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在常见的选择性手术中实施术后护理途径的共识建设过程:系统性审查
Lisa Pagano1, Oya Gumuskaya2,3,4, Janet C Long1
1Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Journal of advanced nursing
|October 9, 2024
概括
地方共识讨论对于在选择性外科手术中实施外科手术期间的途径至关重要. 本系统性审查确定了这些讨论的核心元素和模型,以减少临床变异.
科学领域:
- 医疗保健管理的管理
- 实施外科手术途径实施
- 临床过程改进 临床过程改进
背景情况:
- 手术护理中的不合理的临床变化需要标准化的外科手术周边途径.
- 当地共识讨论经常被用来促进路径的实施.
- 了解这些讨论的方法对于有效改善医疗保健至关重要.
研究的目的:
- 系统地审查和理解当地共识讨论的各种方法.
- 确定核心元素和合成模型,以实施常见的选择性手术的外科手术途径.
主要方法:
- 对2000年1月至2023年4月期间发表的文献进行系统审查.
- 搜索了五个主要的数据库 (MEDLINE,CINAHL,EMBASE,科学网,科克兰图书馆).
- 独立选,质量评估,数据提取和叙事合成,以开发流程模型.
主要成果:
- 在审查了1159个初始记录后,63篇文章符合纳入标准.
- 报告当地共识讨论的情况有很大差异.
- 确定了四个一致报告的元素,定义了共识讨论的结构化流程.
结论:
- 地方共识讨论是一种常见的策略,以尽量减少手术护理的不合理变化.
- 介绍了进行和实施共识讨论的几种模式.
- 完善报告标准和倡导系统方法可以增强在外科手术期间途径发展的共识建设.
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