紧急和紧急护理场所的医疗复杂性:一个范围审查协议
Sumedh Bele1, Cassandra Chisolm2, Conne Lategan2
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK sumedh.bele@ndorms.ox.ac.uk.
BMJ open
|January 20, 2025
概括
医学复杂性包括非医学因素,缺乏标准定义. 本综述定义了医疗复杂性及其属性,以便更好地提供紧急和紧急护理.
科学领域:
- 医疗保健研究 医疗保健研究
- 临床实践 临床实践
- 患者护理 患者护理
背景情况:
- 医疗复杂性整合了影响多种慢性疾病患者的非医疗因素 (个人,社会).
- 复杂需求的患者通常需要紧急或紧急护理,因为初级保健的局限性.
- 目前还没有针对成年患者的医疗复杂性的标准化定义.
研究的目的:
- 了解医疗复杂性在现有文献中如何定义.
- 确定医学复杂性的定义属性.
- 检查医学复杂性在临床护理研究中的应用,并提出一个全面的定义.
主要方法:
- 范围审查协议基于Arksey和O'Malley (2005) 和Levac等人.
- 使用沃克和阿万特的方法 (2005) 进行概念分析.
- 在多个数据库 (MEDLINE,CINAHL Plus,EMBASE,PsycINFO,Cochrane) 和灰色文献中进行系统搜索.
主要成果:
- 两个独立的审稿人对标题,摘要和全文进行了选.
- 从相关研究中提取数据.
- 系统审查和元分析的首选报告项目扩展范围审查 (PRISMA-ScR) 检查清单指导报告.
结论:
- 这次范围审查将巩固医学复杂性的证据.
- 这些发现旨在为医学复杂性的标准化定义提供信息.
- 结果将突出在紧急和紧急护理环境中定义医疗复杂性的关键组成部分.
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