Blakeney Erin Abu-Rish, Chu Frances, White Andrew A, Smith G Randy, Woodward Kyla, Lavallee Danielle C, Salas Rachel Marie E, Beaird Genevieve, Willgerodt Mayumi A, Dang Deborah, Dent John M, Tanner Elizabeth Ibby, Summerside Nicole, Zierler Brenda K, O'Brien Kevin D, Weiner Bryan J
Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, United States.
School of Nursing, University of Washington, Seattle, United States.
J Interprof Care. 2024 May-Jun;38(3):411-426. doi: 10.1080/13561820.2021.1980379. Epub 2021 Oct 10.
Poor communication within healthcare teams occurs commonly, contributing to inefficiency, medical errors, conflict, and other adverse outcomes. Interprofessional bedside rounds (IBR) are a promising model that brings two or more health professions together with patients and families as part of a consistent, team-based routine to share information and collaboratively arrive at a daily plan of care. The purpose of this systematic scoping review was to investigate the breadth and quality of IBR literature to identify and describe gaps and opportunities for future research. We followed an adapted Arksey and O'Malley Framework and PRISMA scoping review guidelines. PubMed, CINAHL, PsycINFO, and Embase were systematically searched for key IBR words and concepts through June 2020. Seventy-nine articles met inclusion criteria and underwent data abstraction. Study quality was assessed using the Mixed Methods Assessment Tool. Publications in this field have increased since 2014, and the majority of studies reported positive impacts of IBR implementation across an array of team, patient, and care quality/delivery outcomes. Despite the preponderance of positive findings, great heterogeneity, and a reliance on quantitative non-randomized study designs remain in the extant research. A growing number of interventions to improve safety, quality, and care experiences in hospital settings focus on redesigning daily inpatient rounds. Limited information on IBR characteristics and implementation strategies coupled with widespread variation in terminology, study quality, and design create challenges in assessing the effectiveness of models of rounds and optimal implementation strategies. This scoping review highlights the need for additional studies of rounding models, implementation strategies, and outcomes that facilitate comparative research.
医疗团队内部沟通不畅的情况屡见不鲜,导致效率低下、医疗差错、冲突及其他不良后果。跨专业床边查房(IBR)是一种很有前景的模式,它将两个或更多医疗专业人员与患者及其家属汇聚在一起,作为基于团队的固定日常工作的一部分,以共享信息并共同制定每日护理计划。本系统综述的目的是调查IBR文献的广度和质量,以识别和描述未来研究的差距与机遇。我们遵循了经过改编的阿克斯和奥马利框架以及PRISMA系统综述指南。通过系统检索PubMed、CINAHL、PsycINFO和Embase数据库,查找截至2020年6月的关键IBR词汇和概念。79篇文章符合纳入标准并进行了数据提取。使用混合方法评估工具对研究质量进行评估。自2014年以来,该领域的出版物有所增加,大多数研究报告了IBR实施对一系列团队、患者及护理质量/提供结果的积极影响。尽管有大量积极的研究结果,但现有研究仍存在很大的异质性,且依赖于定量非随机研究设计。越来越多旨在改善医院环境中安全性、质量和护理体验的干预措施都聚焦于重新设计每日住院查房。关于IBR特征和实施策略的信息有限,再加上术语、研究质量和设计存在广泛差异,这给评估查房模式的有效性和最佳实施策略带来了挑战。本综述强调需要对有助于比较研究的查房模式、实施策略和结果进行更多研究。