Research, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2019 Dec 16;9(12):e032149. doi: 10.1136/bmjopen-2019-032149.
Many hospitalised older adults experience delayed discharges due to increased postacute health and social support needs. Transitional care programmes (TCPs) provide short-term care to these patients to prepare them for transfer to nursing homes or back to the community with supports. There are knowledge gaps related to the development, implementation and evaluation of TCPs. The aims of this scoping review (ScR) are to identify the characteristics of older patients served by TCPs; criteria for transfer, components and services provided by TCPs; and outcomes used to evaluate TCPs.
The study involves six-step ScR and is informed by a collaborative/participatory approach whereby stakeholders engage in the development of the research questions, identification of literature, data abstraction and synthesis; and participation in consultation workshop. The search for scientific literature will be done in the Medline, PsychINFO, Emcare and CINAHL databases; as well, policies and reports that examined models of transitional care and the outcomes used to evaluate them will be reviewed. Records will be selected if they involve community dwelling older adults aged 65 years or older, or indigenous persons 45 years or older; and presented in English, French, Dutch and German languages. Records will be screened, reviewed and abstracted by two independent reviewers. Extracted data will be analysed using descriptive statistics and a narrative analysis, and organised according to Donabedian's model of structure (characteristics of older adults experiencing delayed discharge and served by TCPs), process (TCP components and services) and outcome.
This ScR does not require ethics approval. Dissemination activities include integrated knowledge translation (KT) (consultation with stakeholders throughout the study) and end-of-grant KT strategies (presentations at national and international conferences; and publication in peer-reviewed interdisciplinary journal).
许多住院的老年人由于需要增加急性后期的健康和社会支持而导致出院延迟。过渡性护理计划 (TCP) 为这些患者提供短期护理，以帮助他们准备转移到养老院或在有支持的情况下回到社区。目前，关于 TCP 的开发、实施和评估还存在知识空白。本 scoping 综述 (ScR) 的目的是确定接受 TCP 服务的老年患者的特征；转移标准、TCP 提供的组件和服务；以及用于评估 TCP 的结果。
该研究涉及六步 ScR，并采用协作/参与方法，利益相关者参与研究问题的制定、文献的确定、数据提取和综合；以及参与咨询研讨会。将在 Medline、PsychINFO、Emcare 和 CINAHL 数据库中搜索科学文献；还将审查检查过渡性护理模式和用于评估这些模式的结果的政策和报告。如果记录涉及居住在社区的 65 岁或以上的老年人，或 45 岁或以上的土著人，并且以英文、法文、荷兰文和德文呈现，将选择记录。记录将由两名独立评审员进行筛选、审查和摘要。使用描述性统计和叙述性分析分析提取的数据，并根据 Donabedian 的结构模型 (经历延迟出院的老年患者的特征和接受 TCP 服务的特征)、过程 (TCP 组件和服务) 和结果进行组织。
本 ScR 不需要伦理批准。传播活动包括综合知识转化 (KT)（在整个研究过程中与利益相关者协商）和资助结束时的 KT 策略（在国家和国际会议上的演讲；以及在同行评议的跨学科期刊上发表）。
