Rouleau Geneviève, Gagnon Marie-Pierre, Côté José
Faculty of Nursing, Laval University, Quebec, Canada.
Research Center of the Centre Hospitalier de l'Université de Montréal, 850 rue St-Denis, Tour St-Antoine, third floor, Door S03-422, Montreal, QC, H2X 0A9, Canada.
Syst Rev. 2015 May 23;4:75. doi: 10.1186/s13643-015-0062-y.
BACKGROUND: Information and communication technologies (ICTs) used in the health sector have well-known advantages. They can promote patient-centered healthcare, improve quality of care, and educate health professionals and patients. However, implementation of ICTs remains difficult and involves changes at different levels: patients, healthcare providers, and healthcare organizations. Nurses constitute the largest health provider group of the healthcare workforce. The use of ICTs by nurses can have impacts in their practice. The main objective of this review of systematic reviews is to systematically summarize the best evidence regarding the effects of ICTs on nursing care. METHODS/DESIGN: We will include all types of reviews that aim to evaluate the influence of ICTs used by nurses on nursing care. We will consider four types of ICTs used by nurses as a way to provide healthcare: management systems, communication systems, information systems, and computerized decision support systems. We will exclude nursing management systems, educational systems, and telephone systems. The following types of comparisons will be carried out: ICT in comparison with usual care/practice, ICT compared to any other ICT, and ICT versus other types of interventions. The primary outcomes will include nurses' practice environment, nursing processes/scope of nursing practice, nurses' professional satisfaction as well as nursing sensitive outcomes, such as patient safety, comfort, and quality of life related to care, empowerment, functional status, satisfaction, and patient experience. Secondary outcomes will include satisfaction with ICT from the nurses and patients' perspective. Reviews published in English, French, or Spanish from 1 January 1995 will be considered. Two reviewers will independently screen the title and abstract of the papers in order to assess their eligibility and extract the following information: characteristics of the population and setting, type of interventions (e.g., type of ICTs and service provided), comparisons, outcomes, and review limitations. Any disagreements will be resolved by discussion and consensus involving the two reviewers or will involve a third review author, if needed. DISCUSSION: This overview is an interesting starting point from which to compare and contrast findings of separate reviews regarding the positive and negative effects of ICTs on nursing care. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42014014762.
背景:卫生部门使用的信息通信技术(ICT)具有诸多众所周知的优势。它们能够促进以患者为中心的医疗保健,提高护理质量,并对卫生专业人员和患者进行教育。然而,信息通信技术的实施仍然困难,且涉及不同层面的变革:患者、医疗服务提供者和医疗机构。护士是医疗保健劳动力中最大的卫生服务提供者群体。护士使用信息通信技术会对其护理工作产生影响。本系统评价综述的主要目的是系统地总结关于信息通信技术对护理影响的最佳证据。 方法/设计:我们将纳入旨在评估护士使用信息通信技术对护理影响的所有类型的综述。我们将把护士用于提供医疗保健的四种信息通信技术类型作为研究对象:管理系统、通信系统、信息系统和计算机化决策支持系统。我们将排除护理管理系统、教育系统和电话系统。将进行以下类型的比较:信息通信技术与常规护理/实践的比较、信息通信技术与其他任何信息通信技术的比较,以及信息通信技术与其他类型干预措施的比较。主要结局将包括护士的执业环境、护理过程/护理实践范围、护士的职业满意度以及护理敏感结局,如患者安全、舒适度以及与护理相关的生活质量、赋权、功能状态、满意度和患者体验。次要结局将包括从护士和患者角度对信息通信技术的满意度。将考虑1995年1月1日以来以英文、法文或西班牙文发表的综述。两名评审员将独立筛选论文的标题和摘要,以评估其合格性并提取以下信息:研究人群和背景的特征、干预措施类型(如信息通信技术类型和提供的服务)、比较、结局以及综述的局限性。如有任何分歧,将通过两名评审员的讨论和协商解决,如有必要,将引入第三位评审作者。 讨论:本综述是一个有趣的起点,可据此比较和对比关于信息通信技术对护理的正面和负面影响的单独综述的结果。 系统评价注册:PROSPERO CRD42014014762
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