التفاصيل البيبلوغرافية
| العنوان: |
Evaluation of a pathway to address take own leave events for First Nations peoples presenting for emergency care: The Deadly RED project. |
| المؤلفون: |
Davison, Michelle, Chan, Jason, Clarke, Meg, Mitchell, Caroline, Yan, Alan, Ballard, Emma, Henaway, Elwyn |
| المصدر: |
Emergency Medicine Australasia; Aug2024, Vol. 36 Issue 4, p554-562, 9p |
| مصطلحات موضوعية: |
HEALTH services accessibility, MEDICAL quality control, CULTURAL competence, EVALUATION of human services programs, HOSPITAL emergency services, DESCRIPTIVE statistics, PRE-tests & post-tests, THEMATIC analysis, RESEARCH methodology, ATTITUDES of medical personnel, DATA analysis software, INDIGENOUS Australians |
| مستخلص: |
Objective: The 'Deadly RED' project primarily aimed to improve culturally competent care to reduce the number of First Nations patients presenting to a Queensland ED who 'Take own leave' (TOL). The secondary aim was to evaluate the implementation project. Methods: A pre/post‐test quasi experimental study design using mixed methods was co‐designed with adherence to Indigenous research considerations. Quantitative analysis of First Nations presentations before and after Deadly RED implementation was performed using SPSS. Qualitative analysis of transcribed research yarns in NVIVO was coded and themed for analysis. Staff experiences and perspectives were collated using electronically distributed surveys and process audits were performed. Results: A total of 1096 First Nations presentations June to August 2021 and 1167 in the matched 2022 post‐implementation period were analysed. Significantly more patients were recorded as TOL post‐implementation (13.0% pre vs 21.3% post) and representations rates were unchanged. Forty‐six staff surveyed identified improvements in all parameters including cultural appropriateness and quality of care. Qualitative analysis of 85 research yarns revealed themes migrated to increasingly acceptable, accessible, and usable care. Notably, 45% of the First Nation's patients recorded as TOL self‐reported that their treatment was complete. The study was feasible as 80% of packs distributed and 73% follow‐up screening after TOL. Conclusions: The Deadly RED evaluation revealed significant discrepancies in the reported data points of TOL and the 'story' of the First Nations persons experience of appropriate and completed care. Staff awareness and cultural capability improved significantly, and yarning allowed knowledge translation and improvements in communication which contributed to a better healthcare experience for First Nations patients attending our ED. [ABSTRACT FROM AUTHOR] |
|
Copyright of Emergency Medicine Australasia is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder