信仰社区护士的护理提供感知和体验是什么？系统评价。
What Are the Perceptions and Experiences of Care Delivery Among Faith Community Nurses? A Systematic Review.
机构信息
Faculty of Health, University of Canberra, Bruce, ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, ACT, Australia; School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT, Australia; Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, ACT Health Directorate Level 3, Canberra Hospital, Australia; Robert Gordon University, Aberdeen, Scotland, UK.
Faculty of Health, University of Canberra, Bruce, ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, ACT, Australia.
出版信息
Semin Oncol Nurs. 2021 Oct;37(5):151211. doi: 10.1016/j.soncn.2021.151211. Epub 2021 Sep 14.
OBJECTIVE
This systematic review set out to identify the unique perceptions and experiences of care delivery among faith community nurses (FCNs).
DATA SOURCES
This review was conducted and has been reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search was conducted using the following databases, Medline (OVID), EmCare for Nurses (OVID), PsycINFO (OVID), CINAHL (EBSCO), Cochrane, and PubMed. The search strategies included the use of truncations, adjacency search parameters, and Boolean operators using a range of key search terms. Predetermined eligibility criteria were applied to all studies. The review process was managed using Covidence systematic review software. Data extraction and quality assessment was conducted across all included studies. Data were analyzed using a narrative synthesis approach.
CONCLUSION
This review has made an important contribution by identifying the role that FCNs play in care delivery as trusted members of their communities who act as a conduit at the intersect of faith and health care. Irrespective of the location or faith denomination, what was common to FCNs was that they delivered care to address the physical, psychological, spiritual, congregational, communication, health system, and family-related needs of those in their care.
IMPLICATIONS FOR NURSING PRACTICE
The nurses represented in the included studies expressed concerns that patients experienced unmet supportive care needs because of a fragmented and highly complex existing health care system. Often, FCNs provided a valuable contribution in supporting patients in their care pathways and facilitated continuity of care among people who lived with preexisting comorbidities and who had complex health care needs. Further research is needed to understand the role that faith community nursing models might have in cancer care from the perspective of patients and other members of the multidisciplinary team across different international contexts.
目的
本系统评价旨在确定信仰社区护士（FCN）在护理服务提供方面的独特看法和体验。
资料来源
本研究按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行，并报告了该研究结果。检索使用了以下数据库：Medline（OVID）、EmCare for Nurses（OVID）、PsycINFO（OVID）、CINAHL（EBSCO）、Cochrane 和 PubMed。检索策略包括使用截断词、邻近搜索参数和布尔运算符，以及使用一系列关键搜索词。对所有研究均应用了预定的纳入标准。该评价过程使用 Covidence 系统评价软件进行管理。对所有纳入研究进行数据提取和质量评估。使用叙述性综合方法进行数据分析。
结论
本研究通过确定 FCN 在护理服务提供方面的作用，为我们提供了重要的贡献。他们作为信仰和医疗保健交叉点的可信赖成员，充当着社区中的渠道，为患者提供服务，以满足他们的身体、心理、精神、团体、沟通、医疗系统和家庭相关需求。无论其所在地或信仰宗派如何，FCN 的共同点是，他们提供护理以满足其护理对象的未满足的支持性护理需求。
对护理实践的意义
纳入研究中的护士表示，由于现有医疗保健系统的碎片化和高度复杂性，患者的支持性护理需求未得到满足。FCN 经常在支持患者的护理路径方面做出有价值的贡献，并促进患有预先存在的合并症和复杂医疗保健需求的患者之间的护理连续性。需要进一步研究，以了解在不同国际背景下，从患者和多学科团队其他成员的角度出发，信仰社区护理模式在癌症护理方面可能发挥的作用。
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