医院产妇机构的拥挤:一个广泛的审查
MCN. The American journal of maternal child nursing
|December 26, 2024
概括
建议在医疗保健中使用安全套,但对其在产妇护理中的使用的研究有限. 需要更多的研究来定义聚集实践及其对患者结果的影响.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 产妇护理创新产妇护理的创新
背景情况:
- 医疗保健研究和质量署建议安全团结用于审查患者状态.
- 联合委员会认为,集团是高可靠性组织的关键要素.
- 之前的审查证实了聚集的一般实用性,但在产妇护理中的特定应用尚未得到充分探索.
研究的目的:
- 为了确定在住院产妇机构中安全聚集的研究方法.
- 综合发现与专业组织的建议.
- 自1999年以来,为了识别美国有关产妇安全的文献上的差距,Huddles从1999年起开始.
主要方法:
- 一个由Arksey和O'Malley的框架指导的范围审查.
- 在1999年至2024年期间搜索了PubMed,CINAHL,SCOPUS和Embase数据库.
- 包括灰色文学,参考目录和引用文章.
主要成果:
- 最初确定了160份文件,其中47份符合纳入标准.
- 包括11个护理包,10个质量改进项目和4个研究研究.
- 其余22本是社论,立场论文和其他灰色文献.
结论:
- 在医院产妇护理中,关于安全聚集的研究很少.
- 大多数现有的文献都缺乏对集群参与者,时间或议程的明确定义.
- 进一步的研究是必不可少的,以澄清人群对孕产妇结果的影响,需要明确的研究定义.
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