{"title":"急诊科医生和护士面临的挑战:一项综合审查。","authors":"Gopal Singh Charan, Raman Kalia, Sunil Kumar Dular, Rajesh Kumar, Kiranpreet Kaur","doi":"10.4103/jehp.jehp_462_24","DOIUrl":null,"url":null,"abstract":"<p><p>Healthcare professionals in emergency departments (EDs) navigate multifaceted challenges, including strenuous environments and complex situations inherent to this high-pressure setting. This research examines the dynamics of emergency medicine, highlighting issues such as ED overcrowding, resource constraints, the emotional and ethical dilemmas of end-of-life care, and the implications of integrating advanced technologies like Radio Frequency Identification (RFID). The study paves the way for potential policy reforms, educational advancements, and administrative strategies to enhance healthcare delivery in emergencies by analyzing these challenges in detail. We used thorough review methodology to analyze global evidence from 2002 to 2023, systematically searching databases like MEDLINE, Web of Science, ProQuest, and Google Scholar with a blend of search terms, Medical Subject Headings (MeSH), refining the search strategy with Boolean operators \"AND\" and \"OR\" to improve search results. A PRISMA flow diagram aided the careful selection of studies, while Zotero-6 helped remove duplicates. This collaborative process pinpointed key areas of interest, such as workload, burnout, ethics, and technology in emergency care, ensuring comprehensive review. We focused on including peer-reviewed English articles from the last twenty years, covering review articles, original research, systematic reviews, and meta-analyses. We excluded unpublished theses and nonrelevant studies. This approach provided detailed overview of the challenges and complexities characterizing the emergency care landscape, suggesting ways to enhance practice and policy.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"2"},"PeriodicalIF":1.4000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913184/pdf/","citationCount":"0","resultStr":"{\"title\":\"Challenges faced by doctors and nurses in the emergency department: An integrated review.\",\"authors\":\"Gopal Singh Charan, Raman Kalia, Sunil Kumar Dular, Rajesh Kumar, Kiranpreet Kaur\",\"doi\":\"10.4103/jehp.jehp_462_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Healthcare professionals in emergency departments (EDs) navigate multifaceted challenges, including strenuous environments and complex situations inherent to this high-pressure setting. This research examines the dynamics of emergency medicine, highlighting issues such as ED overcrowding, resource constraints, the emotional and ethical dilemmas of end-of-life care, and the implications of integrating advanced technologies like Radio Frequency Identification (RFID). The study paves the way for potential policy reforms, educational advancements, and administrative strategies to enhance healthcare delivery in emergencies by analyzing these challenges in detail. We used thorough review methodology to analyze global evidence from 2002 to 2023, systematically searching databases like MEDLINE, Web of Science, ProQuest, and Google Scholar with a blend of search terms, Medical Subject Headings (MeSH), refining the search strategy with Boolean operators \\\"AND\\\" and \\\"OR\\\" to improve search results. A PRISMA flow diagram aided the careful selection of studies, while Zotero-6 helped remove duplicates. This collaborative process pinpointed key areas of interest, such as workload, burnout, ethics, and technology in emergency care, ensuring comprehensive review. We focused on including peer-reviewed English articles from the last twenty years, covering review articles, original research, systematic reviews, and meta-analyses. We excluded unpublished theses and nonrelevant studies. This approach provided detailed overview of the challenges and complexities characterizing the emergency care landscape, suggesting ways to enhance practice and policy.</p>\",\"PeriodicalId\":15581,\"journal\":{\"name\":\"Journal of Education and Health Promotion\",\"volume\":\"14 \",\"pages\":\"2\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-01-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913184/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Education and Health Promotion\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jehp.jehp_462_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Education and Health Promotion","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jehp.jehp_462_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
摘要
急诊科(ed)的医疗保健专业人员应对多方面的挑战,包括艰苦的环境和高压环境固有的复杂情况。本研究考察了急诊医学的动态,强调了诸如急诊科过度拥挤、资源限制、临终关怀的情感和伦理困境以及集成射频识别(RFID)等先进技术的影响等问题。该研究通过详细分析这些挑战,为潜在的政策改革、教育进步和行政战略铺平了道路,以加强紧急情况下的医疗保健服务。我们使用全面的回顾方法分析了2002年至2023年的全球证据,系统地搜索MEDLINE、Web of Science、ProQuest和谷歌Scholar等数据库,使用混合搜索术语、医学主题标题(MeSH),使用布尔运算符“and”和“OR”改进搜索策略,以改善搜索结果。PRISMA流程图有助于仔细选择研究,而Zotero-6有助于删除重复。这一协作过程确定了关键的兴趣领域,例如急诊护理中的工作量、倦怠、道德和技术,确保了全面审查。我们专注于收录近二十年来同行评议的英文文章,涵盖综述文章、原创研究、系统综述和荟萃分析。我们排除了未发表的论文和不相关的研究。这种方法提供了挑战和复杂性特征的紧急护理景观的详细概述,建议的方法,以加强实践和政策。
Challenges faced by doctors and nurses in the emergency department: An integrated review.
Healthcare professionals in emergency departments (EDs) navigate multifaceted challenges, including strenuous environments and complex situations inherent to this high-pressure setting. This research examines the dynamics of emergency medicine, highlighting issues such as ED overcrowding, resource constraints, the emotional and ethical dilemmas of end-of-life care, and the implications of integrating advanced technologies like Radio Frequency Identification (RFID). The study paves the way for potential policy reforms, educational advancements, and administrative strategies to enhance healthcare delivery in emergencies by analyzing these challenges in detail. We used thorough review methodology to analyze global evidence from 2002 to 2023, systematically searching databases like MEDLINE, Web of Science, ProQuest, and Google Scholar with a blend of search terms, Medical Subject Headings (MeSH), refining the search strategy with Boolean operators "AND" and "OR" to improve search results. A PRISMA flow diagram aided the careful selection of studies, while Zotero-6 helped remove duplicates. This collaborative process pinpointed key areas of interest, such as workload, burnout, ethics, and technology in emergency care, ensuring comprehensive review. We focused on including peer-reviewed English articles from the last twenty years, covering review articles, original research, systematic reviews, and meta-analyses. We excluded unpublished theses and nonrelevant studies. This approach provided detailed overview of the challenges and complexities characterizing the emergency care landscape, suggesting ways to enhance practice and policy.