Wardrop Rachel, Ranse Jamie, Chaboyer Wendy, Crilly Julia
School of Nursing and Midwifery, Griffith University, Parklands Dr, Southport, QLD 4222, Australia; Menzies Health Institute Queensland, Griffith University, Parklands Dr, Southport, QLD 4222, Australia.
School of Nursing and Midwifery, Griffith University, Parklands Dr, Southport, QLD 4222, Australia; Menzies Health Institute Queensland, Griffith University, Parklands Dr, Southport, QLD 4222, Australia; Department of Emergency Medicine, Gold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD 4215, Australia.
Australas Emerg Care. 2023 Sep;26(3):239-248. doi: 10.1016/j.auec.2023.01.004. Epub 2023 Feb 13.
As emergency department (ED) presentations continue to rise, understanding the complexities of vulnerable populations such as people brought in by police (BIBP) is crucial. This review aimed to map and describe the research about people BIBP to the ED.
A scoping review, guided by the Joanna Briggs Institute process, was undertaken. The databases CINAHL, Embase and PubMed were searched between November 2017 and July 2022. The Patterns, Advances, Gaps, Evidence for practice, Research recommendations (PAGER) framework was used to guide the analysis.
A total of 21 studies were included in the review, originating mainly from westernised countries. Examination of patterns across studies revealed four themes: routinely collected data is used to describe people BIBP to the ED; a focus on mental health care; the relationship between care delivery and outcomes; and the role of police in providing emergency care.
There is some understanding of the demographic characteristics, clinical characteristics, and outcomes of people BIBP to the ED. Knowledge gaps surrounding sociodemographic factors, prehospital and ED care delivery for people BIBP require further investigation to optimise outcomes for this vulnerable cohort of presenters.
随着急诊科就诊人数持续增加,了解弱势群体(如被警察送来的患者)的复杂性至关重要。本综述旨在梳理和描述关于被警察送来急诊科的患者的研究。
采用乔安娜·布里格斯研究所流程指导的范围综述。于2017年11月至2022年7月期间检索了CINAHL、Embase和PubMed数据库。使用模式、进展、差距、实践证据、研究建议(PAGER)框架指导分析。
本综述共纳入21项研究,主要来自西方国家。对各项研究模式的审视揭示了四个主题:常规收集的数据用于描述被警察送来急诊科的患者;关注精神卫生保健;护理提供与结果之间的关系;以及警察在提供紧急护理中的作用。
对于被警察送来急诊科的患者的人口统计学特征、临床特征和结果有了一定了解。围绕社会人口学因素、被警察送来的患者的院前和急诊科护理提供方面的知识差距需要进一步研究,以优化这一弱势群体就诊者的治疗结果。