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床边护理交接班障碍与促进因素的系统评价与元分析

Barriers to and Facilitators of Bedside Nursing Handover: A Systematic Review and Meta-synthesis.

机构信息

Department of Public Health and Pediatrics, University of Torino, Torino, Italy (Drs Clari, Conti, and Campagna and Ms Martin and Mr Dimonte); and Department of Surgery, Città della Salute e della Scienza University Hospital, Torino, Italy (Ms Chiarini).

出版信息

J Nurs Care Qual. 2021;36(4):E51-E58. doi: 10.1097/NCQ.0000000000000564.

DOI:10.1097/NCQ.0000000000000564
PMID:33852530
Abstract

BACKGROUND

Bedside nursing handover (BNH) has been recognized as a contributor to patient-centered care. However, concerns about its effectiveness suggest that contextual factors should be considered before and after BNH implementation.

PURPOSE

This review aimed to identify, evaluate, and synthetize the qualitative literature on the barriers to and facilitators of BNH as experienced by nurses and patients.

METHODS

The Joanna Briggs Institute meta-aggregation method was applied. A systematic search was performed to identify qualitative studies published from inception to June 30, 2020. Two independent researchers assessed methodological quality and extracted data.

RESULTS

Twenty-four articles were included, comprising 161 findings, and 5 synthesized findings emerged with a moderate level of confidence.

CONCLUSIONS

BNH ensures patient safety and increases satisfaction and recognition among patients and nurses. This evidence on the barriers to and facilitators of BNH could help health care providers who have implemented or plan to implement this practice.

摘要

背景

床边护理交接(BNH)已被认为是患者为中心护理的一种贡献。然而,对其有效性的关注表明,在实施 BNH 之前和之后,应该考虑其背景因素。

目的

本综述旨在确定、评估和综合护士和患者在床边护理交接方面的障碍和促进因素的定性文献。

方法

采用 Joanna Briggs 研究所元分析方法。从成立到 2020 年 6 月 30 日,进行了系统搜索以确定定性研究。两名独立研究人员评估了方法学质量并提取了数据。

结果

共纳入 24 篇文章,包括 161 项发现,得出了 5 项具有中等置信度的综合发现。

结论

BNH 确保了患者的安全,并提高了患者和护士的满意度和认可度。关于 BNH 的障碍和促进因素的这一证据可以帮助已经实施或计划实施这种做法的医疗保健提供者。

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引用本文的文献

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The influence of nursing handover on nurses' mental health: A scoping review.护理交接班对护士心理健康的影响:一项范围综述。
AIMS Public Health. 2025 Jan 15;12(1):106-123. doi: 10.3934/publichealth.2025008. eCollection 2025.
2
Relationship between staff experience and patient outcomes in hospital settings: an overview of reviews.医院环境中工作人员经验与患者结局之间的关系:综述概述
BMJ Open. 2025 Jan 7;15(1):e091942. doi: 10.1136/bmjopen-2024-091942.
3
Comparison of the SBAR method and modified handover model on handover quality and nurse perception in the emergency department: a quasi-experimental study.
急诊科SBAR方法与改良交接班模式在交接班质量及护士认知方面的比较:一项准实验研究
BMC Nurs. 2024 Aug 25;23(1):585. doi: 10.1186/s12912-024-02266-4.
4
Development and psychometric testing of the patient participation in bedside handover survey.患者参与床边交接班调查的编制和心理测量学测试。
Health Expect. 2022 Oct;25(5):2492-2502. doi: 10.1111/hex.13569. Epub 2022 Jul 27.