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用于在不同照护环境中绘制实施策略的范围综述方案:专注于针对痴呆症患者的预选现象的基于证据的干预措施。

Protocol for conducting scoping reviews to map implementation strategies in different care settings: focusing on evidence-based interventions for preselected phenomena in people with dementia.

机构信息

German Centre for Neurodegenerative Diseases Witten, Witten, Nordrhein-Westfalen, Germany

Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Witten, Germany.

出版信息

BMJ Open. 2021 Sep 7;11(9):e051611. doi: 10.1136/bmjopen-2021-051611.

Abstract

INTRODUCTION

Various evidence-based interventions are available to improve the care of people with dementia in different care settings, many of which are not or are only partially implemented in routine care. Different implementation strategies have been developed to support the implementation of interventions in routine care; however, the implementation of complex interventions remains challenging. The aim of our reviews is to identify promising strategies for, significant facilitators of and barriers to the implementation of evidence-based interventions for very common dementia care phenomena: (A) behaviour that challenges supporting a person with dementia in long-term care, (B) delirium in acute care and (C) the postacute care needs of people with dementia.

METHODS AND ANALYSIS

We will conduct one scoping review for each preselected dementia care phenomenon (A, B and C). For this, three literature searches will be carried out in the following electronic databases: MEDLINE (via PubMed), CINAHL (via EBSCO) and PsycINFO (via EBSCO). Additionally, we will perform backward and forward citation tracking via reference lists and Google Scholar. Identified records will be independently screened by two reviewers (title/abstract and full text) using the defined inclusion criteria. We will include all study designs and publications in the German or English language. For the data analyses, we will conduct a deductive content analysis using two different analytical approaches: Expert Recommendations for Implementation Change and the Consolidated Framework for Implementation Research.

ETHICS AND DISSEMINATION

Due to the nature of a review, ethical clearing is not required. We will disseminate our results in peer-reviewed journals, workshops with stakeholders, and (inter)national conferences.

摘要

简介

有各种基于证据的干预措施可用于改善不同护理环境中痴呆症患者的护理,其中许多干预措施尚未或仅部分实施于常规护理中。已经开发了不同的实施策略来支持在常规护理中实施干预措施;然而,复杂干预措施的实施仍然具有挑战性。我们的综述旨在确定有前途的策略、实施基于证据的干预措施的重要促进因素和障碍,这些干预措施针对非常常见的痴呆症护理现象:(A)在长期护理中支持痴呆症患者的行为挑战,(B)急性护理中的谵妄,以及(C)痴呆症患者的急性后护理需求。

方法和分析

我们将针对每个预先选择的痴呆症护理现象(A、B 和 C)进行一次范围综述。为此,将在以下电子数据库中进行三次文献检索:MEDLINE(通过 PubMed)、CINAHL(通过 EBSCO)和 PsycINFO(通过 EBSCO)。此外,我们将通过参考文献列表和 Google Scholar 进行回溯和前向引文跟踪。确定的记录将由两名评审员(标题/摘要和全文)根据定义的纳入标准独立筛选。我们将包括所有研究设计和以德语或英语发表的出版物。对于数据分析,我们将使用两种不同的分析方法进行演绎内容分析:实施变更的专家建议和实施研究的综合框架。

伦理和传播

由于综述的性质,不需要伦理审查。我们将在同行评议的期刊、利益相关者研讨会以及(国际)会议上发布我们的研究结果。

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