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出院准备度:概念分析。

Readiness for hospital discharge: A concept analysis.

机构信息

Ballincollig Community Nursing Unit, Cork, Ireland.

Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.

出版信息

J Adv Nurs. 2017 Nov;73(11):2547-2557. doi: 10.1111/jan.13324. Epub 2017 Jun 2.

Abstract

AIM

To report on an analysis on the concept of 'readiness for hospital discharge'.

BACKGROUND

No uniform operational definition of 'readiness for hospital discharge' exists in the literature; therefore, a concept analysis is required to clarify the concept and identify an up-to-date understanding of readiness for hospital discharge. Clarity of the concept will identify all uses of the concept; provide conceptual clarity, an operational definition and direction for further research.

DESIGN

Literature review and concept analysis.

METHOD

A review of literature was conducted in 2016. Databases searched were: Academic Search Complete, CINAHL Plus with Full Text, PsycARTICLES, Psychology and Behavioural Sciences Collection, PsycINFO, Social Sciences Full Text (H.W. Wilson) and SocINDEX with Full Text. No date limits were applied.

RESULTS

Identification of the attributes, antecedents and consequences of readiness for hospital discharge led to an operational definition of the concept. The following attributes belonging to 'readiness for hospital discharge' were extracted from the literature: physical stability, adequate support, psychological ability, and adequate information and knowledge.

CONCLUSION

This analysis contributes to the advancement of knowledge in the area of hospital discharge, by proposing an operational definition of readiness for hospital discharge, derived from the literature. A better understanding of the phenomenon will assist healthcare professionals to recognize, measure and implement interventions where necessary, to ensure patients are ready for hospital discharge and assist in the advancement of knowledge for all professionals involved in patient discharge from hospital.

摘要

目的

报告关于“出院准备度”概念的分析。

背景

文献中不存在“出院准备度”的统一操作定义;因此,需要进行概念分析以澄清概念并确定对出院准备度的最新理解。概念的清晰性将确定该概念的所有用途;提供概念清晰度、操作定义,并为进一步研究指明方向。

设计

文献回顾和概念分析。

方法

2016 年进行了文献回顾。搜索的数据库包括:学术搜索综合版、CINAHL 全文数据库、PsycARTICLES、心理学和行为科学收藏、PsycINFO、社会科学全文数据库(H.W.威尔逊)和社会科学索引全文数据库。未应用日期限制。

结果

确定出院准备度的属性、前因和后果,导致该概念的操作定义。从文献中提取出“出院准备度”的以下属性:身体稳定性、充分支持、心理能力以及充足的信息和知识。

结论

通过从文献中推导出“出院准备度”的操作定义,本分析有助于推进出院领域的知识发展。更好地理解这一现象将有助于医疗保健专业人员识别、衡量和实施必要的干预措施,以确保患者为出院做好准备,并为所有参与患者出院的专业人员的知识进步做出贡献。

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