医疗保健系统改进,急性护理机构的方案和干预措施的可持续性:混合方法系统审查的议定书
Victoria Ramsden1,2, Elizabeth McInnes1,2, Peter Wilson3
1Nursing Research Institute, St Vincent's Health Network Sydney St Vincent's Hospital Melbourne, Australian Catholic University, Australian Catholic University, Darlinghurst, New South Wales, Australia.
BMJ open
|February 7, 2025
概括
本次审查确定了在急性护理环境中维持基于证据的医疗保健干预措施的关键促进者和障碍. 了解这些因素对于改善长期患者护理质量至关重要.
科学领域:
- 医疗保健管理的管理
- 基于证据的实践.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 维持基于证据的护理在所有临床环境中都存在挑战.
- 急性护理环境具有独特的因素,如快速的步伐和员工流动,影响可持续性.
- 以前的研究往往没有关注急性护理的具体情况,需要有针对性的调查.
研究的目的:
- 确定影响急性护理机构持续提供医疗干预措施的促进者和障碍.
- 更新之前的系统审查,包括2017年11月至今的研究.
- 专门研究成人和儿科医院急性护理中的可持续性.
主要方法:
- 一个混合方法的系统审查,更新先前的审查 (Cowie等人,2008-2017年).
- 从2017年11月开始对Medline,Embase,Cochrane,CINAHL和AMED数据库进行搜索.
- 包括使用理论框架的经验定量和定性研究,以探索急性护理中的可持续性促进者和障碍.
主要成果:
- 将促进者和障碍物映射到医疗保健中可持续性构建的综合框架中.
- 描述性数据将使用证据表来呈现.
- 关键发现将通过叙事方法进行综合.
结论:
- 调查结果将为提高急性护理医疗干预措施可持续性的战略提供信息.
- 计划通过同行评审的出版物,会议和社交媒体进行传播.
- 本次审查旨在弥补对急性护理环境中具体的可持续性理解的差距.
相关概念视频
01:18Introduction To Health Care Delivery System
2.6K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.6K
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:20Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
01:30Health Information Technology and Healthcare Information System
792
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
792
01:26Traditional Level Of Health Care System
2.6K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.6K