert Eley1, Andrew Staib1
1Department of Emergency Medicine, Princess Alexandra Hospital, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia.
医疗救护车是常见的急救部门挑战, 缺乏以患者为中心的环境研究. 这项审查确定了隐私和沟通等可转移的要素,以改善救护车队列中的患者体验.
科学领域:
- 紧急医疗
- 医疗设施的设计
- 患者体验研究
背景情况:
- 救护车排队是一个持续的医疗保健挑战.
- 现有的设施指导方针缺乏针对临床护理的具体要求.
- 需要了解在救护车上路时影响患者体验的环境因素.
研究的目的:
- 确定改善消费者体验的等待环境特征的研究.
- 评估这些特征是否可转移到救护车道环境中.
- 为医疗机构未来的计划提供信息,以便在急救队列中改善患者护理.
主要方法:
- 一项范围审查系统地搜索了五个电子数据库,参考链和灰色文献.
- 混合方法评估工具评估了证据水平.
- 包含了59篇论文,其中包括对道环境的可翻译性进行了评估.
主要成果:
- 没有研究专门关注ED道环境的空间布局和患者的体验.
- 确定的主要环境因素包括隐私,自然景观,员工接近,沟通,物理方面,热情好客,家具和温度.
- 这些元素分为心理,自我效能,社会和功能领域.
结论:
- 可以确定环境因素来支持以人为中心的护理.
- 这些发现为未来医疗机构的设计和规划提供了洞察力, 以减轻ED排队的负面影响.
- 需要进一步研究这些元素在救护车上下坡道的具体环境中的直接应用.
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