健康领域的专业间临床决策过程:一个范围审查
Tiphanie Bouchez1,2, Clémence Cagnon1, Gouraya Hamouche1
1Department of Education and Research in General Practice, University Côte d'Azur, RETINES, HEALTHY, Nice, France.
Journal of advanced nursing
|September 14, 2023
概括
加强卫生领域的专业间决策需要共同领导,专业培训和可访问的信息. 这些要素提高了复杂患者的护理质量,有利于所有医疗机构.
科学领域:
- 健康科学 卫生科学 卫生科学
- 医学教育 医学教育
- 医疗保健管理的管理
背景情况:
- 专业间决策 (IPDM) 对于护理质量至关重要,特别是对于复杂的患者.
- 关于IPDM在医疗保健中的出版文献广泛,但需要综合.
研究的目的:
- 识别和描述医疗保健中跨专业决策过程的核心组成部分.
- 分析相关科学出版物的作者,评论类型和主题.
主要方法:
- 对文献进行了全面的范围审查.
- 在2019年12月和2023年1月,在多个数据库 (MEDLINE,APA Psycinfo,OpenGrey,Lissa,Cochrane) 进行了搜索.
- 包括以英语或法语出版的研究,重点关注健康领域的跨专业临床决策,遵守PRISMA范围审查指南.
主要成果:
- 确定了1429个来源,其中145个被保留用于分析.
- 确定了卫生领域专业间决策的五个关键要素.
- 影响IPDM的因素包括群体动态,信息可用性,患者特征,组织框架和特定培训.
结论:
- 优化IPDM包括培养共享领导力,澄清专业角色和价值观,并确保医疗保健专业人员接受合作实践培训.
- 可访问的,结构化的信息和知识正式化的工具对于有效的IPDM至关重要.
- 在IPDM的结构性改进可以提高患者和医疗保健专业人员在各种环境中的护理质量.
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