German Center for Neurodegenerative Diseases Witten (DZNE), Witten, Germany
Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Witten, Germany.
BMJ Open. 2021 Sep 7;11(9):e048921. doi: 10.1136/bmjopen-2021-048921.
Consideration of the preferences for everyday living of older people with various care needs is a prerequisite for person-centred and evidence-based nursing care. Knowledge of and respect for these preferences by nursing staff are associated with better care outcomes for older people with various care needs. To assess preferences in a structured way, instruments focusing on different topics of everyday living appear to be useful. It is unclear which instruments exist for assessing preferences for everyday living. The aim of this planned review is to identify relevant instruments for assessing the preferences for everyday living of older people with various care needs in the form of an evidence map. Additionally, gaps requiring further research will be presented.
To identify the different instruments, we will conduct a systematic search in the electronic databases MEDLINE (via PubMed), CINAHL and PsycINFO (via EBSCO). In addition, we will perform backward and forward citation tracking via reference lists and Google Scholar. The identified records will be independently screened (title/abstract and full text) by two reviewers. Data from the included studies will be extracted independently by the same two reviewers. In all three steps, the results will be checked for deviations, and if there are any deviations, they will be discussed. If no consensus can be achieved through discussion, a third reviewer will be engaged. All study designs will be included, and there will be no limitations regarding the publication status or time period. We will include all studies published in English and German that use instruments focusing on the assessment of preferences for everyday living in people older than 60 years of age with various care needs. For data charting, we will extract the number, categories and types of preferences, the care setting for which the instrument was developed and, if available, psychometric properties. Finally, the various extracted results will be presented in the form of tables and a bubble plot.
There are no ethical concerns related to the construction of an evidence map, and ethical approval was given by the Witten/Herdecke University (application number 226/2020). We will discuss our results with practitioners in the field of nursing care and persons with various care needs. We will also make our results available to practitioners in an upcoming Project (PELI-D II) and to the public at (inter)national conferences and in the form of practice and peer-reviewed articles.
考虑到有各种护理需求的老年人对日常生活的偏好,是以人为本和循证护理的前提。护理人员对这些偏好的了解和尊重与为有各种护理需求的老年人提供更好的护理结果有关。为了以结构化的方式评估偏好,似乎需要使用侧重于日常生活不同主题的工具。目前尚不清楚有哪些工具可用于评估有各种护理需求的老年人对日常生活的偏好。本计划综述的目的是确定用于评估有各种护理需求的老年人对日常生活偏好的相关工具,形式为证据图谱。此外,还将提出需要进一步研究的空白。
为了确定不同的工具,我们将在电子数据库 MEDLINE(通过 PubMed)、CINAHL 和 PsycINFO(通过 EBSCO)中进行系统搜索。此外,我们还将通过参考文献列表和 Google Scholar 进行回溯和前向引文跟踪。两名评审员将独立筛选(标题/摘要和全文)识别出的记录。相同的两名评审员将独立提取纳入研究的数据。在所有三个步骤中,都将检查结果是否存在偏差,如果存在偏差,将进行讨论。如果通过讨论无法达成共识,则将邀请第三名评审员参与。将纳入所有研究设计,并且对出版物状态或时间段没有限制。我们将纳入所有发表在英语和德语的研究,这些研究使用侧重于评估 60 岁以上有各种护理需求的人群对日常生活偏好的工具。对于数据图表,我们将提取偏好的数量、类别和类型、开发工具的护理环境,如果可用,还将提取心理测量特性。最后,将以表格和气泡图的形式呈现各种提取的结果。
构建证据图谱不存在与伦理相关的问题,Witten/Herdecke 大学已批准(申请号 226/2020)。我们将与护理领域的从业者以及有各种护理需求的人讨论我们的结果。我们还将在即将开展的项目(PELI-D II)中和(国际)会议上以实践和同行评议文章的形式向从业者和公众提供我们的结果。