在儿科重症监护运输中护理人员的陪同:系统的范围审查
Matthew Yeung1, Tanya Spence, Dejana Nikitovic1
1From the Department of Pediatrics, University of Calgary, Calgary, Canada.
护理人员和医疗保健提供者在很大程度上支持在医疗检索运输 (MRT) 期间陪同患者. 然而,有限的空间往往限制了护理人员的存在,需要对患者结果进行更多的研究.
科学领域:
- 紧急医疗 紧急医疗
- 运输医学 运输医学
- 患者护理 患者护理
背景情况:
- 在医疗救援运输 (MRT) 中,以家庭为中心的护理至关重要.
- 护理人员经常希望在MRT期间陪同患者,但对此的研究有限.
- 现有文献强调需要了解护理人员和提供者对陪同运输的看法.
研究的目的:
- 评估护理人员对陪伴者与无人陪伴者MRT的态度.
- 评估医疗保健提供者对MRT期间护理人员存在的态度.
- 探索患者对护理人员存在的态度.
- 为了确定护理人员的存在是否会影响MRT中的患者结果.
主要方法:
- 通过使用MEDLINE,Embase和CINAHL进行了系统的文献审查.
- 包含了专注于MRT患者,护理人员或以家庭为导向的护理的研究.
- 选了1373篇文章,最终包括了25篇全文文章和3篇额外的参考文献.
主要成果:
- 证据通常支持在MRT期间护理人员的存在.
- 护理人员和医疗保健提供者都同意陪伴的好处.
- 运输车辆上的空间有限被确定为护理人员存在的重大障碍.
结论:
- 关于MRT护理人员陪同的文献存在很大的差距,研究主要来自英语国家.
- 虽然护理人员和提供者倾向于陪伴,但患者的观点和对不良事件的影响需要进一步调查.
- 未来的研究应该解决患者的观点和客观的结果措施,以充分理解护理人员在医疗取回运输期间的存在的影响.
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