使用实施科学来促进医疗保健机构的基于证据的营养护理:混合方法的系统审查
Jerome Molle1,2, Joris Agnel1, Sebastien Colson3
1Faculty of Medical and Paramedical Sciences, Nursing School, CEReSS, Aix-Marseille University, Marseille, France.
International journal of nursing studies advances
|October 13, 2025
概括
在医院实施基于证据的营养护理可以改善患者的治疗结果,并减少并发症. 结合教育,反和领导力参与的多方面的战略是成功采用和影响的关键.
科学领域:
- 医疗保健管理的管理
- 临床营养学 临床营养学
- 实施科学 实施科学
背景情况:
- 营养不良影响到一半的住院患者,导致恢复时间延长,并发症增加,医疗保健费用增加.
- 基于证据的营养护理可以减轻这些负面影响,但在医疗保健机构中一致实施仍然是一个挑战.
研究的目的:
- 综合和评估当前关于实施基于证据的营养护理实践在医疗机构中的策略的证据.
- 评估这些实施策略的临床有效性.
主要方法:
- 根据乔安娜·布里格斯研究所的指导方针进行了一项混合方法的系统审查.
- 搜索了15个数据库进行研究 (2015年1月至2025年1月),评估基于证据的营养护理的实施策略.
- 综合发现叙述使用实施研究的综合框架,实施变革的专家建议和实施成果框架.
主要成果:
- 二十九项研究 (1624名专业人员,13,523名患者) 包括多方面的,适合环境的干预措施.
- 共同的组成部分包括员工教育 (97%),反审计 (93%) 和利益相关方参与 (62%).
- 干预措施改善了服务结果 (早期营养治疗,更好的充分性) 和患者利益 (减轻体重,改善状态,更高的满意度).
结论:
- 情境敏感,多方面的实施策略有效地改善了基于证据的营养护理的采用和影响.
- 结合教育,审计反,领导参与和系统重新设计的策略尤其有益.
- 未来的研究应该集中在标准化框架,扩展后续和严格的设计上,以评估大规模实施的可持续性.
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