Jónasdóttir Rannveig J, Klinke Marianne E, Jónsdóttir Helga
Faculty of Nursing, University of Iceland, Reykjavik, Iceland.
Intensive Care Unit, Landspítali The National University Hospital of Iceland, Reykjavik, Iceland.
J Clin Nurs. 2016 Jan;25(1-2):20-37. doi: 10.1111/jocn.12939. Epub 2015 Sep 30.
To analyse and synthesise the structure, content, types of outcome variables and advantages of nurse-led follow-up of adult patients after discharge from intensive care units.
Follow-up service after discharge from the intensive care unit has been suggested as a way of supporting recovery of patients. Nevertheless, varieties exist in the understanding and content of nurse-led follow-up.
An integrative review of nurse-led follow-up inspired by the framework of Whittemore and Knafl.
An integrative method merged with the recommendations of the PRISMA statement was used to structure the review and findings. Online databases PubMed, CINAHL, ScienceDirect and Scopus were searched from the years 2003-2014. The retrieved articles were independently assessed by two reviewers. Critical appraisal was conducted using check lists from Johanna Briggs Institute. Emerging patterns were validated by all the authors throughout the entire process of analysis.
Seventeen papers were included. Three patterns of nurse-led follow-up were identified: (1) Ward visits--in the immediate time after discharge from intensive care unit, (2) Ward visits and appointment(s) to an intensive care unit follow-up clinic and (3) follow-up visit to an intensive care unit and phone call(s) after discharge. Content of short-term nurse-led follow-up (1) ranged from clinical assessment to supporting patients in articulating their subjective health concerns. Long-term nurse-led follow-up (2, 3) included appointments, phone call(s) or information on where advice could be sought. Types of outcome variables were primarily descriptive. There were strong implications for patients' satisfaction with nurse-led follow-up up to six months after discharge.
Nurse-led follow-up might promote patients' health and enable use of adequate resources.
The findings of this review could be used to design, and test, future interventions and their implementation.
分析并综合重症监护病房成年患者出院后由护士主导的随访的结构、内容、结果变量类型及优势。
重症监护病房出院后的随访服务被认为是支持患者康复的一种方式。然而，对于由护士主导的随访的理解和内容存在差异。
受惠特莫尔和克纳夫框架启发，对由护士主导的随访进行综合综述。
采用与PRISMA声明建议相结合的综合方法来构建综述和研究结果。检索2003年至2014年的在线数据库PubMed、CINAHL、ScienceDirect和Scopus。检索到的文章由两名评审员独立评估。使用乔安娜·布里格斯研究所的检查表进行批判性评价。在整个分析过程中，所有作者对新出现的模式进行了验证。
纳入17篇论文。确定了三种由护士主导的随访模式：（1）病房探访——在重症监护病房出院后的即刻，（2）病房探访及预约重症监护病房随访门诊，（3）出院后到重症监护病房随访及电话随访。短期由护士主导的随访（1）内容从临床评估到支持患者表达其主观健康问题。长期由护士主导的随访（2、3）包括预约、电话随访或提供可寻求建议的地点信息。结果变量类型主要是描述性的。对出院后长达六个月的患者对由护士主导的随访的满意度有很大影响。
由护士主导的随访可能促进患者健康并合理利用资源。
本综述的结果可用于设计、测试未来干预措施及其实施。
