在常规儿科医疗保健实践中实施以儿童为中心的结果措施:系统审查
Hannah May Scott1, Debbie Braybrook2, Daney Harðardóttir2
1Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, Bessemer Rd, SE5 9RS, London, UK. hannah.m.scott@kcl.ac.uk.
Health and quality of life outcomes
|July 2, 2023
概括
在儿童医疗保健中实施以人为中心的结果措施 (PCOM) 需要解决工作人员的知识,复杂性和资源. 员工和家庭的教育和培训是成功采用PCOM的关键促进因素.
科学领域:
- 儿科医疗保健研究 儿科医疗保健研究
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以人为中心的结果措施 (PCOMs) 在成人医疗保健中至关重要,但在儿科服务中未得到充分利用.
- 关于在儿童医疗机构中实施PCOMs的证据有限.
- 本综述通过检查儿科护理中PCOM实施的决定因素,策略和机制来解决这一差距.
研究的目的:
- 系统地审查和综合有关儿童医疗保健中PCOM实施的证据.
- 确定影响儿童服务中PCOM收养的障碍和促进者.
- 为有效的PCOM实施策略开发一个逻辑模型.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了CINAHL,Embase,Medline,PsycInfo和谷歌学者相关的研究.
- 使用演编码进行主题分析,以适应"实施研究综合框架" (CFIR).
主要成果:
- 包括69项跨越不同儿科医疗保健机构 (初级,中等,高等,社区) 的研究.
- 关键障碍包括员工知识不足,措施复杂性以及资源 (资金,人员) 不足.
- 辅导人员包括教育员工和家人使用PCOM,优势和患者护理的好处.
结论:
- 调查结果支持为儿童医疗保健中PCOM制定特定背景的实施计划.
- 有效的策略可以克服障碍,并促进PCOM融入常规实践.
- 成功的PCOM实施使设置能够更好地识别和改善以儿童为中心的结果.
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