"每一天都是一个学习曲线":在英国救护车服务中实施COVID-19分拣协议 - - 对工作人员经验的定性研究
Alison Porter1, Fiona Bell2, Mike Brady3
1Swansea University Medical School, Swansea University, Swansea, Wales, UK a.m.porter@swansea.ac.uk.
Emergency medicine journal : EMJ
|September 17, 2025
概括
救护车服务迅速适应了COVID-19分拣,平衡了安全和远程护理. 在疫情期间,工作人员在管理这些变化时面临着重大的认知和情绪负担.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 在TRIM研究中,评估了在紧急救护车服务中管理COVID-19疑似患者的分拣模型.
- 一个定性组成部分探讨了员工对COVID-19应对协议的经验.
研究的目的:
- 了解临床和管理人员对COVID-19应对过程的经验和担忧.
- 评估疑似COVID-19患者紧急护理的分拣和管理模型.
主要方法:
- 从四个英语站点的救护车服务和急救部门的利益相关者有目的地抽取样本.
- 与呼叫处理人员,临床顾问,急诊医生,经理和ED工作人员进行远程采访 (n=25).
- 专题分析由研究人员与患者和公众参与伙伴共同进行.
主要成果:
- 救护车服务调整了分组以针对急需患者,同时最大限度地降低了感染风险,增加了远程护理.
- 外部医疗保健系统的调整影响了患者流动,给救护车服务带来了挑战.
- 所有级别的员工都经历了大量的工作负担,经常更新的认知负担,以及沉重的情绪负担.
结论:
- 救护车服务在不确定性下实施了灵活的分拣变化,以适应不断变化的COVID-19大流行.
- 在大流行期间管理分拣协议是复杂的,需要前线工作人员在压力下积极管理.
- 了解员工适应和负担可以为未来的流行病准备和应对计划提供信息.
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