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Quality emergency care (QEC) in resource limited settings: A concept analysis
Institution:1. School of Nursing, University of Botswana, Botswana;2. School of Nursing, Rutgers, The State University of New Jersey, USA;1. Emergency Department, Hospital of Merano (SABES-ASDAA), Merano-Meran, Italy;2. Department of Neurology, Hospital of Merano (SABES-ASDAA), Merano-Meran, Italy;1. Tecnocampus, Universitat Pompeu Fabra, Research Group in Attention to Chronicity and Innovation in Health (GRACIS), Av. d’Ernest Lluch, 32, 08302 Mataró, Barcelona, Spain;2. Huétor Vega Health Centre, Andalusian Health Service, Granada, Spain;3. Department of Nursing, Physiotherapy, and Medicine, University of Almería, Almería, Spain;4. North Almería Health Management Area, Andalusian Health Service, Almería, Spain;5. Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco, Chile;1. Faculty of Medicine and Health, Örebro University, Örebro, Sweden;2. Ambulance Department, Region Örebro County, Örebro, Sweden;3. Department of Emergency Care, Örebro University Hospital, Örebro, Sweden;1. Faculty of Business and Economics, University of Antwerp, Prinsstraat 13, 2000 Antwerp, Belgium;2. Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium;3. Department of emergency medicine, Antwerp University Hospital, University of Antwerp, Belgium;1. Community Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan;2. Registered Nurse, Ministry of Health, Amman, Jordan;3. Gynecology and Maternity Health Nursing, Faculty of Nursing, Al‐Zaytoonah University of Jordan, Amman, Jordan
Abstract:IntroductionProviding appropriate high-quality emergency care (QEC) commensurate with patients' needs is critical for continuity of care, patient safety, optimal clinical outcomes, reduced mortality, and patient satisfaction. This concept analysis aims to define and assist in understanding the concept of QEC in resource-limited settings.MethodsQuality emergency care concept analysis was conducted using Walker and Avant’s approach. Several literature review methods and dictionaries were used to explore the QEC concept.ResultsImmediate assessment, rapid diagnosis, and critical interventions are the attributes of QEC for life-threatening and time-sensitive conditions, leading to timely and safe care provision.DiscussionNurses serve as the backbone for most emergency care centers such as primary care, emergency department, and even prehospital care. The first few hours following a potential life- or limb-threatening condition are vital. The emergency care rendered to patients can significantly affect treatment's overall outcome; therefore, quality emergency care is critical.Conclusion.
Keywords:Quality emergency care  Life-threatening  Concept analysis  Immediate assessment  Time-sensitive  Critical intervention
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