数字卫生系统中的临床决策和护理过程:综合系统性审查
Laura Hants1, Kasia Bail1,2, Catherine Paterson1,2
1School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia.
Journal of clinical nursing
|July 24, 2023
概括
数字健康系统无法充分捕捉整个护理过程,阻碍了护士的决策和可见性. 需要进一步的研究,以充分整合护理,并有效评估患者的结果.
科学领域:
- 护理信息学 护理信息学
- 卫生信息系统 卫生信息系统
- 临床决策支持 临床决策支持
背景情况:
- 像ICNP和NMDS这样的标准化护理术语旨在将护理整合到数字系统中.
- 关于护理过程全面纳入数字卫生系统的证据有限.
研究的目的:
- 确定护理过程 (评估,规划,干预,结果评估) 是如何集成到数字卫生系统.
- 了解护士决策的好处和挑战.
- 评估电子医疗记录,电子护理计划和临床决策支持系统的整合.
主要方法:
- 按照PRISMA指导方针进行综合性系统审查.
- 搜索了CINAHL,MEDLINE,SCOPUS和科学网络核心集合 (2007年1月至2022年3月).
- 包括27项研究 (定性,定量,混合方法),包括质量评估和叙事综合.
主要成果:
- 护士评估和规划阶段最全面地集成到数字系统中.
- 在包括的研究中,干预和结果评估阶段几乎没有报告.
- 总共有3321篇文章被确定,其中27篇研究符合纳入标准.
结论:
- 数字健康系统目前无法充分捕捉护理工作,影响临床决策.
- 忽略完整的护理过程组件限制了护理护理的可见性和对患者结果的影响.
- 需要进一步的研究来优化数字系统,以全面支持护理过程和评估患者的结果.
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