开发一个急诊部终身护理审计工具:一个范围审查
Melissa Heufel1,2,3, Sarah Kourouche1, Kate Curtis1,2,3
1Faculty of Medicine and Health, Sydney Nursing School, University of Sydney, Susan Wakil School of Nursing and Midwifery, 88 Mallet St, Camperdown, NSW 2006, Australia.
International journal of nursing studies advances
|May 15, 2024
概括
没有全面的审计工具来评估紧急部门的终身护理. 开发了一个新的工具草案,整合最佳实践和紧急部门的具体措施,等待进一步验证.
科学领域:
- 紧急医疗 紧急医疗
- 抚慰性护理是一项非常重要的护理.
- 医疗服务研究 医疗服务研究
背景情况:
- 紧急诊所 (ED) 经常为生命末期的患者提供护理.
- 需要强大的流程来审查EDs提供的生命终端护理 (EoLC) 的质量.
- 现有的审计工具可能无法在ED环境中全面评估EoLC.
研究的目的:
- 进行范围审查,以确定和整理可用的图表审计工具,以评估ED中的EoLC.
- 检查现有审计工具的特点和组件.
- 为ED EoLC开发一个全面的审计工具提供信息.
主要方法:
- 根据PRISMA-ScR指南和Arksey和O'Malley的框架进行范围审查.
- 从1961年到2022年12月,搜索了多个数据库 (奥维德·埃姆凯尔,CINAHL,Medline) 的初级,二级和灰色文献.
- 包括成人和儿科人口;数据合成为类别.
主要成果:
- 包括58篇文章,分类为审计工具上下文,开发/评估和特征.
- 四个工具专注于ED,但没有一个全面审查了EoLC和ED特定数据.
- 开发了一份审计工具草案,其中包括共同的EoLC元素,ED质量措施和CriSTAL工具.
结论:
- 现有的审计工具没有全面评估ED中死亡的患者的EoLC.
- 根据当前的证据,制定了审计工具草案.
- 需要进一步测试该工具在ED环境中的有效性,可行性和可用性.
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