为手术患者实施过渡期护理干预措施:一个范围审查
G Tobiano1,2, B M Gillespie1,2,3, K Turner2,4
1NHMRC Centre of Research Excellence in Wiser Wound Care, Griffith University, Southport, Queensland, Australia.
Journal of advanced nursing
|July 22, 2025
概括
本范围审查综合了关于实施手术患者过渡性护理的证据. 常见的策略包括员工教育和系统变化,但能力建设和扩展需要更多的重视现实世界的应用.
科学领域:
- 医疗保健实施科学 医疗保健实施科学
- 手术患者护理途径 手术患者护理途径
- 卫生系统研究 卫生系统研究
背景情况:
- 过渡期护理干预措施对于改善成年手术患者的治疗结果至关重要.
- 需要有效的实施策略来将这些干预措施纳入临床实践.
- 关于实施战略的现有证据需要综合来指导未来的努力.
研究的目的:
- 综合关于成人外科病人的过渡期护理干预措施的实施策略的证据.
- 确定常用的和不太常用的实施方法.
- 为未来的研究和实践提供有关手术过渡护理实施的信息.
主要方法:
- 进行了全面的范围审查.
- 在Medline,CINAHL和EMBASE数据库中进行了引用搜索.
- 数据被提取并编码,使用已建立的实施策略和发现框架.
主要成果:
- 员工教育,人员调整,电子系统变更和变更管理是经常使用的实施策略.
- 这些策略主要应用于结直肠和心脏手术患者,主要是在亚洲和美国.
- 规模扩大战略和能力建设举措的报道较少.
结论:
- 未来的研究应该优先考虑能力建设和扩展战略,以实施过渡期护理.
- 需要对忠诚度报告和财务影响进行进一步调查.
- 在各种现实环境中有效实施外科过渡期护理干预措施需要专门的工作.
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