紧急医疗服务呼叫接收员和调度员的能力要求 - 范围审查
Wynand Van Der Net1, Andrew Makkink2, Peter Hodkinson1
1Division of Emergency Medicine, University of Cape Town, South Africa.
概括
有效的紧急医疗调度 (EMD) 依赖于合格的员工,特别是在低收入和中等收入国家 (LMICs). 这次审查发现缺乏关于EMD工作人员能力的研究,强调需要特定背景的培训和证据.
科学领域:
- 紧急医疗服务 (EMS)
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 有效的紧急医疗服务 (EMS) 交付非常依赖于运行良好的紧急医疗调度 (EMD) 系统.
- 有能力的EMD工作人员对于信息收集,快速决策,资源分配和到达前指令至关重要.
- 低收入和中等收入国家 (LMICs) 往往缺乏标准化的调度系统,严重依赖工作人员的专业知识.
研究的目的:
- 进行范围审查,以确定紧急医疗调度 (EMD) 工作人员所需的核心能力.
- 评估有关EMD工作人员能力的现有文献,特别是在LMICs.
主要方法:
- 通过使用与紧急医疗服务和呼叫中心能力相关的关键词对国际文献进行了全面的搜索.
- 两位独立审查员选了文章,重点关注EMD系统要求,员工能力需求和培训计划.
- 结果根据EMD系统要求,员工能力和教育/培训进行了分类.
主要成果:
- 在35篇文章中,只有5篇来自LMIC,没有一个特别详细介绍了EMD员工能力要求.
- 16项研究强调需要有资格的医疗保健专业人员 (护士,医生,护理人员) 担任EMD角色.
- 八个EMD项目强调了基本技能,包括沟通,技术使用,医学术语,急救,压力管理和资源分配.
结论:
- 关于EMD工作人员的特定能力和绩效需求的证据存在重大差距,特别是在LMICs.
- 虽然承认收集信息和决策等基本技能,但进一步的研究至关重要.
- 根据定义的核心能力制定适合环境的培训计划是提高在资源有限的环境中EMD有效性的必要条件.
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