护士参与的老年护理院居民的医院规避外展干预:混合方法系统审查
Elsie Mari1, Jennie King1, Yun-Hee Jeon2
1Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia.
International journal of nursing studies
|November 27, 2025
概括
护士主导的干预措施通过改善医疗服务使用,有效地减少老年护理居民住院治疗. 这些策略为临床医生和研究人员提供了宝贵的见解,旨在防止不必要的医院访问.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年护理居民往往有复杂的健康需求,导致可预防的住院治疗.
- 实施护士主导和护士参与的干预措施,以减少这个人群中不必要的医院呈现.
研究的目的:
- 系统地审查和综合证据对护士主导或护士参与的医院规避外展干预措施的影响.
- 检查老年护理院居民对医疗服务利用的影响.
主要方法:
- 由Joanna Briggs研究所框架指导的混合方法系统审查.
- 我们搜索的数据库包括Ovid Medline,Scopus和CINAHL.
- 包括在2011年1月至2022年10月期间发表的24项研究 (16项定量研究,7项定性研究,1项混合研究).
主要成果:
- 护士主导的干预措施与急诊室呈现和住院减少有关.
- 四项研究报告了成本节约,尽管调查结果异构.
- 关键的推动因素包括员工支持和快速响应,而障碍则涉及不一致的指导方针和技术挑战.
结论:
- 越来越多的证据支持护士领导的外展干预措施,以防止老年护理居民住院治疗.
- 已识别的促进因素和障碍因素为改进避免住院的举措提供了洞察力.
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