测量医院出院准备的理论概念和仪器:一个范围审查
Hanna Feldbusch1,2, Marita Schmidt1, Eva Maria Steeb2
1Baden-Württemberg Cooperative State University Stuttgart, School of Health Sciences and Management, Stuttgart, Germany.
Heliyon
|March 5, 2024
概括
本次审查强调了测量患者出院准备程度的重要性,确定关键维度和验证的仪器. 系统的评估,考虑患者和护士的观点,可能会减少医院再入院.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 患者出院规划 患者出院规划
背景情况:
- 出院准备是国际医院出院规划中的一个关键,多维的概念.
- 缺乏对测量仪器的现有审查和排放准备的理论概念.
研究的目的:
- 提供现有的测量仪器和与患者准备出院相关的理论概念的全面概述.
主要方法:
- 根据乔安娜·布里格斯研究所的指导方针和PRISMA ScR原则进行了范围审查.
- 2021年10月在CINAHL和LIVIVO数据库 (包括MEDLINE,PSYINDEX) 中进行文献搜索.
- 两个独立审查员选了1823个已识别的记录,从107个包含的出版物中提取数据.
主要成果:
- 包括107篇出版物,30篇关于仪器开发/验证,68篇实证研究,以及9篇理论论文/评论.
- 确定了排放准备的五个关键方面:身体,心理,教育/知识,个人支持和社会/组织决定因素.
- 在47种测量出院准备度的指标中,有33种得到了验证,其中医院出院准备度 (RHDS) 是最常见的.
结论:
- 系统地测量出院准备,整合患者和护士的观点,可能会减少像再入院这样的不良结果.
- 本综述提供了对验证的仪器和理论概念的有价值的概述,用于评估急性住院护理中的出院准备.
- 建议进行进一步的研究,以探索组织决定因素对患者出院准备程度的影响.
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