应急部门导航员干预和结果措施:一个范围审查
Kathleen Parry1, Christopher Picard2, Rashmi Devkota2
1Alberta Health Services, Edmonton, Alberta, Canada.
紧急部门 (ED) 患者导航员改善了老年人的护理过渡. 具有更多组件的干预措施和一致的结果措施提高了有效性. 需要进一步的研究来确定患者子组和最佳评估指标.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 患者导航 患者导航
- 老年人护理医院 老年人护理
背景情况:
- 越来越多地使用急诊室 (ED) 患者导航员.
- 在了解ED导航干预的设计,描述和评估方面存在差距.
- 这影响了监测和改善向初级保健过渡的老年人护理的能力.
研究的目的:
- 确定文献如何描述ED患者导航器对老年人的干预.
- 评估用于评估这些干预措施的方法.
- 了解从ED过渡到初级保健的影响.
主要方法:
- 根据约翰娜·布里格斯研究所的指导,进行范围审查.
- 在MEDLINE,EMBASE和CINAHL数据库中进行了搜索.
- 包括关于ED导航角色的英语文章,用于老年成人过渡,无限制的研究设计.
主要成果:
- 包括10项研究,涉及2102篇文章,主要是量化研究.
- 常见的结果:住院率,ED访问频率,停留时间.
- 确定了6个干预组件,4个以上与更好的结果相关的组件.
- 跨设置不一致的结果跟踪掩盖了干预影响.
结论:
- 未来的研究应该确定患者群体最受益于ED导航.
- 调查结果措施,将干预的有效性放在整个护理连续性的背景下.
- 提高对老年人ED患者导航干预措施的理解和标准化.
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