以患者和家庭为中心的护理过渡期干预措施的效果：系统评价方案。
Effectiveness of person- and family-centered care transition interventions: a systematic review protocol.
机构信息
School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, Ottawa, ON, K1H 8M5, Canada.
Ottawa Hospital Research Institute, Ottawa, Canada.
出版信息
Syst Rev. 2017 Aug 8;6(1):158. doi: 10.1186/s13643-017-0554-z.
BACKGROUND
Care transitions from the hospital to home are critical to the sustainability of our health care system. Ineffective care transitions can be caused by high incidences of post-discharge adverse events, by poor communication with patients, and/or by inadequate information transfer between providers from the hospital to home. Any one of these can lead to fragmented care, high readmission rates, increased visits to the emergency department, and ultimately poor patient outcomes. Despite the ongoing improvement efforts of health care organizations, the efficacy of person- and family-centered care transition interventions on the quality of care and on the patient experience are not known. The aim of this systematic review is to critically analyze the body of evidence regarding the effectiveness of person- and family-centered care transition interventions on the quality of care, and the experience of patients.
METHODS
We will conduct a systematic review using the Cochrane Handbook's guidelines and will adhere to a standardized reporting format: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A comprehensive search strategy will be conducted in the following databases: MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and the Cochrane Consumers and Communication Group. Following a two-step screening process, data including the full reference, objectives, target population, description of the intervention and control intervention, outcome measures, design, length of post-intervention follow-up period, and the study results will be extracted, synthesized, and reported. Risk of bias and quality of the studies will also be assessed.
DISCUSSION
This systematic review will summarize and present the evidence base for person- and family-centered care transition interventions. This review will also inform further research and will lay the groundwork for more empirical studies on person- and family-centered care transitions. Specifically, the results of this systematic review may inform the development of measures to monitor safe and effective person- and family-centered transitions from the hospital to home. These results may also be important for policy makers, decision-makers, clinicians, and patients/families who are involved in navigating the health care system.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42017067990.
背景
从医院到家庭的护理交接对我们的医疗保健系统的可持续性至关重要。出院后不良事件发生率高、与患者沟通不佳以及/或医院到家庭的提供者之间信息传递不足，都可能导致护理脱节、再入院率高、急诊就诊次数增加，最终导致患者预后不良。尽管医疗机构不断努力改进，但以患者和家庭为中心的护理交接干预措施在改善护理质量和患者体验方面的效果尚不清楚。本系统评价的目的是批判性地分析有关以患者和家庭为中心的护理交接干预措施对护理质量和患者体验的有效性的证据。
方法
我们将按照 Cochrane 手册的指南进行系统评价，并遵循标准化报告格式：系统评价和荟萃分析的首选报告项目（PRISMA）。将在以下数据库中进行全面的搜索策略：MEDLINE、EMBASE、CINAHL、Cochrane 对照试验中心注册库和 Cochrane 消费者与传播组。经过两步筛选过程，将提取、综合和报告数据，包括完整的参考文献、目标、目标人群、干预和对照干预的描述、结局测量、设计、干预后随访期的长度以及研究结果。还将评估偏倚风险和研究质量。
讨论
本系统评价将总结和呈现以患者和家庭为中心的护理交接干预措施的证据基础。本评价还将为进一步的研究提供信息，并为以患者和家庭为中心的护理交接研究奠定基础。具体来说，本系统评价的结果可能为开发监测从医院到家庭的安全有效的以患者和家庭为中心的交接措施提供信息。这些结果对于参与医疗保健系统的政策制定者、决策者、临床医生以及患者/家属也可能很重要。
系统评价注册
PROSPERO CRD42017067990。
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