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英国跨专业合作和中级护理文献综述。

A literature review of interprofessional working and intermediate care in the UK.

机构信息

Research Institute for Life Course Studies, Keele University, Clinical Education Centre, City General Hospital, Stoke on Trent, UK.

出版信息

J Clin Nurs. 2011 Mar;20(5-6):775-83. doi: 10.1111/j.1365-2702.2009.03156.x.

DOI:10.1111/j.1365-2702.2009.03156.x
PMID:20662994
Abstract

AIMS AND OBJECTIVES

This systematic literature review aimed at addressing two questions: first, what evidence exists regarding intermediate care in the UK; and what interventions have been used to develop interprofessional working in intermediate care in the UK? A systematic review of the literature from 2000-2006 resulted in a total of 104 full-text articles describing research into intermediate care in the UK.

BACKGROUND

The review was the first stage of a large, national project evaluating and developing interprofessional working among health and social care staff, particularly in relation to the intermediate care of older people.

DESIGN

Systematic literature review.

METHODS

All the literature was reviewed by one reviewer, and a second review was carried out by a team of reviewers to ensure each article was reviewed twice, independently. One article was reviewed by all the reviewers to ensure inter-rater reliability; finally, all the reviews were amalgamated, which resulted in one summary per article.

RESULTS

The main findings drawn from this systematic literature review are that research carried out on intermediate care in the UK has a diverse set of aims, for example economic evaluations, delivery of intermediate care and exploring the views and perceptions of those involved in intermediate care.

CONCLUSIONS

Although several articles include discussions about the importance of interprofessional working in intermediate care, no article specifically focused on the interprofessional focus of intermediate care, and there was no research about interventions used to develop interprofessional working.

RELEVANCE TO CLINICAL PRACTICE

Intermediate care as a policy has been interpreted very differently across the four countries of the UK; there is no one preferred or consistent interpretation to its delivery.

摘要

目的和目标

本系统文献回顾旨在解决两个问题:首先,英国的中级护理有哪些证据;以及英国在中级护理中使用了哪些干预措施来发展跨专业合作?对 2000-2006 年文献的系统回顾共产生了 104 篇全文文章,描述了英国中级护理的研究。

背景

该综述是一个大型国家项目的第一阶段,该项目评估和发展卫生和社会保健人员之间的跨专业合作,特别是与老年人中级护理有关的合作。

设计

系统文献回顾。

方法

由一名评审员审查所有文献,由一组评审员进行第二次评审,以确保每篇文章都进行了两次独立评审。一篇文章由所有评审员进行了评审,以确保评分者之间的可靠性;最后,所有的评审都被合并,结果每篇文章都有一个总结。

结果

从这项系统文献回顾中得出的主要结论是,在英国进行的中级护理研究具有多样化的目标,例如经济评估、中级护理的提供以及探索参与中级护理的人员的观点和看法。

结论

尽管有几篇文章讨论了中级护理中跨专业合作的重要性,但没有一篇文章专门关注中级护理的跨专业焦点,也没有关于用于发展跨专业合作的干预措施的研究。

临床相关性

中级护理作为一项政策在英国的四个国家有非常不同的解释;其提供方式没有一个被普遍接受或一致的解释。

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