护理的质量和安全:系统审查的建议
概括
这一系统性审查综合了证据,创建了94条建议,以提高军事医院的患者质量和安全 (Q&S). 关键领域包括沟通,不良事件,领导和患者体验,以改善护理.
科学领域:
- 护理 护理 护理
- 医疗保健的质量和安全
- 基于证据的实践.
背景情况:
- 护士对于24小时的患者护理质量和安全至关重要.
- 缺乏全面的,基于证据的护理干预措施建议,以改善质量和安全.
- 军事医院需要在护理专业实践模型中提供特定的质量和服务指导.
研究的目的:
- 为护理专业实践模型的Q&S组件制定基于证据的建议.
- 为指导旨在改善患者护理的护理干预措施 Q&S.
- 为可适应各种医疗保健环境的Q&S实践提供基础.
主要方法:
- 一个系统的文献审查是由一个三种服务的军事护士团队进行的.
- 使用Covidence软件进行文献选和数据提取.
- 搜索了五个数据库,发现249篇文章符合纳入标准.
主要成果:
- 从经过审查的文献中产生了94个实践建议.
- 8个主要重点领域出现了:沟通,不良事件,领导,患者体验,质量改善,安全文化/委员会,人员/工作负载/工作环境以及技术/电子健康记录.
- 这些发现为Q&S实施提供了实际建议.
结论:
- 系统审查成功地为护理Q&S实践提供了基于证据的建议.
- 确定的重点领域为提高患者护理质量和安全提供了一个框架.
- 这些建议是可适应的,可以在不同的医疗保健系统中为Q&S计划提供信息.
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