Requesting air ambulance transport of patients with suspected appendicitis : The decision-making process through the eyes of the rural clinician
© 2022 National Rural Health Alliance Ltd..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
The Australian journal of rural health - 31(2023), 3 vom: 23. Juni, Seite 426-435 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Edwards, Kristin H [VerfasserIn] |
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| Links: |
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| Themen: |
Communication |
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| Anmerkungen: |
Date Completed 19.06.2023 Date Revised 19.06.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/ajr.12956 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM350534446 |
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| 100 | 1 | |a Edwards, Kristin H |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Requesting air ambulance transport of patients with suspected appendicitis |b The decision-making process through the eyes of the rural clinician |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 19.06.2023 | ||
| 500 | |a Date Revised 19.06.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 National Rural Health Alliance Ltd. | ||
| 520 | |a 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 | ||
| 520 | |a SETTING: Clinician interviews conducted face-to-face in three rural hospitals in Central Queensland | ||
| 520 | |a PARTICIPANTS: Rural doctors and nurses | ||
| 520 | |a DESIGN: A five-part qualitative content analysis | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a communication | |
| 650 | 4 | |a emergency | |
| 650 | 4 | |a health informatics | |
| 650 | 4 | |a health outcomes research | |
| 650 | 4 | |a rural health service delivery | |
| 700 | 1 | |a Franklin, Richard C |e verfasserin |4 aut | |
| 700 | 1 | |a Edwards, Mark T |e verfasserin |4 aut | |
| 700 | 1 | |a Stewart, Ruth A |e verfasserin |4 aut | |
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