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老年急症护理应用研究(GEAR)网络方法:一项旨在推进利益相关者共识和老年急症护理及痴呆症护理研究重点的方案。

The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department.

机构信息

Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA

Geriatric Research, Education and Clinical Center, James J Peters VA Medical Center, Bronx, New York, USA.

出版信息

BMJ Open. 2022 Apr 22;12(4):e060974. doi: 10.1136/bmjopen-2022-060974.

Abstract

INTRODUCTION

Increasingly, older adults are turning to emergency departments (EDs) to address healthcare needs. To achieve these research demands, infrastructure is needed to both generate evidence of intervention impact and advance the development of implementation science, pragmatic trials evaluation and dissemination of findings from studies addressing the emergency care needs of older adults. The Geriatric Emergency Care Applied Research Network (https://gearnetwork.org) has been created in response to these scientific needs-to build a transdisciplinary infrastructure to support the research that will optimise emergency care for older adults and persons living with dementia.

METHODS AND ANALYSIS

In this paper, we describe our approach to developing the GEAR Network infrastructure, the scoping reviews to identify research and clinical gaps and its use of consensus-driven research priorities with a transdisciplinary taskforce of stakeholders that includes patients and care partners. We describe how priority topic areas are ascertained, the process of conducting scoping reviews with integrated academic librarians performing standardised searches and providing quality control on reviews, input and support from the taskforce and conducting a large-scale consensus workshop to prioritise future research topics. The GEAR Network approach provides a framework and systematic approach to develop a research agenda and support research in geriatric emergency care.

ETHICS AND DISSEMINATION

This is a systematic review of previously conducted research; accordingly, it does not constitute human subjects research needing ethics review. These reviews will be prepared as manuscripts and submitted for publication to peer-reviewed journals, and the results will be presented at conferences.Open Science Framework registered DOI: 10.17605/OSF.IO/6QRYX, 10.17605/OSF.IO/AKVZ8, 10.17605/OSF.IO/EPVR5, 10.17605/OSF.IO/VXPRS.

摘要

简介

越来越多的老年人选择前往急诊部(ED)来满足其医疗保健需求。为了实现这些研究需求,需要建立基础设施,既要生成干预效果的证据,又要推进实施科学、实用试验评估以及传播研究结果,这些研究旨在解决老年人的紧急护理需求。老年急诊应用研究网络(https://gearnetwork.org)正是为了满足这些科学需求而创建的,旨在建立一个跨学科的基础设施,以支持研究工作,从而优化老年人和痴呆症患者的急诊护理。

方法和分析

在本文中,我们描述了开发 GEAR 网络基础设施的方法,以及进行范围综述以确定研究和临床差距的方法,同时还描述了如何利用跨学科利益相关者工作组(包括患者和护理伙伴)达成共识来确定优先研究课题。我们描述了如何确定优先主题领域,如何与整合学术图书馆员合作进行范围综述,他们执行标准化搜索并对综述进行质量控制,利益相关者工作组提供投入和支持,并举办大规模共识研讨会来确定未来研究课题的优先级。GEAR 网络方法为制定老年急诊护理研究议程和支持研究工作提供了框架和系统方法。

伦理和传播

这是对先前进行的研究的系统综述;因此,它不构成需要伦理审查的人体研究。这些综述将作为手稿编写,并提交给同行评议期刊发表,研究结果将在会议上展示。开放科学框架注册 DOI:10.17605/OSF.IO/6QRYX,10.17605/OSF.IO/AKVZ8,10.17605/OSF.IO/EPVR5,10.17605/OSF.IO/VXPRS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afee/9036447/212c529d457b/bmjopen-2022-060974f01.jpg

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