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Updated: May 29, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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高级实践护士在老年人预先护理规划中的角色和责任-混合方法系统审查
Jan Eilert Pedersen1,2, Hilde Eide3, Marit Gjone Sandsleth4
1Section for Health and Care, Haugmotun Care Center, Notodden Municipality, Norway.
Journal of advanced nursing
|February 2, 2025
概括
高级实践护士 (APN) 在老年人预先护理计划 (ACP) 中至关重要,促进个性化护理. 然而,时间和识别等障碍阻碍了它们的全部影响,需要进行战略干预,以改善患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 提前护理计划 (ACP) 对于将医疗保健与老年人的偏好保持一致至关重要.
- 高级实践护士 (APN) 拥有独特的技能,以促进ACP.
- 了解APN在ACP中的角色,实践和挑战对于优化护理至关重要.
研究的目的:
- 系统地审查有关ACP中APN的角色和责任的文献.
- 描述APN的ACP实践,并确定促进者和阻碍其参与的障碍.
主要方法:
- 按照乔安娜·布里格斯研究所的指导方针进行混合方法系统审查.
- 在Medline,CINAHL和Embase (2012-2024) 搜索了65岁以上的个人对APN和ACP的原始研究.
- 使用混合方法评估工具进行质量评估,以及用于数据分析的融合综合合成.
主要成果:
- 包括19项研究 (7项定性,9项定量,3项混合方法).
- APN在ACP中发挥着关键作用,通过讨论和文档,确保护理与患者的偏好保持一致.
- 在美国,英国,加拿大和澳大利亚确定了不同的APN角色,突出了对标准化方法的需求.
结论:
- APN对于促进老年人进入ACP国家和地区的发展至关重要.
- 时间限制,缺乏角色认可和培训不足等障碍阻碍了APN在ACP的有效性.
- 解决这些障碍对于加强APN对以人为中心的护理的贡献和改善患者结果至关重要.
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