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加拿大埃德蒙顿急诊室患者的感知和体验:一项定性研究

Moutasem A Zakkar¹, Fariba Kolahdooz¹, Kate Kerber¹

¹Indigenous and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation, 8602 112 Street, Edmonton, Alberta T6G 2E1, Canada.

International emergency nursing

|December 10, 2025

概括

通过解决等待时间,沟通和可访问性,可以改善急诊室 (ED) 的患者体验. 加强初级保健和实施文化安全实践是改善ED护理的关键建议.

科学领域:

医疗保健服务研究医疗服务研究
质量健康研究质量健康研究
患者体验研究患者体验研究

背景情况:

紧急诊所 (ED) 面临着影响患者护理的挑战,原因是患者数量大,资源有限.
在ED中患者的不理想体验越来越令人担忧,需要进一步调查.
这项研究的重点是了解患者在加拿大阿尔伯塔省埃德蒙顿的ED体验.

研究的目的:

探索和描述埃德蒙顿急诊室患者的体验.
确定导致ED中积极和消极患者体验的因素.
收集患者建议,以改善紧急护理服务.

主要方法:

作为CARE项目的一部分,采用了定性描述性研究设计.
经历社会经济劣势和最近埃德蒙顿ED访问的参与者从医院ED和社区组织中招募.
数据收集涉及对参与者特征和医疗保健准入的定量测量,以及对定性访谈数据的专题分析.

主要成果:

包括192名参与者,医院ED和社区招募的群体之间有着不同的人口特征.
虽然许多人报告了令人满意的经历,但负面的遭遇与种族主义,可访问性障碍,长时间等待和不良沟通有关.
定量调查结果表明,初级保健服务和医疗保健专业人员的访问有限,并提出了改善沟通和扩大初级保健的建议.

结论:

影响ED体验的关键挑战包括等待时间,沟通问题,服务可访问性,可用性和歧视.
对初级保健,ED人员和文化安全护理的战略投资对于提高公平性和响应性至关重要.
解决这些系统性问题对于改善急诊室患者整体体验至关重要.

关键词:

紧急服务部门紧急服务部门患者的体验患者的体验患者-医疗服务提供者沟通主要医疗保健的容量能力.等待时间等待时间

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