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一项关于养老院中护理人员处理居民间虐待老年人问题教育项目的系统评价方案。

A systematic review protocol of educational programs for nursing staff on management of resident-to-resident elder mistreatment in residential aged care homes.

作者信息

Ellis Julie M, Ayala Quintanilla Beatriz Paulina, Ward Louise, Campbell Fergus, Hillel Stav, Downing Carolyn, Teresi Jeanne, Ramirez Mildred

机构信息

College of Science, Health and Engineering, School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.

College of Science, Health and Engineering, School of Nursing and Midwifery, The Judith Lumley Centre, La Trobe University, Melbourne, Vic., Australia.

出版信息

J Adv Nurs. 2018 May 6. doi: 10.1111/jan.13700.

DOI:10.1111/jan.13700
PMID:29732589
Abstract

AIM

To review evidence concerning educational programs for nursing staff on management of resident-to-resident elder mistreatment with the aim of preventing and reducing this abuse in residential aged care homes.

BACKGROUND

Although elder abuse has received considerable attention, very little is known regarding resident-to-resident elder mistreatment in residential aged care homes and about interventions/programs to prevent and reduce this harm. Nurses play an essential role in identifying and managing aggressive interactions. However, many nurses may not recognize these behaviours as forms of abuse. Thus, it is important to ascertain if educational programs for nursing staff have been developed and implemented.

DESIGN

Quantitative systematic review registered on PROSPERO (CRD42017080925).

METHODS

A systematic search of English published studies between 1980 - 2017 will be conducted in CINAHL, Embase, MEDLINE, ProQuest, PsychInfo and Scopus. Risk of bias and quality of the studies will be evaluated by using the Cochrane Collaboration's tool and the Methodological Index for Nonrandomized studies. A meta-analysis will be performed, if sufficient homogeneity exists; otherwise, data will be summarized by using a narrative description. This study was funded in January 2017.

DISCUSSION

Nursing staff should play a pivotal role in preventing and/or reducing resident-to-resident elder mistreatment. Therefore, it is important to identify available educational programs for nursing staff dealing with this abuse. Consequently, this review may provide evidence-based care for nursing staff to assist them in protecting older residents from experiencing abuse or being abused and in improving their well-being.

摘要

目的

回顾有关护理人员针对居民间老年人虐待管理的教育项目的证据,旨在预防和减少养老院中的此类虐待行为。

背景

尽管老年人虐待问题已受到相当多关注,但对于养老院中居民间的老年人虐待以及预防和减少此类伤害的干预措施/项目却知之甚少。护士在识别和管理攻击性行为方面起着至关重要的作用。然而,许多护士可能并未将这些行为视为虐待形式。因此,确定是否已制定并实施针对护理人员的教育项目非常重要。

设计

在国际前瞻性注册系统(PROSPERO,注册号CRD42017080925)上注册的定量系统评价。

方法

将在护理学与健康领域数据库(CINAHL)、荷兰医学文摘数据库(Embase)、医学索引数据库(MEDLINE)、ProQuest、心理学文摘数据库(PsychInfo)和Scopus中对1980年至2017年间发表的英文研究进行系统检索。将使用Cochrane协作网工具和非随机研究方法学指数评估研究的偏倚风险和质量。如果存在足够的同质性,将进行荟萃分析;否则,将使用叙述性描述对数据进行总结。本研究于2017年1月获得资助。

讨论

护理人员应在预防和/或减少居民间老年人虐待方面发挥关键作用。因此,确定针对处理此类虐待行为的护理人员的现有教育项目非常重要。因此,本综述可为护理人员提供循证护理,以帮助他们保护老年居民免受虐待或侵害,并改善他们的福祉。

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