改善从长期护理设施的紧急过渡的策略:一个范围审查
Kaitlyn Tate1, Greta Cummings1, Frode Jacobsen2
1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
The Gerontologist
|April 25, 2024
概括
改善住院老年护理设施 (RACF) 中老年人的急诊室 (ED) 过渡的干预措施显示出混合的结果. 未来的研究应该专注于实施战略和成功措施,以改善护理过渡.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 住院养老机构 (RACFs) 的老年人经常经历到急诊室 (EDs) 的分裂过渡,导致延迟和低于最佳的护理.
- 确定有效的干预措施对于提高这种脆弱人群的护理过渡质量至关重要.
研究的目的:
- 对现有关于旨在改善老年人从RACF过渡到ED的干预措施的研究进行范围审查.
- 评估这些干预措施的上下文化和实施成功度.
主要方法:
- 对英语文章进行了范围审查,重点关注从RACF过渡到ED的老年人 (≥65岁) 的干预措施.
- 使用Dy等人的内容分析. 护理转型框架,以评估干预的上下文化和实施结果.
主要成果:
- 28项研究检查了各种干预措施,包括老年评估,标准化文档,远程医疗和护理协调计划.
- 许多研究缺乏"改进"的明确定义,并专注于远程结果,很少有人报告干预的上下文化或实施成功.
- 有限的研究纳入了临床医生的观点,没有研究报告住院医生或护理人员报告的结果.
结论:
- 目前的证据基础呈现出混合或无意义的结果,排除了针对特定干预措施的最终建议.
- 未来的研究必须优先考虑在护理环境中嵌入创新的详细策略,并严格测量实施和干预成功,以实现从RACF到ED过渡的可持续改进.
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