南非姑息治疗提供者对姑息治疗情况下紧急医疗服务的看法

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE
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引用次数: 0

摘要

导言由于紧急医疗服务(EMS)与姑息关怀的频繁交叉以及全球对姑息关怀的需求日益增长,人们越来越认识到姑息关怀与紧急医疗服务整合的必要性。然而,在许多中低收入国家,如南非(SA),急救医疗服务和姑息关怀系统仍然是分离的。本研究旨在收集南非姑息关怀服务提供者对姑息治疗中急救医疗服务的看法。研究采用了个人半结构式访谈的定性设计,对拥有姑息医学研究生资格的经验丰富的医生和护士进行了十次访谈。对访谈的逐字记录进行了内容分析,并采用归纳主导法进行编码和分类。结果共分四类:(1)对急救医疗服务的态度;(2)认为急救医疗服务面临的挑战;(3)急救医疗服务对患者姑息关怀历程的积极影响;(4)急救医疗服务与姑息关怀系统整合的方法。参与者对急救医疗和姑息关怀整合的总体看法是积极的,指出了急救医疗的有益影响,并提出了各种整合方法,同时也强调了挑战和担忧。与会者建议的潜在低成本、高效益的干预措施,如为患者提供姑息关怀卡、加强急救服务和姑息关怀系统的沟通等,代表了在南澳大利亚背景下对有限资源的有效和明智利用。应该对这些建议进行试点研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
South African palliative care provider perspectives on emergency medical services in palliative situations

Introduction

Due to the frequent intersection of Emergency Medical Services (EMS) with palliative situations and the increasing global need for palliative care, there has been increased recognition of the need for palliative care integration with EMS. However, EMS and palliative care systems remain segregated in many Low-to-Middle Income Country contexts, as in South Africa (SA). The aim of this study was to gather perspectives of palliative care providers in SA concerning EMS in palliative situations.

Methods

A qualitative design employing individual semi-structured interviews was implemented. Ten interviews with experienced doctors and nurses holding post-graduate palliative medicine qualifications were conducted. Verbatim transcriptions of interviews were subjected to content analysis with an inductive-dominant approach to develop codes and categories.

Results

Four categories were developed: (1) Disposition towards EMS, (2) Perceived EMS challenges, (3) Positive EMS impact across patients’ palliative care journeys and (4) Methods of EMS and palliative care system integration. Participants maintained an overall positive view of EMS and palliative care integration, noting the beneficial impact of EMS and suggesting various methods of integration, while also highlighting challenges and concerns.

Conclusion

EMS and palliative care integration would be mutually beneficial to both systems while benefiting patient well-being and the broader healthcare system. Potentially low-cost, high-impact interventions suggested by participants, such as palliative care cards for patients and enhancing EMS and palliative care system communication, represent efficacious and judicious use of limited resources within the SA context. Pilot studies investigating these suggestions should be conducted.

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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
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