了解医疗保健人员对减少低价值护理的看法:一个范围审查
1School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, 311121, People's Republic of China.
Risk management and healthcare policy
|December 11, 2024
概括
医疗保健人员认为识别低价值护理,障碍和干预措施是减少它的关键. 教育是解决知识差距的主要策略,这是减少低价值护理的主要障碍.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
背景情况:
- 低价值护理是全球医疗保健系统面临的重大挑战.
- 了解医疗人员的观点对于制定有效的策略来减少不必要的医疗干预至关重要.
- 系统审查对于综合有关此主题的现有证据至关重要.
研究的目的:
- 系统地审查和综合关于医疗保健人员对减少低价值护理的看法的研究.
- 从医疗保健专业人员的角度来看,确定与减少低价值护理相关的关键主题,障碍,促进者和干预策略.
主要方法:
- 使用PubMed,ProQuest和CINAHL数据库进行了全面的范围审查.
- 来自37项纳入研究的数据 (2011年以来发表) 通过De-adoption框架的过程,理论领域框架和Cochrane有效实践和护理组织分类框架进行了综合.
- 如果这些研究报告了医疗保健人员对减少低价值护理的看法和参与,那么就包括了这些研究.
主要成果:
- 医疗保健人员的看法集中在识别低价值护理,减少护理的障碍/促进者以及干预策略上.
- 确定的主要障碍包括缺乏知识和环境/资源限制.
- 教育成为解决知识缺陷的最常讨论的干预策略 (n=14).
结论:
- 医疗保健人员的看法为减少低价值护理的复杂性提供了宝贵的见解.
- 教育干预措施在克服与知识相关的障碍方面表现有前途.
- 未来的研究应该专注于开发和实施有针对性的干预措施,以这些感知为基础,以有效地减少低价值护理.
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