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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.

DOI:10.1002/nop2.667
PMID:33570278
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7877135/
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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Pain. 2020 Apr;161(4):694-702. doi: 10.1097/j.pain.0000000000001751.
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Burden of primary care-type emergency department presentations using clinical assessment by general practitioners: A cross-sectional study.全科医生通过临床评估进行的初级保健型急诊科就诊负担:一项横断面研究。
Emerg Med Australas. 2019 Oct;31(5):780-786. doi: 10.1111/1742-6723.13255. Epub 2019 Feb 25.
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Managing non-serious low back pain in the emergency department: Time for a change?急诊科非重症下腰痛的管理:是时候做出改变了吗?
Emerg Med Australas. 2018 Apr;30(2):279-282. doi: 10.1111/1742-6723.12903. Epub 2017 Nov 16.
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Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal College of Emergency Medicine's Sentinel Site Survey data.计算英国急诊科可避免就诊比例:皇家急诊医学院监测点调查数据分析。
Emerg Med J. 2018 Feb;35(2):114-119. doi: 10.1136/emermed-2017-206846. Epub 2017 Oct 30.
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Acad Emerg Med. 2017 Sep;24(9):1137-1149. doi: 10.1111/acem.13220. Epub 2017 Jun 19.
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