息护理指南的实施 - - 范围审查
Alexandra Ernst1, Franziska Schade2, Stephanie Stiel2
1Institute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. Ernst.Alexandra@mh-hannover.de.
BMC palliative care
|April 11, 2025
概括
息护理指南的实施在全球范围内各不相同. 关键的促进者包括专业的动机和管理支持,而障碍涉及时间限制和知识差距,影响医疗保健质量.
科学领域:
- 医疗保健管理的管理
- 临床实践指南 临床实践指南
- 息护理研究 息护理研究
背景情况:
- 医疗保健指南对于质量护理至关重要,但经常面临实施挑战.
- 息护理指南的实际应用以及相关的障碍/促进因素尚未得到充分理解.
研究的目的:
- 系统地审查全球关于息护理指南实施的文献.
- 确定支持或阻碍全球实施息护理指南的因素.
主要方法:
- 使用Arksey和O'Malley (2005) 的方法进行了全面的范围审查.
- 在CINAHL,LIVIO,PubMed和Web of Science核心集合数据库中进行了搜索.
- 文章选择和数据分类由两位研究人员独立执行,使用彼得曼 (2014) 实施结果分类法.
主要成果:
- 在最终分析中包含了29篇文章,确定了六个实施结果:可接受性,采用性,适当性,可行性,忠实性/坚持性和透性.
- 量化方法主导了这些研究 (n=22),主要关注医疗保健专业人员的观点.
- 促进者包括专业的动机和管理支持;障碍包括时间限制和有限的知识. 患者和护理人员的观点被低估了.
结论:
- 息护理指南的实施显示出显著的变化.
- 未来的研究应该使用混合方法的方法探索促进者和障碍,并考虑不同的实施结果.
- 需要进行全面的分析,以改善指导方针的遵守和患者在息治疗中的结果.
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