实施医院虚拟护理的最佳实践:综合性审查
Madeleine Whalen1, Nadine Rosenblum, Alexandra A Johnson
1Madeleine Whalen is the evidence-based practice program coordinator, and Nadine Rosenblum and Alexandra A. Johnson were, at the time of this writing, inquiry program coordinators, all at The Johns Hopkins Hospital in Baltimore, MD. Contact author: Madeleine Whalen, mwhalen8@jhmi.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|November 20, 2025
概括
虚拟护理为护理劳动力挑战提供了解决方案. 然而,在非ICU环境中实施虚拟护理的最佳实践仍在发展,需要进一步研究.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
背景情况:
- 护理劳动力面临着前所未有的威胁,如倦怠和压力,影响工作满意度和留守率.
- 虚拟护理成为一个潜在的解决方案,尽管其在非ICU环境中的实施缺乏既定的最佳实践.
- 目前的虚拟护理模式在重症监护室已经很成熟,但对于其他医院领域来说是较新的.
研究的目的:
- 确定在住院,非重症监护室 (ICU) 设置中实施虚拟护理的最佳实践.
- 解决关于在ICU之外实施虚拟护理的知识差距.
- 引导医疗保健系统在一般医院单位采用虚拟护理.
主要方法:
- 根据约翰霍普金斯大学的基于证据的实践模型进行了综合性审查.
- 在PubMed,CINAHL,Embase和Cochrane数据库中进行了系统的搜索.
- 证据经过独立选和评估,以综合发现并制定建议.
主要成果:
- 从一项准实验性研究和五个质量改进项目的有限证据进行了综合.
- 确定了虚拟护士范围和技能 (临床和软技能) 的指导.
- 他们强调了病床护士和患者的需求,以及对领导力的运营担忧.
结论:
- 在非ICU医院环境中,关于虚拟护理的信息严重缺乏.
- 需要进一步研究虚拟护理对床边护士,患者和领导力的影响.
- 实施科学研究对于开发虚拟护理计划和告知最佳实践至关重要.
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