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护理与工程在医疗保健中的跨学科合作:范围综述。

Interdisciplinary collaboration between nursing and engineering in health care: A scoping review.

机构信息

School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, No 33 Ba Da Chu Road, Shijingshan District, Beijing 100144, China.

Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, No 236 Bai Di Lu Road, Nankai District, Tianjin 300192, China.

出版信息

Int J Nurs Stud. 2021 May;117:103900. doi: 10.1016/j.ijnurstu.2021.103900. Epub 2021 Feb 7.

DOI:10.1016/j.ijnurstu.2021.103900
PMID:33677250
Abstract

BACKGROUND

Due to the rapid advancements in precision medicine and artificial intelligence, interdisciplinary collaborations between nursing and engineering have emerged. Although engineering is vital in solving complex nursing problems and advancing healthcare, the collaboration between the two fields has not been fully elucidated.

OBJECTIVES

To identify the study areas of interdisciplinary collaboration between nursing and engineering in health care, particularly focusing on the role of nurses in the collaboration.

METHODS

In this study, a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews was performed. A comprehensive search for published literature was conducted using the PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, ScienceDirect, Institute of Electrical and Electronics Engineers Digital Library, and Association for Computing Machinery Digital Library from inception to November 22, 2020. Data screening and extraction were performed independently by two reviewers. Any discrepancies in results were resolved through discussions or in consultation with a third reviewer. Data were analyzed by descriptive statistics and content analysis. Results were visualized in an interdisciplinary collaboration model.

RESULTS

We identified 6,752 studies through the literature search, and 60 studies met the inclusion criteria. The study areas of interdisciplinary collaboration concentrated on patient safety (n = 18), symptom monitoring and health management (n = 18), information system and nursing human resource management (n = 16), health education (n = 5), and nurse-patient communication (n = 3). The roles of nurses in the interdisciplinary collaboration were divided into four themes: requirement analyst (n = 21), designer (n = 22), tester(n = 37) and evaluator (n = 49). Based on these results, an interdisciplinary collaboration model was constructed.

CONCLUSIONS

Interdisciplinary collaborations between nursing and engineering promote nursing innovation and practice. However, these collaborations are still emerging and in the early stages. In the future, nurses should be more involved in the early stages of solving healthcare problems, particularly in the requirement analysis and designing phases. Furthermore, there is an urgent need to develop interprofessional education, strengthen nursing connections with the healthcare engineering industry, and provide more platforms and resources to bring nursing and engineering disciplines together.

摘要

背景

由于精准医学和人工智能的快速发展,护理和工程之间出现了跨学科合作。尽管工程在解决复杂护理问题和推进医疗保健方面至关重要,但这两个领域的合作尚未得到充分阐明。

目的

确定护理与工程在医疗保健领域的跨学科合作研究领域,特别是关注护士在合作中的作用。

方法

本研究采用系统评价和综述扩展的首选报告项目进行了范围综述。从成立到 2020 年 11 月 22 日,通过 PubMed、 Cumulative Index to Nursing and Allied Health Literature、Scopus、Embase、Web of Science、ScienceDirect、Institute of Electrical and Electronics Engineers Digital Library 和 Association for Computing Machinery Digital Library 全面搜索已发表文献。数据筛选和提取由两名评审员独立进行。如有结果分歧,通过讨论或咨询第三名评审员解决。使用描述性统计和内容分析对数据进行分析。结果以跨学科合作模型呈现。

结果

通过文献搜索,我们共识别出 6752 项研究,其中 60 项研究符合纳入标准。跨学科合作的研究领域集中在患者安全(n=18)、症状监测和健康管理(n=18)、信息系统和护理人力资源管理(n=16)、健康教育(n=5)和护士-患者沟通(n=3)。护士在跨学科合作中的作用分为四个主题:需求分析师(n=21)、设计师(n=22)、测试人员(n=37)和评估员(n=49)。基于这些结果,构建了一个跨学科合作模型。

结论

护理与工程之间的跨学科合作促进了护理创新和实践。然而,这些合作仍处于新兴和早期阶段。未来,护士应更多地参与解决医疗保健问题的早期阶段,特别是在需求分析和设计阶段。此外,迫切需要开展跨专业教育,加强护理与医疗工程行业的联系,提供更多的平台和资源,将护理和工程学科结合起来。

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