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救护车服务在现场将非转运患者及其重要他人出院时的满意度:一项探索性横断面调查。

Satisfaction among non-conveyed patients and significant others when discharged at the scene by the ambulance service: an exploratory cross-sectional survey.

机构信息

PreHospen-Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.

Department of Prehospital Emergency Care, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

BMC Emerg Med. 2022 Jun 7;22(1):100. doi: 10.1186/s12873-022-00659-9.

Abstract

BACKGROUND

The ambulance service is facing an increased number of calls and ambulance assignments. Between 12 and 42% of all assignments result in non-conveyance to the Accident and Emergency Department. However, there is limited knowledge regarding satisfaction among patients and significant others when patients are assessed as non-urgent and discharged at the scene. Therefore, the aim of the study was to explore and compare satisfaction with the ambulance service among patients and significant others when the patient was discharged at the scene.

METHODS

The present study was designed as a cross-sectional exploratory survey with a consecutive sample employing the Consumer Emergency Care Satisfaction Scale questionnaire on patients and significant others.

RESULTS

A total of 162 questionnaires were analysed, 87 patients and 75 significant others. Overall, satisfaction was high with no significant difference between patients and significant others, although 17-19% were dissatisfied with the discharge information.

CONCLUSIONS

Generally, patients and significant others are satisfied with the care provided by the Ambulance Service when discharged at the scene and thus not conveyed the Accident and Emergency Department. The participants were especially satisfied with Specialist Ambulance Nurses' interpersonal skills, e.g., making time and providing thorough information. Guidelines for assignments involving non-conveyance, as well as information, instructions and what to expect when discharged at the scene can be improved.

摘要

背景

救护车服务面临着越来越多的呼叫和救护车任务。在所有任务中,有 12%至 42%的任务最终导致患者未被送往急诊室。然而,当患者被评估为非紧急情况并在现场出院时,患者和其重要他人对服务的满意度的相关知识却十分有限。因此,本研究旨在探讨和比较当患者在现场出院时,患者和其重要他人对救护车服务的满意度。

方法

本研究设计为一项横断面探索性调查,采用连续样本,使用消费者紧急护理满意度量表问卷对患者和重要他人进行调查。

结果

共分析了 162 份问卷,其中包括 87 名患者和 75 名重要他人。总体而言,满意度较高,患者和重要他人之间没有显著差异,尽管有 17%-19%的人对出院信息不满意。

结论

当患者在现场出院而未被送往急诊室时,患者和其重要他人通常对救护车服务提供的护理感到满意。参与者特别满意专科急救护士的人际交往能力,例如,他们愿意花时间并提供全面的信息。可以改进涉及非转运任务的指南,以及现场出院时的信息、说明和预期内容。

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本文引用的文献

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Inequalities and short-term outcome among patients assessed as non-urgent in a Swedish ambulance service setting.
Int Emerg Nurs. 2021 Jul;57:101018. doi: 10.1016/j.ienj.2021.101018. Epub 2021 Jun 17.
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Patient experience of non-conveyance following emergency ambulance service response: A scoping review of the literature.
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Changing role of EMS -analyses of non-conveyed and conveyed patients in Finland.
Scand J Trauma Resusc Emerg Med. 2020 May 29;28(1):45. doi: 10.1186/s13049-020-00741-w.
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