Emmamally Waheedha, Erlingsson Christen, Brysiewicz Petra
Discipline of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.
Health SA. 2022 Feb 14;27:1694. doi: 10.4102/hsag.v27i0.1694. eCollection 2022.
Relational practice is characterised by genuine interaction between families and healthcare professionals that promotes trust and empowerment. Positive clinical outcomes have been associated with relational practice. To assess and examine in-hospital interventions designed to promote relational practice with families in acute care settings of emergency departments, intensive care units and high care units. The preferred reporting Items for Systematic Reviews and Meta-Analyses guidelines informed the design of this scoping review. To identify relevant studies, databases (Academic Search Complete; CINAHL; PubMed; PsyInfo) and the search engine Google Scholar were searched using terms for core elements of relational practice and family engagement. Of the 117 articles retrieved, eight interventional studies met the search criteria. The interventions focused on relational practice elements of collaborating with and creating safe environments for families, whilst only one addressed healthcare professionals being respectful of families' needs and differences. In relation to the nature of engagement of families in interventions, the focus was mainly on improving family functioning. Family engagement in the interventions was focused on involving families in decision-making. The scoping review revealed a limited number of in-hospital interventions designed to promote relational practice with families in acute care settings. Further research is encouraged to develop such interventions.
The scoping review has highlighted specific elements of relational practice that have been overlooked in the mapped interventions. This provides guidance on where future interventional research may be focused.
关系实践的特点是家庭与医疗保健专业人员之间的真诚互动，这种互动促进信任和赋权。积极的临床结果与关系实践相关。旨在评估和审查在急诊科、重症监护病房和高护理病房等急性护理环境中与家庭促进关系实践的院内干预措施。系统评价和荟萃分析的首选报告项目指南为本次范围审查的设计提供了依据。为了识别相关研究，使用关系实践和家庭参与的核心要素术语对数据库（学术搜索完整版；护理学与健康领域数据库；医学期刊数据库；心理学文摘数据库）和搜索引擎谷歌学术进行了搜索。在检索到的117篇文章中，有8项干预性研究符合搜索标准。这些干预措施侧重于与家庭合作并为其创造安全环境等关系实践要素，而只有一项涉及医疗保健专业人员尊重家庭需求和差异。关于家庭参与干预措施的性质，重点主要是改善家庭功能。家庭参与干预措施的重点是让家庭参与决策。范围审查显示，在急性护理环境中旨在与家庭促进关系实践的院内干预措施数量有限。鼓励进一步开展研究以开发此类干预措施。
范围审查突出了在已规划的干预措施中被忽视的关系实践的特定要素。这为未来干预性研究的重点方向提供了指导。
