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组织文化与工作场所文化和患者结局之间的关联:系统评价方案

Association between organisational and workplace cultures, and patient outcomes: systematic review protocol.

作者信息

Braithwaite J, Herkes J, Ludlow K, Lamprell G, Testa L

机构信息

Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia.

出版信息

BMJ Open. 2016 Dec 1;6(12):e013758. doi: 10.1136/bmjopen-2016-013758.

Abstract

INTRODUCTION

Despite widespread interest in the topic, no current synthesis of research is available analysing the linkages between organisational or workplace cultures on the one hand, and patient outcomes on the other. This protocol proposes a systematic review to analyse and synthesise the literature to date on this topic. The resulting review will discuss characteristics of included studies in terms of the type of healthcare settings researched, the measurements of organisational and workplace culture, patient outcomes measured and the influence of these cultures on patient outcomes.

METHODS AND ANALYSIS

A systematic review will be conducted aiming to examine the associations between organisational and workplace cultures, and patient outcomes, guided by the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) statement. An English language search of abstracts will be executed using the following academic databases: CINAHL, EMBASE, Ovid MEDLINE, Web of Science and PsycINFO. The review will include relevant peer-reviewed articles from randomised controlled trials (RCTs), non-RCTs, controlled before and after studies, interrupted time series studies, cross-sectional analyses, qualitative studies and mixed-method studies. Multiple researchers will be involved in assessing the quality of articles for inclusion in the review. This protocol documents a detailed search strategy, including terms and inclusion criteria, which will form the basis of the subsequent systematic review.

ETHICS AND DISSEMINATION

Ethics approval is not required as no primary data will be collected. Results will be disseminated through a peer-reviewed publication and conference presentations.

摘要

引言

尽管人们对该主题普遍感兴趣,但目前尚无综合研究分析组织文化或工作场所文化与患者结局之间的联系。本方案提议进行一项系统评价,以分析和综合迄今为止关于该主题的文献。最终的评价将从所研究的医疗保健环境类型、组织文化和工作场所文化的测量方法、所测量的患者结局以及这些文化对患者结局的影响等方面讨论纳入研究的特征。

方法与分析

将按照系统评价与荟萃分析方案的首选报告项目(PRISMA-P)声明进行一项系统评价,旨在研究组织文化和工作场所文化与患者结局之间的关联。将使用以下学术数据库对英文摘要进行检索:护理学与健康领域数据库(CINAHL)、荷兰医学文摘数据库(EMBASE)、Ovid医学期刊数据库(Ovid MEDLINE)、科学引文索引数据库(Web of Science)和心理学文摘数据库(PsycINFO)。该评价将纳入来自随机对照试验(RCT)、非随机对照试验、前后对照研究、中断时间序列研究、横断面分析、定性研究和混合方法研究的相关同行评审文章。多名研究人员将参与评估纳入评价的文章质量。本方案记录了详细的检索策略,包括检索词和纳入标准,这将构成后续系统评价的基础。

伦理与传播

由于不收集原始数据,因此无需伦理批准。研究结果将通过同行评审出版物和会议报告进行传播。

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