关键词: Interview study Paramedic competence Paramedic education Paramedic experience Qualitative research method The professionalism of the paramedic Urgent hospital transfer

Mesh : Humans Allied Health Personnel Paramedics Emergency Medical Services Hospitals Qualitative Research Emergency Medical Technicians

来  源:   DOI:10.1016/j.ienj.2023.101269

Abstract:
Global changes in the health and social care sector have centralized the treatment of emergency patients, leading to an increase of urgent hospital transfers. The aim of this study is to describe paramedics\' experiences gained while working in prehospital emergency care, regarding urgent hospital transfers and the skills that performing urgent hospital transfers requires.
Twenty paramedics with experience in urgent hospital transfers participated in this qualitative study. The data collected via individual interviews were analyzed using inductive content analysis.
Paramedics\' experiences of urgent hospital transfers resulted in two upper categories: Factors related to paramedics, and factors related to transfer, conditions, and technology. The upper categories were grouped from six subcategories. Paramedics\' experiences of skills required in urgent hospital transfers resulted in two upper categories: Professional competence, and interpersonal skills. The upper categories were grouped from six subcategories.
Organizations should support and promote training related to urgent hospital transfers to enhance the quality of care and patient safety. Paramedics play a key role in successful transfer and collaboration, and thus the required professional competences and interpersonal skills should be addressed in their education. Furthermore, developing standardized procedures is recommended to enhance patient safety.
摘要:
背景:卫生和社会护理部门的全球变化集中了对急诊患者的治疗,导致紧急医院转移的增加。这项研究的目的是描述护理人员在院前急救护理工作中获得的经验,关于紧急医院转移和执行紧急医院转移所需的技能。
方法:20名具有紧急医院转院经验的护理人员参与了这项定性研究。通过个人访谈收集的数据使用归纳内容分析进行分析。
结果:护理人员医院紧急转院的经历导致了两个较高的类别:与护理人员有关的因素,以及与转移有关的因素,条件,和技术。较高的类别分为六个子类别。护理人员在紧急医院转院所需的技能方面的经验导致了两个较高的类别:专业能力,和人际交往能力。较高的类别分为六个子类别。
结论:组织应支持和促进与紧急医院转院有关的培训,以提高护理质量和患者安全。护理人员在成功的转移和合作中起着关键作用,因此,在他们的教育中应该解决所需的专业能力和人际交往能力。此外,建议制定标准化程序以提高患者安全性。
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