在常规癌症实践中实施基于医院的息护理计划的证据基础:系统性审查
Farwa Rizvi1, Helen Elizabeth Wilding2, Nicole M Rankin3
1Palliative Medicine, University of Melbourne, Parkville, Victoria, Australia.
Palliative medicine
|July 8, 2023
概括
将早期息治疗整合到癌症服务中,需要注意实施. 像RE-AIM这样的框架可以指导这一过程,解决沟通缺口和耻辱等障碍.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 实施科学 实施科学
背景情况:
- 尽管全球支持,但在将早期息治疗纳入癌症护理方面仍然存在差距.
- 需要有效的方法来将息护理福利转化为实践.
研究的目的:
- 确定用于医院瘤息护理的实施框架.
- 描述在癌症护理中整合息护理服务的推动因素和障碍.
主要方法:
- 系统性审查与叙事综合.
- 包括定性,混合方法,前后和准实验研究.
- 搜索了六个数据库 (EMBASE,EMCARE,PsycINFO,CINAHL,Cochrane,MEDLINE) 从2021年到2023年的时间.
主要成果:
- 16项研究中有7项使用框架 (RE-AIM,MRC,WHO).
- 推动者:支持的文化,明确的沟通,资金,倡导者.
- 障碍:沟通不良,耻辱,缺乏培训,角色不确定的情况.
结论:
- 实施科学框架支持瘤学中的息护理整合.
- 解决已识别的促进因素和障碍因素对于成功的整合至关重要.
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