Development of prehospital emergency medical services model for psychiatric and addicted patients in violent stage
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Abstract
Background: The morbidity rate of severe mental illness has trended to increase. Patients have been increasingly seeking care in hospitals. However, they did not receive continuous care and had delayed access to service.
Objectives: To develop and evaluate the effectiveness, key success factors, and challenges of the prehospital emergency medical services model for psychiatric and addicted patients in the violent stage
Methods: This research and development included five processes. The sample consisted of hospital administrators, head nurses, chiefs of emergency rooms, nurses from community health promotion hospitals, administrative agencies, police, community members, patient caregivers, and patients. The research instruments included a focus group and in-depth interview guide, nurses’ notes, and questionnaires. Data collection employed focus group discussions, in-depth interviews, data extraction, and satisfaction assessment. Data were analyzed using summative content analysis, means, and standard deviations.
Results: The model consists of four components: 1) operational mechanisms, 2) emergency medical service teams (EMST), 3) care guidelines for patients in the violent stage, and 4) communication. The effectiveness of the model showed that patients and staff were safe. Patients had decreased waiting time to access care. EMST had timeliness for providing care and was satisfied with delivering services at high levels.
Conclusions: The prehospital emergency medical service model for patients with severe mental illness relies on the collaboration of multiple agencies and the community. Clearly defined roles, responsibilities, and operational guidelines are the main factors to ensure effective patient care.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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