Sauers-Ford Hadley S, Aboagye James B, Henderson Stuart, Marcin James P, Rosenthal Jennifer L
University of California, Davis, Sacramento, CA, USA.
J Patient Exp. 2021 Nov 26;8:23743735211056513. doi: 10.1177/23743735211056513. eCollection 2021.
Pediatric patients experiencing an emergency department (ED) visit for a traumatic injury often transfer from the referring ED to a pediatric trauma center. This qualitative study sought to evaluate the experience of information exchange during pediatric trauma visits to referring EDs from the perspectives of parents and referring and accepting clinicians through semi-structured interviews. Twenty-five interviews were conducted (10 parents and 15 clinicians) and analyzed through qualitative thematic analysis. A 4-person team collaboratively identified codes, wrote memos, developed major themes, and discussed theoretical concepts. Three interdependent themes emerged: (1) Parents' and clinicians' distinct experiences result in a disconnect of information exchange needs; (2) systems factors inhibit effective information exchange and amplify the disconnect; and (3) situational context disrupts the flow of information contributing to the disconnect. Individual-, situational-, and systems-level factors contribute to disconnects in the information exchanged between parents and clinicians. Understanding how these factors' influence information disconnect may offer avenues for improving patient-clinician communication in trauma transfers.
因创伤性损伤前往急诊科（ED）就诊的儿科患者通常会从转诊急诊科转至儿科创伤中心。这项定性研究旨在通过半结构化访谈，从家长、转诊和接收临床医生的角度评估儿科创伤就诊期间转诊急诊科信息交换的体验。共进行了25次访谈（10名家长和15名临床医生），并通过定性主题分析进行了分析。一个4人团队共同确定代码、撰写备忘录、制定主要主题并讨论理论概念。出现了三个相互依存的主题：（1）家长和临床医生的不同经历导致信息交换需求脱节；（2）系统因素阻碍了有效的信息交换并加剧了脱节；（3）情境背景扰乱了信息流动，导致了脱节。个人、情境和系统层面的因素导致家长和临床医生之间信息交换的脱节。了解这些因素如何影响信息脱节可能为改善创伤转诊中患者与临床医生的沟通提供途径。
