Queirós Célia Maria, Martins Teresa, Correia Tiago
Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation Towards Global Health, LA-REAL, Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, Lisbon, Portugal
WHO Collaborating Center for Health Workforce Policies and Planning, NOVA University Lisbon, Lisbon, Portugal.
BMJ Open. 2024 Dec 20;14(12):e087906. doi: 10.1136/bmjopen-2024-087906.
Providing healthcare in emergency services is a multifaceted challenge that demands prompt approaches. Ensuring safety and efficacy becomes even more challenging in 'remote locations', referring to geographical areas located far from urban centres or densely populated regions, often characterised by insufficient access to services, infrastructure and communication channels. Despite the pivotal role of healthcare professionals' skills and knowledge in risk management in these contexts, academic literature has largely overlooked this aspect. Thus, addressing healthcare professionals' perceptions of risks within remote areas is crucial for informed decision-making and improved service administration.
This scoping review protocol adopts the methodology outlined by the Joanna Briggs Institute. The objective is to delineate the current scientific evidence regarding the perception of both direct and indirect risks associated with healthcare practice in remote emergency settings. Employing the Population, Concept, and Context dimensions, inclusion criteria were established for each dimension: Population-nurses or other healthcare professionals with overlapping roles; Concept-perception of risk; Context-remote community or site and emergency care. The search will encompass the Scopus, PubMed, LILACS, Cochrane, CINAHL and Web of Science databases. A specific time frame for the selection of articles was not delimited. Observational, quantitative, qualitative studies and reviews will be eligible for inclusion if they meet the predetermined criteria. Two reviewers will undertake the document review process. Eligible documents may be in English or Portuguese, and only those subjected to peer review will be considered for inclusion.
Ethical approval will not be necessary for this study as it entails a scoping review based on previously published evidence. The findings from the scoping review will be disseminated through scientific conferences and published in academic journals.
在紧急服务中提供医疗保健是一项多方面的挑战，需要迅速采取措施。在“偏远地区”确保安全和有效性更具挑战性，这些地区是指远离城市中心或人口密集地区的地理区域，其特点往往是服务、基础设施和通信渠道不足。尽管医疗保健专业人员的技能和知识在这些情况下的风险管理中起着关键作用，但学术文献在很大程度上忽略了这一方面。因此，了解医疗保健专业人员对偏远地区风险的看法对于明智的决策和改进服务管理至关重要。
本范围综述方案采用了乔安娜·布里格斯研究所概述的方法。目的是描绘当前关于偏远紧急情况下医疗实践中直接和间接风险认知的科学证据。利用人群、概念和背景维度，为每个维度确定了纳入标准：人群——护士或其他具有重叠角色的医疗保健专业人员；概念——风险认知；背景——偏远社区或地点以及紧急护理。检索将涵盖Scopus、PubMed、LILACS、Cochrane、CINAHL和科学网数据库。未划定选择文章的具体时间框架。如果符合预定标准，观察性、定量、定性研究和综述将有资格纳入。两名评审员将进行文献评审过程。符合条件的文献可能是英文或葡萄牙文，只有经过同行评审的文献才会被考虑纳入。
本研究无需伦理批准，因为它是基于先前发表的证据进行范围综述。范围综述的结果将通过科学会议进行传播，并发表在学术期刊上。
