在外科护理中使用实施科学:一个范围审查
Anne Lambert-Kerzner1, Quintin W O Myers1, Ellison Mucharsky1
1Surgical Outcomes and Applied Research Program, Department of Surgery, University of Colorado School of Medicine, Aurora, CO.
手术护理中的实施科学 (IS) 专注于基于证据的实践 (EBP). 关键的促进者和障碍包括领导力支持,知识,团队合作,背景,数据和改善外科手术质量的资源.
科学领域:
- 手术护理 手术护理
- 实施科学 实施科学
- 基于证据的实践.
背景情况:
- 改善外科护理依赖于基于证据的实践 (EBP),政策和创新.
- 了解实施科学 (IS) 在外科手术中的应用对于推进外科实践至关重要.
研究的目的:
- 综合现有的关于在外科护理中使用实施科学 (IS) 的文献.
- 确定在手术中采用的EBP的频率和类型.
- 确定影响外科创新的IS框架,促进者和障碍.
主要方法:
- 使用修改后的Arksey和O'Malley框架和PRISMA-ScR检查清单进行了范围审查.
- 从2001年1月到2023年6月,在多个数据库 (MEDLINE,PsycINFO,Embase,CINAHL,Web of Science,Google Scholar) 中进行了文献搜索.
- 从3674个引文的初步搜索中,包括了129个手稿.
主要成果:
- 创新最常见的是术后护理,手术安全和手术后增强恢复 (ERAS).
- 六个关键构造成为显著的促进者和障碍:领导力支持,临床医生的EBP知识,团队合作,环境背景,数据利用和资源可用性.
- 手术IS领域的特点是巨大的异质性和大量的创新.
结论:
- 确定实施因素有助于了解采用障碍和新外科手术实践的推动因素.
- 这些知识支持实践的变化,提高手术护理的质量和公平性.
- 这些发现突显了未来在外科手术中实施科学研究的研究缺口.
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