了解农村伤害提供者与创伤临床指导的经验:一个定性案例系列
Andrew Steiner1, Michael A Person2, Darren D Bowe3
1University of Colorado School of Medicine at Colorado State University, Fort Collins, Colorado, USA.
农村创伤提供者需要创伤临床指导 (TCG),它是视觉直观,易于访问,并适应各种设置. 改善TCG的创建和传播对于优化农村创伤护理和减少患者负担至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 农村卫生 农村卫生
背景情况:
- 创伤是1至44岁人群死亡的主要原因.
- 优化创伤护理,特别是在农村环境,是必不可少的.
- 创伤临床指导 (TCG) 可以改善患者管理.
研究的目的:
- 了解TCG在农村创伤提供者患者管理中的作用.
- 确定在TCG创建和传播方面需要改进的领域.
主要方法:
- 有五个半结构面试的定性案例系列.
- 通过雪球采样招募的农村提供者.
- 面试的重点是临床不确定性,指导使用和TCG审查.
主要成果:
- 三个提供者不经常使用TCG; 三个依赖于高级创伤生命支持作为基础.
- 关键的TCG改进要求包括视觉辅助,中央可访问性,资源适应性,协作审批流程和转移指导.
结论:
- 改善TCG需要专注于农村提供者的需求,并促进合作.
- 为农村人口设计TCG可以提高所有人的可访问性和可用性.
- 这种方法可以减少农村地区的创伤和伤害负担.
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