在成人急诊室利用社会工作:一个范围审查
Christie McLaren1, Madeleine Goodwin2, Eleni Kirkikis2
1Department of Emergency Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada. cmclaren@qmed.ca.
CJEM
|February 19, 2026
概括
成人急诊室 (ED) 的社会工作者将患者与社区资源联系起来,减少医院使用,并提供心理社会支持. 它们的角色和实施在各机构之间有很大差异,突出了改善社区伙伴关系的必要性.
科学领域:
- 社会工作 社会工作 社会工作
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 紧急诊所 (ED) 面临着越来越多的患者复杂性,包括社会需求.
- 社会工作者是解决这些需求的跨专业团队的组成部分.
- 在成人ED患者中,社会工作者的特定角色表现出显著的机构差异.
研究的目的:
- 对有关社会工作在成人急诊室中的作用的文献进行范围审查.
- 识别和分类社会工作者在ED环境中执行的各种职能.
- 了解成人ED中社会工作实践的当前格局.
主要方法:
- 通过使用MEDLINE,PsycINFO,Scopus和CINAHL进行了全面的文献搜索.
- 该审查遵循了乔安娜·布里格斯研究所的指导方针和PRISMA-ScR报告标准.
- 自2004年以来,包括的研究已发表,重点关注社会工作者在成人医院EDS中的直接患者护理角色.
主要成果:
- 包括27篇文章,详细介绍了不同地理背景的社会工作角色.
- 确定的关键角色包括将患者与社区资源联系起来,减少医院使用,心理社会评估,引导患者通过严重疾病,出院计划和病例管理.
- 报告的人员配置模式包括工作日,延长时间和24/7覆盖,表明不同的操作方法.
结论:
- 社会工作者在ED中扮演着多方面的角色,强调社区资源联系,减少医院利用,心理社会支持和严重疾病导航.
- 不同机构在实施,人员配置和利用社会工作服务方面存在很大差异.
- 医疗辅助人员应该加强社会工作的整合,特别是对于重症患者,并促进更强大的社区服务关系.
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