Nurses responding to the World Health Organization (WHO) priority for emergency care systems for universal health coverage

Curtis, Kate; Brysiewicz, Petra; Shaban, Ramon Z.; Fry, Margaret; Considine, Julie; Gamboa, Fanny Esperanza Acevedo; Holden, Maria; Heyns, Tanya; Peden, Margie

doi:10.1016/j.ienj.2020.100876

Cited by 13 publications

(5 citation statements)

References 8 publications

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“… 35 Indeed, the pivotal role EC and EC clinicians have and continue to play in the unfolding pandemic reinforces the centrality of EC in Pacific countries’ larger ambitions for Universal Health Coverage (UHC) achievement. 7 , 36 , 37 , 38 Study findings further reinforce the important, crosscutting role EC has for complementary Sustainable Development Goal achievement 39 , 40 and realisation of the Sendai Framework for Disaster Risk Reduction. 41 , 42 Here, the 2019 World Health Assembly Resolution on EC systems for UHC is a key guide.…”

Section: Discussionmentioning

confidence: 54%

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Phillips

Kendino

Brolan

et al. 2022

The Lancet Regional Health - Western Pacific

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Section: Discussionmentioning

confidence: 54%

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Phillips

Kendino

Brolan

et al. 2022

The Lancet Regional Health - Western Pacific

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“…The role of emergency nurses as advanced practitioners in a PHC setting, has not yet been clearly explored [ 31 , 32 ]; however, their ability to offer a leadership and supportive role within the district may be a consideration, making them candidates for championing emergency care at district health care level [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Consensus-based recommendations for strengthening emergency care at primary health care level: a Delphi study

Botes

Bruce

Cooke

2023

Global Health Action

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Background Emergency care at a primary health care (PHC) level must be strengthened to reduce overall mortality and morbidity in any country. Developing recommendations for improvement in this area should take into consideration the context and nuances of the current emergency care system and primary health care context. Contribution to policy from the experts in the cross-cutting fields of PHC and emergency care is lacking. Objectives This study aims to evaluate the strengths and weaknesses of emergency care in primary health settings and develop consensus-based recommendations for the strengthening of emergency care at this level. Methods Using a modified Delphi technique, data were collected from various data sources to evaluate the strengths and weaknesses of emergency care at PHC level, from which recommendation statements were developed. These recommendations were proposed to a panel of experts using a Delphi survey to build consensus on 14 recommendations to strengthen emergency care at PHC level. Results Ten experts were recruited to participate (n = 10) with a response rate of 90% in round II and 80% in round III of Delphi. Recommendations broadly addressed the areas of education and training in emergency care, the role and placement of various actors, leadership in emergency care and the development of a national plan for emergency care. Consensus was reached in round II for 97.61% of the statements and after modification based on open-ended comments, 98.21% consensus was reached in round III. Conclusion Strengthening emergency care at primary and subsequent levels of health care requires a coordinated effort and mandate from authority in order to effect real change.

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“…Globally, emergency care delivered in NHHCs has been neglected, with particular emphasis on low- and middle-income countries [ 62 ]. Strengthening the emergency care system at the level of non-hospital centers is an urgent issue in many healthcare systems in the world, and there is a need to develop strategic plans in order to reduce mortality and disability [ 63 , 64 ]. There are multiple complexities in the emergency care chain at the NHHCs level, including poorly resourced emergency areas, inadequate emergency transport, critical personnel shortages, unclear referral pathways, and barriers along the way to escalate emergency patients to appropriate facilities [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Non-hospital healthcare center’s preparedness assessment toolbar for providing basic emergency care: a sequential exploratory mixed-method study

Sadeghi‐Bazargani

Amir-Behghadami

Janati

et al. 2023

BMC Health Serv Res

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Background Basic emergency management in urban and rural areas is a critical challenge, which can affect the pre-hospital mortality rate. Therefore, Non-hospital Healthcare Center (NHHC) must be prepared to manage such emergency cases that may occur in the geographic area where these centers act. The main aim of the study was to develop and validate an toolbar for NHHCs’ preparedness to provide initial emergency care. Methods This study was designed based on a sequential exploratory mixed- method in two phases, in each of which there are three steps. In the phase I, the literature systematic review and qualitative methods (Focus Group Discussions (FGDs) and Semi-Structured Interviews (SSIs)) were applied to identify the domains and items. In the phase II, content validity, feasibility, and reliability of the toolbar were performed. Content validity was assessed using a modified Kappa coefficient based on clarity and relevance criteria. Feasibility of the toolbar was randomly assessed through its implementation in 10 centers in Tabriz. Reliability was randomly assessed in a pilot on 30 centers. Reliability was assessed by measuring internal consistency, test-retest reliability, and inter-rater agreement. The main statistical methods for assessing reliability include Cronbach’s alpha, Intra-class Correlation Coefficient, and Kendal’s Tau-b. All the statistical analyses were performed using Stata 14. Results In the phase I, primary version of the toolbar containing 134 items related to assessing the preparedness of NHHCs was generated. In the phase II, item reduction was applied and the final version of the toolbar was developed containing 126 items, respectively. These items were classified in 9 domains which include: “Environmental Infrastructures of Centers”, “Protocols, Guidelines and Policies”, “Medical Supplies and Equipment”, “Emergency Medicines”, “Human Resources”, “Clinical Interventions”, “Maintenance of equipment”, “Medicine Storage Capability”, and “Management Process”. The toolbar had acceptable validity and reliability. Conclusions This study provided a standard and valid toolbar that can be used to assess the preparedness of NHHCs to deliver initial emergency care.

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Nurses responding to the World Health Organization (WHO) priority for emergency care systems for universal health coverage

Cited by 13 publications

References 8 publications

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Consensus-based recommendations for strengthening emergency care at primary health care level: a Delphi study

Non-hospital healthcare center’s preparedness assessment toolbar for providing basic emergency care: a sequential exploratory mixed-method study

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