支持医疗复杂性的儿童的出院准备:一个范围审查
Emily Moore1, Mia Waldron2, Darlene Acorda3
1Seattle Children's Hospital, Seattle, USA. Emily.moore@seattlechildrens.org.
BMC nursing
|October 15, 2025
概括
护士主导的干预对于医疗复杂性 (CMC) 过渡到家中的儿童至关重要. 量身定制,以家庭为中心的方法可以提高准备和结果,强调沟通和护理人员能力,以确保成功的护理过渡.
科学领域:
- 儿科护理 儿科护理
- 医疗保健的转型 医疗保健的转型
- 护理人员支持护理人员支持
背景情况:
- 从医院到家的过渡是医疗复杂性儿童 (CMC) 和他们的家人面临高风险的时期.
- 护士在出院准备中发挥着至关重要的作用,但CMC的最佳策略尚不清楚.
- 出院后的不良事件是常见的,原因是缺乏准备和沟通.
研究的目的:
- 确定护理和医疗保健提供者的干预措施,以加强CMC的出院准备.
- 突出有效的策略,并识别CMC当前放电实践中的差距.
主要方法:
- 一个全面的文献综述,以阿克西和奥马利的框架为指导.
- 在2023年3月搜索了CINAHL,EMBASE和Ovid MEDLINE,寻找有关护理主导策略,护理人员准备能力和CMC出院后结果的研究.
- 包括27项研究 (定性,定量,混合方法) 从2014-2023.
主要成果:
- 只有9%的研究研究了特定于护理的干预措施.
- 医学复杂性和家庭护理过渡的定义在各个研究中都不一致.
- 母亲是最受研究的护理人员 (30%).
结论:
- 护士主导的,以家庭为中心的干预措施对于改善CMC的出院准备和结果至关重要.
- 个性化护理计划,护理人员教育和协调护理是有效放电的关键组成部分.
- 标准化最佳实践,纳入护理人员的观点,并开发由护士领导的整体模型对于成功的过渡至关重要.
关键词:
护理协调 护理协调患有医疗复杂性的儿童信息传播 信息传播 信息传播准备放管计划 计划放管计划医院出院的情况混合方法混合方法.护士 护士 是一个护士.耐心教学是一种耐心教学.儿科 儿科 儿科定性方法 定性方法量化方法 量化方法扫描范围 扫描范围关怀的过渡 关怀的过渡更多相关视频
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