住院治疗多种长期疾病患者的临床决策和护理途径:范围审查
Nicola L Howe1, Ella-Rose Blackburn1, Amelia Sheppard1
1NIHR HealthTech Research Centre in Diagnostic and Technology Evaluation, Newcastle University, Newcastle upon Tyne, UK.
BMJ open
|August 4, 2025
概括
这次审查发现,对在医院治疗多种长期疾病 (MLTC) 患者的临床决策进行的研究有限. 需要更多的研究来改善MLTC患者的护理途径和患者满意度.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床决策 - 临床决策
- 患者护理途径 患者护理途径
背景情况:
- 患有多种长期疾病 (MLTC) 的住院患者经历的结果更差,满意度更低.
- 了解MLTC患者的护理流程对于系统重新设计至关重要.
研究的目的:
- 确定临床决策和住院MLTC患者的护理途径的证据.
- 描述用于研究MLTC医院护理的研究方法.
主要方法:
- 使用叙事方法进行了范围审查.
- 在Medline,Embase和PsycInfo (1996-2024) 进行了文献搜索.
- 包括专注于二级/三级护理中的MLTC患者的护理途径和决策的研究.
主要成果:
- 17项研究符合纳入标准,采用多种方法,包括定性研究,指南审查和文献审查.
- 没有经验定性研究专门研究了急性护理环境中的MLTC患者的临床决策.
- 确定了MLTC护理的复杂性,一些研究提出了建议.
结论:
- 目前的证据基础对住院MLTC患者的临床决策和护理途径提供了有限的见解.
- 建议进行进一步的研究,重点是指南审查,并纳入医疗保健专业人员和MLTC患者的观点.
相关概念视频
Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628
Documentation in Long-Term and Home Healthcare Setting
987
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
987
Planning Nursing Care I
4.7K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.7K
Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K
Traditional Level Of Health Care System
2.9K
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...
2.9K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K


