当前实践中的临床工作整合护理:一个范围审查
Lana Kluit1,2, Coen A M van Bennekom3,4, Annechien Beumer3,5
1Department of Public and Occupational Health, Amsterdam UMC Location AMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. l.kluit@amsterdamumc.nl.
医疗专家提供各种临床工作整合护理 (CWIC),从职业评估到患者协作. 虽然实践越来越多,并且受到立法驱动,但缺乏医疗指南有助于这种多样性.
科学领域:
- 职业健康 职业健康 职业健康
- 临床医学 临床医学
- 医疗保健政策 医疗保健政策
背景情况:
- 临床工作整合护理 (CWIC) 涉及在医疗保健机构内解决工作参与问题.
- 正在工作的患者可能会从考虑其职业角色的综合护理中获得显著的好处.
研究的目的:
- 调查医疗专家提供的CWIC的范围和性质.
- 确定影响或建议专家提供CWIC的政策和准则.
主要方法:
- 进行了全面的范围审查,搜索了多个数据库 (MEDLINE,EMBASE,Psychinfo,CINAHL,Web of Science) 和灰色文献.
- 使用元聚合方法从定性数据定义子类别,然后整合定量发现.
- 政策和指导方针被单独分析,使用叙事方法.
主要成果:
- 关于患者职业的数据收集在专家之间有很大的差异.
- 对工作的讨论不是常规的,但显示出日益增长的趋势,与最近的政策保持一致.
- CWIC的实践范围从一般咨询到协作决策,通常由立法驱动,有时涉及多学科团队.
结论:
- 医疗专家从事各种CWIC实践,从职业评估到深入的患者和专业合作.
- 在CWIC实践中观察到的变化可能归因于一般缺乏特定的医疗指南.
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