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优化急诊部门协议以进行定性研究,调查非紧急状况患者的就诊寻求行为。

An emergency department optimized protocol for qualitative research to investigate care seeking by patients with non-urgent conditions.

机构信息

School of Physiotherapy, University of Notre Dame Australia, Fremantle, WA, Australia.

Emergency Department, Fiona Stanley Hospital, Murdoch, WA, Australia.

出版信息

Nurs Open. 2021 Mar;8(2):628-635. doi: 10.1002/nop2.667. Epub 2020 Oct 23.

Abstract

AIM

To describe a tailored qualitative research methodology for exploring the complex interaction of factors driving non-urgent care seeking in the emergency department.

DESIGN

Qualitative descriptive design with a literature informed semi-structured interview and analysis structure. Triangulation with the State-Trait Anxiety Inventory allows expedited exploration of biopsychosocial factors. Consolidated criteria for reporting qualitative research requirements integrated.

METHODS

With a short 10- to 15-min interview and a low-inference analysis process, this methodology offers a structured way to explore the "go to ED" decision, to understand the patient perspective on their healthcare needs and feed into the development of suitable local services that meet patient healthcare needs.

RESULTS

This methodology offers a structured way for clinician-researchers to explore the factors that influence patients seeking care in the emergency departments for non-urgent conditions that are specific to their local health service environment. The described methodology is accessible to novice qualitative researchers and includes the semi-structured interview, coding and analysis frameworks.

摘要

目的

描述一种定制的定性研究方法,以探索驱动非紧急情况下到急诊科就诊的复杂因素之间的相互作用。

设计

定性描述设计,采用文献启发的半结构式访谈和分析结构。状态-特质焦虑量表的三角测量可加速探索生物心理社会因素。整合了定性研究报告标准的要求。

方法

通过简短的 10-15 分钟访谈和低推断分析过程,该方法为探索“去急诊科”决策提供了一种结构化的方式,帮助理解患者对自身医疗需求的看法,并为制定满足患者医疗需求的合适当地服务提供信息。

结果

该方法为临床研究人员提供了一种结构化的方式,以探索影响患者因非紧急情况到急诊科就诊的因素,这些因素与他们当地的医疗服务环境有关。所描述的方法适用于新手定性研究人员,包括半结构式访谈、编码和分析框架。

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