[急诊护理中的高级实践护理：变革提议的系统评价]
[Advanced Practice Nursing in emergency care, a proposal for the change: Systematic review].
作者信息
Galiana-Camacho Teresa, Gómez-Salgado Juan, García-Iglesias Juan Jesús, Fernández-García Daniel
机构信息
Departamento de Enfermería y Fisioterapia. Facultad de Ciencias de la Salud. Universidad de León. León. España.
Departamento de Enfermería. Facultad de Enfermería de la Universidad de Huelva. Huelva. España.
出版信息
Rev Esp Salud Publica. 2018 Sep 10;92:e201809065.
BACKGROUND
Advanced Practice Nursing is an unknown role in our country. The aim of the study is to show the results of this model in emergency services for its future implementation in the Spanish health system.
METHODS
Revisión sistemática de las bases de datos de The Cochrane Controlled, Web Of Science, Cinahl, Cuiden, LILACS, Guía Salud y Cochrane Database of Systematic Reviews. Se utilizaron escalas validadas para la selección de 14 artículos finales, siguiendo el formato PRISMA.
RESULTS
Favourable results were observed, with maximum waiting times of 53 minutes and average time of stay of 45 minutes. There were less than 8% of cases of unexpected readmissions. Favourable results were also found regarding safety and patient satisfaction.
CONCLUSIONS
The implementation of this figure could be beneficial for the improvement of the public health system, increasing the quality of care in terms of efficiency.
背景
高级实践护理在我国是一个尚不为人所知的角色。本研究的目的是展示该模式在急救服务中的效果，以便未来在西班牙卫生系统中实施。
方法
对Cochrane对照试验中心注册库、科学网、护理学与健康领域数据库、Cuiden、拉丁美洲和加勒比卫生科学数据库、健康指南及Cochrane系统评价数据库进行系统检索。按照PRISMA格式，使用经过验证的量表筛选出14篇最终文章。
结果
观察到了良好的结果，最长等待时间为53分钟，平均住院时间为45分钟。意外再入院病例不到8%。在安全性和患者满意度方面也发现了良好的结果。
结论
这一角色的实施可能有利于改善公共卫生系统，在效率方面提高护理质量。
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