临床实践指南以人为中心的交接实践在急诊室:一个范围审查
Santel de Lange1, Tanya Heyns2, Celia Filmalter2
1Department of Nursing Science, University of Pretoria, Pretoria, South Africa delangesantel@gmail.com.
BMJ open
|October 30, 2024
概括
这次审查没有发现紧急护理从业者和医疗保健专业人员之间以人为中心的患者移交的临床实践指南. 需要标准化的做法,但必须保持耐心和特定于环境.
科学领域:
- 医疗保健管理的管理
- 紧急医疗 紧急医疗
- 临床实践指南 临床实践指南
背景情况:
- 在急诊室 (ED) 中,有效的患者交接至关重要.
- 紧急护理从业人员 (ECP) 和ED医疗保健专业人员之间目前的交接做法各不相同.
- 需要对以人为中心的移交流程的现有指导方针进行审查.
研究的目的:
- 对以人为中心的临床实践指南和当前的交付实践的现有信息进行审查.
- 确定现有的指导方针,以潜在地改善紧急情况下的移交实践.
主要方法:
- 在三个数据库 (MEDLINE,CINAHL,Scopus) 和六个指导组织中进行了全面的文献搜索.
- 包括的研究包括各种研究设计,没有语言或时间限制.
- 数据提取使用了经过试点测试的工具.
主要成果:
- 19项研究符合纳入标准.
- 没有发现临床实践指南或关于以人为中心的交付实践的具体信息.
- 虽然有记忆技术,但重要的交付信息往往是临时识别的.
结论:
- 在紧急护理中,对于以人为中心的移交实践缺乏一个黄金标准.
- 关于标准化,以人为中心的交付协议,文献中存在一个显著的差距.
- 虽然标准化是理想的,但移交实践必须保持适应患者和环境特点的适应性.
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