Requesting air ambulance transport of patients with suspected appendicitis: The decision‐making process through the eyes of the rural clinician.
Objective: The primary aim is to explore rural clinicians' self‐reported knowledge, skills and attitudes in the decision‐making process for requesting aeromedical retrieval of patients with suspected appendicitis. A secondary aim is to understand the supports and barriers of rural clinicians experie...
| Publicado en: | Australian Journal of Rural Health Vol. 31; no. 3; pp. 426 - 436 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164352696&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164352696 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Jun2023 vid: 31 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 164352696 160879828 164352696 164352696 10.1111/ajr.12956 164352696 ppf: 426 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Requesting air ambulance transport of patients with suspected appendicitis: The decision‐making process through the eyes of the rural clinician. aug: au: Edwards, Kristin H. Franklin, Richard C. Edwards, Mark T. Stewart, Ruth A. affil: College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville Queensland,, Australia sug: subj: Rural Health Personnel Professional Knowledge Clinical Competence Attitude of Health Personnel Decision Making, Clinical Aeromedical Transport Rural Areas Appendicitis Job Experience Outcomes (Health Care) Human Male Female Rural Health Services Health Care Delivery Health Services Accessibility Interviews Queensland Qualitative Studies Content Analysis Support Groups Collaboration Teamwork Job Satisfaction Communication Barriers Transfer, Intrahospital Health Informatics Emergency Service Descriptive Research Purposive Sample Thematic Analysis Electronic Health Records Semantic Web Male Female ab: Objective: The primary aim is to explore rural clinicians' self‐reported knowledge, skills and attitudes in the decision‐making process for requesting aeromedical retrieval of patients with suspected appendicitis. A secondary aim is to understand the supports and barriers of rural clinicians experience in this clinical scenario. Setting: Clinician interviews conducted face‐to‐face in three rural hospitals in Central Queensland. Participants: Rural doctors and nurses. Design: A five‐part qualitative content analysis. Results: The majority of 44 participants identified the strong and effective teamwork. The decision to request aeromedical retrieval was a shared, joint process and identified a supportive collegial culture which supported the asking of questions and not expecting to have all the answers. Perceived barriers were lack of receiving clinicians understanding of transfer agreements, and data connectivity. Clinician pessimism was identified for perceived patient outcomes. Discussion Effective teamwork can nurture trust and collaboration across multiple health service roles. High job satisfaction may counter the physical isolation in some rural environments. Fragmentation of care is the unintended consequence of interhospital transfer and may impact rural clinicians' perception of patients' outcomes and hinder receiving clinicians' understanding of rural service limitations. Conclusion: Future work in the area of linked electronic medical records could remove a barrier for rural clinicians and improve their reflective practice by challenging their perception of definitive patient outcomes. Increased awareness by receiving clinicians of the limitation of rural services, may minimize communication barriers and thereby, improve timely patient care transfers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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