Piras Ilenia, Sanna Francesca, Garau Michele, Sole Gabriele, Piras Giampaolo, d'Aloja Ernesto, Galletta Maura
Department of Emergency, SS Trinità Hospital, ASL Cagliari, 09100 Cagliari, Italy.
Geospatial Health and Development, Telethon Kids Institute, Nedlands, WA 6872, Australia.
Nurs Rep. 2025 May 9;15(5):165. doi: 10.3390/nursrep15050165.
Part of the workload of ambulance service involves patients with low-acuity health events that do not require the specific resources provided by ambulance services or emergency departments (EDs). The problem of inappropriateness is also present in Italy. However, research is limited to the perspective of triage nurses only, excluding patients and emergency medical service (EMS) staff. This study aims to identify the presence of inappropriate ambulance use in the study context by comparing patients' perception of emergency with appropriateness perspectives of both triage nurses and emergency service staff. A cross-sectional study involving 109 patients transported by ambulance was performed between January and March 2020. Questionnaires were distributed to patients, EMS staff, and triage nurses operating in the chief town and hinterland of a region of Italy. Non-penetrating trauma was the most frequent cause for calling an ambulance. Patients referred that activation of the service was necessary, while triage nurses and EMS technicians were in line in believing the non-urgency of the call due to non-emergent health conditions. Although we cannot conclude that citizens use the emergency system inappropriately, the results of this study make us think about the need to implement educational interventions that increase citizens' knowledge of how the service works and the territorial services available.
救护车服务的部分工作量涉及那些患有低 acuity 健康事件的患者，这些患者并不需要救护车服务或急诊科（EDs）所提供的特定资源。不恰当性问题在意大利也存在。然而，相关研究仅局限于分诊护士的视角，将患者和紧急医疗服务（EMS）工作人员排除在外。本研究旨在通过比较患者对紧急情况的认知与分诊护士和紧急服务人员对恰当性的看法，来确定在该研究背景下是否存在不恰当使用救护车的情况。2020年1月至3月间开展了一项涉及109名由救护车转运患者的横断面研究。问卷被分发给在意大利某地区主要城镇及腹地工作的患者、EMS 工作人员和分诊护士。非穿透性创伤是呼叫救护车最常见的原因。患者表示有必要启动这项服务，而分诊护士和 EMS 技术人员则一致认为由于健康状况不紧急，此次呼叫并非紧急情况。尽管我们不能得出市民不恰当地使用应急系统的结论，但本研究结果促使我们思考是否有必要实施教育干预措施，以提高市民对该服务如何运作以及可用的地区服务的了解。
