复杂恶性血液学中的共享护理:使用RE-AIM评估框架进行综合性审查
Shannon M Nixon1, Dawn C Maze2, Monica Parry3
1Princess Margaret Cancer Centre, Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON M5S 1A1, Canada.
复杂恶性血液学 (CMH) 共享护理计划改善了患者的准入. 然而,为了全面理解,需要对这些计划进行正式评估,特别是关于有效性和维护.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理健康管理
- 公共卫生 公共卫生
背景情况:
- 复杂恶性血液学 (CMH) 共享护理计划旨在改善患者获得更接近家庭的护理.
- 这些计划涉及专业中心和社区医院之间的互惠患者共享.
研究的目的:
- 对CMH共享护理计划的现有文献进行审查.
- 通过RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) 的框架来评估这些计划.
主要方法:
- 对五个电子数据库进行了综合性审查.
- 搜索包括到2024年1月16日发表的定性/定量研究,评论和讨论论文.
- 包括关于CMH共享护理经验的报告文章,并检查了RE-AIM方面.
主要成果:
- 从最初的6523篇文章中,确定了10篇文章,描述了8个共享护理经验.
- 在65%的项目中报告了覆盖范围,重点关注资格标准.
- 报告的有效率为28%,表明有利的生存结果,但缺乏关于卫生系统影响和生活质量的数据.
- 采用 (56%) 和实施 (42%) 突出多学科团队,基础设施和沟通.
- 没有报告维护.
结论:
- 共同的要素有助于CMH共享护理计划的实施.
- 存在着对正式评估的重大需求,特别是关于计划有效性和长期维护.
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