在急性中风单位设置中实施自由水议定书的障碍和促进者:混合方法系统审查
Sabrina A Eltringham1,2, Nicola Martindale3, Elizabeth Lightbody4
1Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, S10 2JF, UK. sabrina.eltringham@nhs.net.
Dysphagia
|February 5, 2025
概括
免费用水协议 (FWP) 允许吸入风险患者饮用水. 本审查确定了在急性中风护理中实施FWPs的障碍和促进因素,指导了未来的可行性研究.
科学领域:
- 临床护理 临床护理
- 实施科学 实施科学
- 脑卒中护理 脑卒中护理
背景情况:
- 免费用水协议 (FWP) 允许有吸血风险的患者在饭之间饮用水.
- 关于在急性中风护理环境中使用FWP的证据有限.
- 了解实施挑战对于患者安全和护理质量至关重要.
研究的目的:
- 系统地审查和综合关于在急性中风单位实施FWP的障碍和促进因素的文献.
- 确定影响FWPs在特定患者群体中成功采用FWPs的因素.
- 为FWPs在急性中风护理中的可行性研究的设计提供信息.
主要方法:
- 电子数据库和灰色文献的系统文献搜索.
- 从符合条件的研究中进行批判性评估和数据提取.
- 将结果映射到实施研究综合框架 (CFIR) 领域.
- 提取数据的叙述综合.
主要成果:
- 包括5项研究 (2项定性研究,1项混合方法,1项RCT,1项试点队列).
- 关键障碍包括缺乏证据/标准协议,适应挑战,患者选择复杂性,风险厌恶文化和劳动力问题 (可用性,技能,临时工作人员).
- 关键促进者包括国家指导,先前口腔护理实施,独特的中风设置特征,领导,跨学科合作,沟通,教育和患者参与.
结论:
- 在急性中风护理中成功实施FWP需要解决已识别的障碍,并利用促进者.
- 这些发现为开发和测试针对急性中风环境量身定制的FWPs提供了基础.
- 本次审查指导了为计划的可行性研究在急性中风单位的FWPs的数据收集.
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