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资源有限环境下的急诊医疗质量(QEC):概念分析。

Quality emergency care (QEC) in resource limited settings: A concept analysis.

机构信息

School of Nursing, University of Botswana, Botswana; School of Nursing, Rutgers, The State University of New Jersey, USA.

出版信息

Int Emerg Nurs. 2022 Sep;64:101198. doi: 10.1016/j.ienj.2022.101198. Epub 2022 Aug 1.

DOI:10.1016/j.ienj.2022.101198
PMID:35926319
Abstract

INTRODUCTION

Providing appropriate high-quality emergency care (QEC) commensurate with patients' needs is critical for continuity of care, patient safety, optimal clinical outcomes, reduced mortality, and patient satisfaction. This concept analysis aims to define and assist in understanding the concept of QEC in resource-limited settings.

METHODS

Quality emergency care concept analysis was conducted using Walker and Avant's approach. Several literature review methods and dictionaries were used to explore the QEC concept.

RESULTS

Immediate assessment, rapid diagnosis, and critical interventions are the attributes of QEC for life-threatening and time-sensitive conditions, leading to timely and safe care provision.

DISCUSSION

Nurses serve as the backbone for most emergency care centers such as primary care, emergency department, and even prehospital care. The first few hours following a potential life- or limb-threatening condition are vital. The emergency care rendered to patients can significantly affect treatment's overall outcome; therefore, quality emergency care is critical.

摘要

简介

为患者提供与其需求相符的高质量急救医疗服务(QEC)对于医疗服务的连续性、患者安全、最佳临床结果、降低死亡率和患者满意度至关重要。本概念分析旨在定义并帮助理解资源有限环境下的 QEC 概念。

方法

采用沃克和奥凡特的方法进行 QEC 概念分析。使用了多种文献回顾方法和词典来探索 QEC 概念。

结果

对于危及生命和时间敏感的情况,立即评估、快速诊断和关键干预是 QEC 的属性,可实现及时和安全的护理提供。

讨论

护士是大多数急救医疗中心(如基层医疗、急诊室,甚至院前护理)的中坚力量。在潜在的危及生命或肢体的情况发生后的最初几个小时至关重要。对患者提供的急救医疗服务会显著影响整体治疗结果;因此,高质量的急救医疗服务至关重要。

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