关于虚拟护理适当性的建议:系统审查
Abd Alras1, Meet A Patel1, Mark Wang1
1College of Medicine, University of Saskatchewan, Saskatoon, Canada.
概括
本系统性审查确定了影响虚拟 versus实体护理决策的六个关键因素. 一个新的流程图帮助临床医生选择最适合患者的护理环境.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 临床决策支持 临床决策支持
背景情况:
- 虚拟护理的快速扩张需要明确的指导方针来适当使用它.
- 确定最佳的护理方式 (虚拟或面对面) 对于有效的医疗保健服务至关重要.
研究的目的:
- 识别和分析影响虚拟和面对面护理适当性的因素.
- 综合基于证据的建议,为医疗保健提供者选择护理环境.
- 开发一个决策工具,用于虚拟与面对面的护理的适合性.
主要方法:
- 对定性,定量和混合方法研究的系统审查以及临床实践指南.
- 在四个主要数据库 (MEDLINE,CINAHL,Embase,APA PsychInfo) 和谷歌学者 (2014-2024) 中进行的搜索.
- 用于对影响因素进行分类的专题分析,导致开发临床决策流程图.
主要成果:
- 综述中包括了83篇文章.
- 确定了6个主要概念和22个影响虚拟护理适当性的子概念.
- 这些概念包括患者特征,临床表现,护理过程阶段,护理负担,提供者因素和技术.
结论:
- 这些发现为临床医生提供了一个结构化的框架来评估虚拟 versus 面对面的护理.
- 这支持基于证据的决策和虚拟护理的有效整合.
- 开发的流程图有助于确定最适合个体患者需求的护理方式.
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