Characteristics and outcomes of patient presentations to the emergency department via police: A scoping review

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-09-01 DOI:10.1016/j.auec.2023.01.004
Rachel Wardrop , Jamie Ranse , Wendy Chaboyer , Julia Crilly
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引用次数: 1

Abstract

Background

As emergency department (ED) presentations continue to rise, understanding the complexities of vulnerable populations such as people brought in by police (BIBP) is crucial. This review aimed to map and describe the research about people BIBP to the ED.

Design and method

A scoping review, guided by the Joanna Briggs Institute process, was undertaken. The databases CINAHL, Embase and PubMed were searched between November 2017 and July 2022. The Patterns, Advances, Gaps, Evidence for practice, Research recommendations (PAGER) framework was used to guide the analysis.

Results

A total of 21 studies were included in the review, originating mainly from westernised countries. Examination of patterns across studies revealed four themes: routinely collected data is used to describe people BIBP to the ED; a focus on mental health care; the relationship between care delivery and outcomes; and the role of police in providing emergency care.

Conclusion

There is some understanding of the demographic characteristics, clinical characteristics, and outcomes of people BIBP to the ED. Knowledge gaps surrounding sociodemographic factors, prehospital and ED care delivery for people BIBP require further investigation to optimise outcomes for this vulnerable cohort of presenters.

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通过警察向急诊科介绍病人的特点和结果:范围审查
背景随着急诊科(ED)的报告不断增加,了解弱势人群的复杂性至关重要,比如警察带来的人。本综述旨在将关于人BIBP的研究与ED进行映射和描述。设计和方法在乔安娜·布里格斯研究所流程的指导下进行了范围界定审查。在2017年11月至2022年7月期间搜索了CINAHL、Embase和PubMed数据库。模式、进展、差距、实践证据、研究建议(PAGER)框架用于指导分析。结果共纳入21项研究,主要来源于西方国家。对各研究模式的检查揭示了四个主题:常规收集的数据用于描述人们对ED的BIBP;重点关注心理健康护理;护理提供与结果之间的关系;以及警察在提供紧急护理方面的作用。结论人们对BIBP患者的人口统计学特征、临床特征和ED的结果有一定的了解。围绕社会人口统计学因素、BIBP患者院前和ED护理的知识差距需要进一步调查,以优化这一弱势人群的结果。
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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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