在急诊护理中为文化和语言多样化的患者提供医疗服务：范围综述方案。
Healthcare delivery to patients from culturally and linguistically diverse backgrounds in emergency care: a scoping review protocol.
机构信息
School of Nursing and Midwifery, University of Southern Queensland, Ipswich, QLD, 4305, Australia.
Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast, QLD, Australia.
出版信息
Syst Rev. 2024 Jul 12;13(1):178. doi: 10.1186/s13643-024-02579-0.
BACKGROUND
Worldwide, the culturally and linguistically diverse (CALD) population is increasing, and is predicted to reach 405 million by 2050. The delivery of emergency care for the CALD population can be complex due to cultural, social, and language factors. The extent to which cultural, social, and contextual factors influence care delivery to patients from CALD backgrounds throughout their emergency care journey is unclear. Using a systematic approach, this review aims to map the existing evidence regarding emergency healthcare delivery for patients from CALD backgrounds and uses a social ecological framework to provide a broader perspective on cultural, social, and contextual influence on emergency care delivery.
METHODS
The Joanna Briggs Institute (JBI) scoping review methodology will be used to guide this review. The population is patients from CALD backgrounds who received care and emergency care clinicians who provided direct care. The concept is healthcare delivery to patients from CALD backgrounds. The context is emergency care. This review will include quantitative, qualitative, and mixed-methods studies published in English from January 1, 2012, onwards. Searches will be conducted in the databases of CINAHL (EBSCO), MEDLINE (Ovid), Embase (Elsevier), SocINDEX (EBSCO), Scopus (Elsevier), and a web search of Google Scholar. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram will be used to present the search decision process. All included articles will be appraised using the Mixed Methods Appraisal Tool (MMAT). Data will be presented in tabular form and accompanied by a narrative synthesis of the literature.
DISCUSSION
Despite the increased use of emergency care service by patients from CALD backgrounds, there has been no comprehensive review of healthcare delivery to patients from CALD backgrounds in the emergency care context (ED and prehospital settings) that includes consideration of cultural, social, and contextual influences. The results of this scoping review may be used to inform future research and strategies that aim to enhance care delivery and experiences for people from CALD backgrounds who require emergency care.
SYSTEMATIC REVIEW REGISTRATION
This scoping review has been registered in the Open Science Framework https://doi.org/10.17605/OSF.IO/HTMKQ.
背景
在全球范围内，文化和语言多样化（CALD）的人口正在增加，预计到 2050 年将达到 4.05 亿。由于文化、社会和语言因素，为 CALD 人群提供紧急护理可能会很复杂。在整个紧急护理过程中，文化、社会和背景因素对来自 CALD 背景的患者护理的影响程度尚不清楚。本研究采用系统的方法，旨在绘制现有关于来自 CALD 背景的患者的紧急医疗保健服务提供的证据，并使用社会生态框架更广泛地了解文化、社会和背景对紧急护理服务提供的影响。
方法
乔安娜·布里格斯研究所（JBI）的范围综述方法将用于指导本综述。研究人群为接受护理的来自 CALD 背景的患者和提供直接护理的紧急护理临床医生。概念是为来自 CALD 背景的患者提供医疗保健服务。背景是紧急护理。本综述将包括 2012 年 1 月 1 日以后发表的英语的定量、定性和混合方法研究。将在 CINAHL（EBSCO）、MEDLINE（Ovid）、Embase（Elsevier）、SocINDEX（EBSCO）、Scopus（Elsevier）和 Google Scholar 的网络搜索中进行检索。将使用 PRISMA（系统评价和荟萃分析的首选报告项目）流程图来展示搜索决策过程。所有纳入的文章都将使用混合方法评估工具（MMAT）进行评估。数据将以表格形式呈现，并附有文献综述的叙述性综合。
讨论
尽管来自 CALD 背景的患者越来越多地使用紧急护理服务，但在紧急护理环境（ED 和院前环境）中，没有针对来自 CALD 背景的患者的医疗保健服务提供情况进行全面审查，其中包括对文化、社会和背景影响的考虑。该范围综述的结果可用于为未来旨在提高需要紧急护理的来自 CALD 背景的人的护理提供和体验的研究和策略提供信息。
系统评价注册
本范围综述已在开放科学框架 https://doi.org/10.17605/OSF.IO/HTMKQ 中注册。
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