Guttman N, Nelson M S, Zimmerman D R
Department of Communication, Tel-Aviv University.
Qual Health Res. 2001 Mar;11(2):161-78. doi: 10.1177/104973201129119028.
It is estimated that more than half of pediatric hospital emergency department (ED) visits are medically nonurgent. Anecdotal impressions suggest that ED providers castigate medically nonurgent visits, yet studies on such visits are scarce. This study explored the perspectives of 26 providers working in the EDs of two urban hospitals regarding medically nonurgent pediatric ED visits and advising parents or guardians on appropriate ED use. Three provider ideologies regarding the appropriateness of medically nonurgent ED use were identified and found to be linked to particular communication strategies that providers employed with ED users: restrictive, pragmatic, and all-inclusive. The analysis resulted in the development of a typology of provider ideological orientations toward ED use, distinguished according to different orientations toward professional dominance.
据估计，超过一半的儿科医院急诊科就诊在医学上并非紧急情况。坊间印象表明，急诊科医护人员谴责医学上非紧急的就诊情况，但关于此类就诊的研究却很少。本研究探讨了在两家城市医院急诊科工作的26名医护人员对于医学上非紧急的儿科急诊科就诊情况的看法，以及就如何合理使用急诊科向家长或监护人提供建议的情况。确定了关于医学上非紧急使用急诊科的适当性的三种医护人员理念，并发现它们与医护人员与急诊科使用者采用的特定沟通策略相关联：限制性、务实性和包容性。该分析得出了一种医护人员对急诊科使用的意识形态取向类型学，根据对专业主导地位的不同取向进行区分。
