埃塞俄比亚一家单中心创伤医院治疗受伤患者的准备情况:一项定性研究。
Preparedness for treating injured patients at a single-centre trauma hospital in Ethiopia: a qualitative study.
作者信息
Abayneh Helina Bogale, Engebretsen Stine, Halvorsen Kristin, Danielsen Stein Ove
机构信息
Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Department of Emergency and Critical Care Nursing, St Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
出版信息
Glob Health Action. 2025 Dec;18(1):2540669. doi: 10.1080/16549716.2025.2540669. Epub 2025 Aug 5.
BACKGROUND
Across the world, a disproportionate amount (90%) of injury-related deaths and disabilities occur in Global South countries where one-third of injury deaths could be prevented. In most Global South countries, there is varying availability of resources, and many hospitals lack important equipment, some of which is inexpensive.
OBJECTIVE
To explore the perceptions of the staff regarding the preparedness of handling traumatic injuries at Addis Ababa Burn Emergency and Trauma Hospital in Ethiopia.
METHOD
A qualitative, exploratory study was conducted using semi-structured interviews. The sample pool included a diverse group of professionals who work in various roles within the hospital where the interview and data generation were conducted in early 2023. The interviews were analyzed using the reflexive thematic analysis approach outlined by Braun and Clarke.
RESULTS
Resident doctors, who bear the primary responsibility for patient care, often face delays in decision-making, which contribute to procedural backlogs and extended patient stays. A significant challenge was identified in the availability, maintenance, and procurement of medical equipment, alongside shortages and inconsistencies in the supply of medicines and materials. A notable knowledge and skill gap among healthcare professionals was observed, compounded by the absence of a standardized trauma response team. Furthermore, the interview clarifies that there is a substantial gap and significant challenges in quality of service and standardization.
CONCLUSIONS
There are significant gaps in terms of hospital preparedness for caring for injured patients, and these lacks can lead to delays in treatment and poor clinical outcomes.
背景
在全球范围内,与伤害相关的死亡和残疾中有相当大比例(90%)发生在全球南方国家,其中三分之一的伤害死亡是可以预防的。在大多数全球南方国家,资源的可获得性各不相同,许多医院缺乏重要设备,其中一些设备价格低廉。
目的
探讨埃塞俄比亚亚的斯亚贝巴烧伤急救与创伤医院工作人员对处理创伤性损伤准备情况的看法。
方法
采用半结构化访谈进行定性探索性研究。样本库包括在医院内担任不同角色的各类专业人员,访谈和数据收集于2023年初进行。采用布劳恩和克拉克概述的反思性主题分析方法对访谈进行分析。
结果
对患者护理承担主要责任的住院医生经常面临决策延迟,这导致了程序积压和患者住院时间延长。在医疗设备的供应、维护和采购方面发现了一个重大挑战,同时药品和材料的供应存在短缺和不一致的情况。观察到医疗专业人员之间存在明显的知识和技能差距,而且缺乏标准化的创伤应对团队使情况更加复杂。此外,访谈还表明在服务质量和标准化方面存在很大差距和重大挑战。
结论
医院在照顾受伤患者的准备方面存在重大差距,这些不足可能导致治疗延迟和临床结果不佳。