Thompson Genevieve, Shindruk Chloe Lyn, Adekoya Adebusola Abiodun, Demczuk Lisa, McClement Susan
College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Elizabeth Dafoe Library, University of Manitoba, Winnipeg, Manitoba, Canada.
BMJ Open. 2018 Aug 10;8(8):e022498. doi: 10.1136/bmjopen-2018-022498.
There is a growing demand for long-term care services for older adults that embrace a model of care centred on individual recipients of care. In long-term care, models of person, resident and relationship-centred care have been developed and implemented to promote independence, decision making and choices of residents. Although the concepts of centredness have been readily adopted in these environments, what constitutes centredness is often vague and lacks conceptual clarity and definition. The research questions guiding this scoping review are: (1) What are the defining attributes, conceptual boundaries and theoretical underpinnings of each centredness term in long-term care? (2) For what purposes have centredness directed models of care been used in this context? (3) What types of study designs have been used to examine centredness in this context? (4) What outcomes related to centredness have been reported or evaluated and how were they measured in long-term care?
This review uses the methodological framework for conducting a scoping review by Arksey and O'Malley. The search strategy will be applied to nine bibliographic and citation databases, Google Scholar and the grey literature. Study selection will occur in a two-step process. First, the titles and abstracts of all search results will be screened by individual reviewers. Second, a full-text review will be conducted by a pair of reviewers. To be included articles must (1) define centredness in the context of long-term care; (2) describe the defining features of centredness; (3) explore the theoretical underpinnings of centredness; (4) outline outcomes of centredness or (5) use outcome measures related to centredness. Data will be extracted from included studies and analysed using thematic analysis as described by Braun and Clark.
Research ethics approval is not required for this scoping review. Dissemination strategies will follow a targeted and tailored approach based on study findings.
对于老年人长期护理服务的需求日益增长，这种服务采用以个体护理接受者为中心的护理模式。在长期护理中，已开发并实施了以人、居民和关系为中心的护理模式，以促进居民的独立性、决策能力和选择权。尽管这些环境中已欣然采用了以某事物为中心的概念，但构成以某事物为中心的要素往往模糊不清，缺乏概念上的清晰度和定义。指导本范围综述的研究问题如下：（1）长期护理中每个以某事物为中心的术语的定义属性、概念界限和理论基础是什么？（2）在这种情况下，以某事物为中心的护理模式用于哪些目的？（3）在这种情况下，使用了哪些类型的研究设计来检验以某事物为中心的情况？（4）在长期护理中，报告或评估了哪些与以某事物为中心相关的结果，以及如何对这些结果进行测量？
本综述采用阿克西和奥马利进行范围综述的方法框架。检索策略将应用于九个书目和引文数据库、谷歌学术和灰色文献。研究选择将分两步进行。首先，由独立评审人员筛选所有检索结果的标题和摘要。其次，由一对评审人员进行全文评审。纳入的文章必须满足以下条件：（1）在长期护理的背景下定义以某事物为中心；（2）描述以某事物为中心的定义特征；（3）探索以某事物为中心的理论基础；（4）概述以某事物为中心的结果，或（5）使用与以某事物为中心相关的结果测量方法。将从纳入的研究中提取数据，并使用布劳恩和克拉克所描述的主题分析法进行分析。
本范围综述无需研究伦理批准。传播策略将根据研究结果采用有针对性和量身定制的方法。
