在家庭护理护理中的实践变化:通过对文献的范围审查来绘制潜在的解释
A E M Brabers1, M A M Meijer1, P P Groenewegen2,3
1Nivel - Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Research in health services & regions
|August 23, 2024
概括
在家庭护理护理需求评估中的实践变化受到指导方针,组织文化和患者偏好等因素的影响. 需要进一步的研究来了解这些对患者护理的影响.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 社会科学 社会科学 社会科学
背景情况:
- 需要评估对于有效的家庭护理至关重要,为患者的需求,个人情况和社会背景量身定制服务.
- 观察到家庭护理护士如何进行需求评估的变化,但这种实践变化背后的原因尚不清楚.
研究的目的:
- 探索家庭护理护士在需求评估中的实践差异的潜在解释.
- 检查其他医疗领域实践变化的解释是否可以应用于家庭护理护理.
主要方法:
- 对文献进行了全面的范围审查,搜索了PubMed和CINAHL.
- 评估了6000多个参考文献,最终将386项研究纳入分析.
- 对实践变化的解释被分类为微,中,宏等级.
主要成果:
- 确定了许多可能解释家庭护理护理需求评估实践差异的变量,包括指导方针的可用性,组织文化,团队规范,资源和患者偏好.
- 专门关于家庭护理护理需求评估的文献强调了患者和社会背景,而不是一般实践变化文献.
- 对实践变化的解释被分为微,中,宏等级.
结论:
- 本综述强调了一系列可能导致家庭护理护理需求评估实践变化的因素.
- 需要评估文献中对患者和社会背景的特别关注值得进一步研究.
- 未来的研究应该在经验上验证已识别的变量的作用,以解释在家庭护理护理中观察到的实践变化.
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