了解如何以及为什么对不受监管的护理提供者的升级计划可以支持服务不足社区的健康公平:一个现实的审查协议
Samah Hassan1,2,3, Valeria E Rac2,4,5,6,7, Brian David Hodges2,8,9
1The Institute of Education Research, University Health Network, Toronto, Ontario, Canada sam.hassan@mail.utoronto.ca.
加拿大的非监管护理提供者 (UCP) 的技能提升可以改善边缘化人口的糖尿病足查,这些人面临截肢的高风险. 这个现实主义的审查将开发一个基于证据的程序理论,以指导有效的UCP培训和减少肢体损失.
科学领域:
- 公共卫生 公共卫生
- 医疗保健教育 医疗保健教育
- 健康 公平 卫生 公平
背景情况:
- 糖尿病足是截肢的主要原因,不成比例地影响加拿大的边缘化人口.
- 医疗保健短缺阻碍了必要的足部护理,增加了截肢风险.
- 不受监管的护理提供者 (UCP) 为高风险群体提供足部查提供了潜在的解决方案.
研究的目的:
- 了解教育干预措施的有效性,以提高UCP在糖尿病脚查方面的技能.
- 开发基于证据的UCP培训程序理论,以改善糖尿病患者的足部护理和减少截肢.
主要方法:
- 根据"现实主义和元叙事证据综合:不断发展的标准"进行现实主义的回顾.
- 通过专家咨询和探索性搜索进行初始程序理论开发.
- 进行全面的数据库搜索 (MEDLINE,Embase,PsycINFO,ERIC,CINAHL,Scopus) 和灰色文献审查.
- 对从中提取的数据进行现实的分析,分析其背景,机制和结果.
主要成果:
- 该审查将产生基于证据的程序理论,用于UCP升级技能.
- 将产生关于如何以及为什么针对UCP的教育干预成功或失败的见解.
- 这些发现将为设计有效的培训计划提供信息,以加强糖尿病患者的足部护理.
结论:
- 提高UCP的技能是解决弱势群体糖尿病足护理医疗保健缺口的可行策略.
- 强大的程序理论对于设计有效和可持续的UCP培训计划至关重要.
- 这项研究旨在通过改善糖尿病脚查的获取和质量来减少肢体丧失.
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