Papermaster Amy, Champion Jane Dimmitt
School of Nursing, The University of Texas at Austin, Austin, Texas.
J Am Assoc Nurse Pract. 2017 Oct;29(10):618-628. doi: 10.1002/2327-6924.12500. Epub 2017 Aug 28.
Point-of-care information needs for nurse practitioners are tremendous. A phenomenon often referred to as curbside consultation (CC) with colleagues is an information source for point-of-care clinical decision making. This literature review was conducted to describe: (a) characteristics of CC, (b) consistency of CC definition, and (c) attitudes about CC among health professionals using this information source for point-of-care clinical decision making.
This literature review includes research conducted from 1980 to 2016 concerning CC among health professionals. Data bases including PubMed, CINAHL, Google Scholar, Web of Science, PsychInfo, Business Source, and Cochrane Library were searched resulting in 15 articles for inclusion in this review. Fink's recommendations were used to assess study bias risk.
Only studies including physician samples met inclusion criteria. These studies, primarily from consultant perspectives, were conducted in varied settings and were considered highly valuable. CC s averaging 9.4 min were defined as informal advice and information-seeking without formal consultation.
A paucity of information exists concerning CC use among nurse practitioners. An assessment of CC processes among nurse practitioners is indicated to inform education and practice for research dissemination ultimately promoting patient care quality.
执业护士对即时护理信息的需求巨大。一种常被称为与同事进行“床边会诊”(CC)的现象是即时护理临床决策的信息来源。进行这项文献综述的目的是描述:(a)床边会诊的特征,(b)床边会诊定义的一致性,以及(c)使用该信息来源进行即时护理临床决策的卫生专业人员对床边会诊的态度。
这项文献综述包括1980年至2016年期间关于卫生专业人员床边会诊的研究。检索了包括PubMed、CINAHL、谷歌学术、科学网、PsychInfo、商业资源和Cochrane图书馆在内的数据库,最终有15篇文章被纳入本综述。采用芬克的建议来评估研究偏倚风险。
只有纳入医生样本的研究符合纳入标准。这些主要从会诊者角度开展的研究在不同环境中进行,被认为具有很高的价值。平均时长为9.4分钟的床边会诊被定义为无正式会诊的非正式建议和信息寻求。
关于执业护士使用床边会诊的信息匮乏。有必要对执业护士的床边会诊流程进行评估,以便为教育和实践提供信息,促进研究成果的传播,最终提高患者护理质量。