School of Nursing Sciences, Faculty of Nursing, Université Laval, Quebec, QC, Canada.
Quebec Heart and Lung Research Centre-Université Laval, Quebec, QC, Canada.
JBI Evid Synth. 2022 Feb;20(2):647-657. doi: 10.11124/JBIES-20-00481.
The objective of this review is to review and map data from studies on the humanization of care in intensive care units based on a conceptual framework.
The critical context of adult patients in intensive care units directs the focus on clinical medical interventions, drawing attention away from the humanization of care. Rethinking intensive care is imperative and the humanization of care is an absolute priority. Literature on this topic is scattered under umbrella terms such as "patient-centered care" or specific terms referring to target interventions. A scoping review based on a conceptual framework will map the literature on humanization in intensive care units.
The review will consider studies on the humanization of care, or on one of the seven components of the conceptual framework (communication, visiting hours, patients' and health care professionals' well-being, family involvement and satisfaction, post-intensive care unit syndrome, and physical environment) focusing on adult patients in intensive care units. Studies on co-existing states or end-of-life care will be excluded.
A search of Embase, PubMed, and CINAHL will be conducted to identify relevant studies in English or French on the humanization of care, holistic care, or person-centered care in an adult intensive-care environment. The time period covered will be January 1, 2010 to the present. An iterative team approach will be used to screen and select studies and extract data. Data will be charted according to study design, distribution in time, cultural context, concepts, use of theoretical models, and intervention. The results will be summarized and reported, identifying the implications for policy, practice, and research.
本综述的目的是基于概念框架回顾和绘制关于重症监护病房护理人性化的研究数据。
重症监护病房成人患者的关键背景将重点放在临床医疗干预上，从而忽视了护理的人性化。重新思考重症监护是必要的，护理的人性化是当务之急。关于这个主题的文献分散在“以患者为中心的护理”等伞状术语下，或在特定术语下针对目标干预措施。基于概念框架的范围综述将绘制重症监护病房护理人性化的文献图谱。
本综述将考虑关于护理人性化或概念框架的七个组成部分（沟通、探视时间、患者和医疗保健专业人员的健康、家庭参与和满意度、重症监护后综合征和物理环境）的研究，重点是重症监护病房的成年患者。同时将排除关于共存状态或临终关怀的研究。
将对 Embase、PubMed 和 CINAHL 进行检索，以查找 2010 年 1 月 1 日至现在期间以英语或法语发表的关于成人重症监护环境中的护理人性化、整体护理或以患者为中心的护理的相关研究。将采用迭代团队方法筛选和选择研究并提取数据。将根据研究设计、时间分布、文化背景、概念、理论模型的使用和干预措施对数据进行图表绘制。结果将进行总结和报告，确定对政策、实践和研究的影响。
