实施包括患者或护理人员在医院环境中的床边交付:系统性审查
Amy Maher1, Henry Hsu1, Mohamed Eftal Bin Mohamed Ebrahim2
1University of Sydney Clinical School, Westmead Hospital, Sydney, New South Wales, Australia.
Journal of evaluation in clinical practice
|October 30, 2024
概括
以患者为中心的移交改善了患者的满意度和信息交换,但面临着实施挑战. 虽然有益,但时间和工作量等障碍可能会阻碍它们在复杂的医疗保健系统中的有效性.
科学领域:
- 医疗保健系统 医疗保健系统
- 患者安全 患者安全
- 在医疗保健领域的沟通
背景情况:
- 医疗保健系统越来越复杂,需要有效的患者移交流程.
- 现有的移交框架往往缺乏患者或护理人员的包容.
- 以患者为中心的方法正在成为潜在的改进.
研究的目的:
- 系统地审查包括患者或护理人员在内的移交结果.
- 检查以患者为中心的交付策略的有效性.
- 了解患者和提供者对这些移交的经验.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在Embase,Medline,PsycINFO,SCOPUS中搜索相关研究.
- 使用麦克马斯特混合方法评估工具 (MMAT) 评估研究质量.
- 定性和定量结果被描述性和演性地分析.
主要成果:
- 包括30项研究 (混合方法,定量,定性).
- 在患者满意度,参与度,自主性和信息交换方面注意到了积极的影响.
- 提供者报告了积极的经验,但也报告了实施障碍,认知负载和减少合规性.
- 对患者结局的矛盾发现,如跌倒风险;医生领导的涉及患者的移交数据有限.
结论:
- 以患者为中心的交付与患者和提供者自我报告的好处有关.
- 时间限制,实施困难和员工工作量增加等障碍可能会阻碍优势相比传统的移交.
- 需要进一步的研究,特别是在医生主导的以患者为中心的移交方面.
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