关键词: Barriers and facilitators Cultural and linguistical diversity Emergency care Healthcare delivery Multicultural Social ecological model

Mesh : Humans Emergency Medical Services Delivery of Health Care Cultural Diversity Language Systematic Reviews as Topic

来  源:   DOI:10.1186/s13643-024-02579-0   PDF(Pubmed)

Abstract:
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.
CONCLUSIONS: 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.
BACKGROUND: This scoping review has been registered in the Open Science Framework https://doi.org/10.17605/OSF.IO/HTMKQ.
摘要:
背景:全球,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。由于文化原因,为CALD人群提供紧急护理可能会很复杂,社会,语言因素。文化的程度,社会,目前尚不清楚背景因素对来自CALD背景的患者在整个急诊护理过程中的护理交付的影响。使用系统的方法,这篇综述旨在绘制现有证据,为来自CALD背景的患者提供紧急医疗服务,并使用社会生态框架提供更广泛的文化视角。社会,以及情境对急诊护理服务的影响。
方法:将使用JoannaBriggsInstitute(JBI)范围审查方法来指导本次审查。人口是来自CALD背景的患者,他们接受了护理,并提供了直接护理的急诊护理临床医生。该概念是从CALD背景向患者提供医疗保健。背景是紧急护理。这项审查将包括定量,定性,和混合方法研究从2012年1月1日起以英文发表。搜索将在CINAHL(EBSCO)的数据库中进行,MEDLINE(Ovid),Embase(Elsevier),Socindex(EBSCO),Scopus(Elsevier),和谷歌学者的网络搜索。PRISMA(系统审查和荟萃分析的首选报告项目)流程图将用于介绍搜索决策过程。所有包含的文章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,并附有文献的叙述性综合。
结论:尽管来自CALD背景的患者越来越多地使用急诊护理服务,在急诊护理背景(ED和院前设置)中,没有对来自CALD背景的患者的医疗保健交付进行全面审查,包括考虑文化,社会,和上下文的影响。此范围审查的结果可用于为未来的研究和策略提供信息,这些研究和策略旨在为需要紧急护理的来自CALD背景的人提供护理服务和经验。
背景:此范围审查已在OpenScienceFrameworkhttps://doi.org/10.17605/OSF中注册。IO/HTMKQ。
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