针对复杂护理需求患者的医院护理协调干预措施的实施结果及其决定因素:质量系统审查
Mary Malakellis1, Anna Wong Shee1,2, Sarah Wood1
1Deakin Rural Health, Deakin University, Warrnambool, Victoria, Australia.
Journal of clinical nursing
|September 15, 2025
概括
这次系统性审查确定了医院成功协调护理的关键因素,重点是伙伴关系和基础设施. 调查结果强调了需要持续改进和经验丰富的协调员,以便在复杂的病例中获得更好的患者结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 护理协调干预措施对于在医院环境中管理具有复杂需求的患者至关重要.
- 了解实施决定因素对于优化这些干预措施的有效性至关重要.
研究的目的:
- 系统地审查和综合医院背景下护理协调干预措施的实施决定因素.
- 确定影响成功采用和整合护理协调模型的因素.
主要方法:
- 根据"实施研究综合框架" (CFIR) 的指导进行系统审查.
- 在多个数据库 (CINAHL,EMBASE,MEDLINE,PsycINFO) 中通过手动参考列表搜索进行搜索.
- 使用混合方法评估工具进行质量评估,并按照PRISMA指南进行报告.
主要成果:
- 十六项研究评估了15个护理协调模型,符合纳入标准.
- 最突出的是CFIR内部设置和实施过程领域.
- 关键决定因素包括"伙伴关系和联系"",工作基础设施"",能力"和"反思和评估".
结论:
- 不一致的护理协调结果受到干预复杂性和上下文因素的影响.
- 由经验丰富的协调员促进的组织内部和组织间的关系至关重要.
- 持续改进是必要的,以使干预措施适应特定的环境;需要更多的研究来确定可概括的原则.
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