Monash Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Vic, Australia.
Western Australian Group for Evidence Informed Healthcare Practice: A JBI Centre of Excellence, Curtin University, Perth, WA, Australia.
JBI Evid Synth. 2022 Aug 1;20(8):2048-2054. doi: 10.11124/JBIES-21-00310.
This review will evaluate the experiences of health care professionals in the intensive care unit when families participate in clinician handovers.
Families of patients admitted to the intensive care unit report stress and anxiety. Family participation in multidisciplinary rounds in the intensive care unit may improve patient and family outcomes. However, health care professionals have different attitudes toward family participation. Furthermore, there is limited understanding of the barriers, facilitators, and other outcomes of family participation in clinician handovers for the patient, family, and health care professionals.
The review will consider studies involving health care professionals (eg, nurses, physicians, allied health professionals) and any type of family participation, from bedside presence to participation in decision-making. Clinician handovers may be multidisciplinary ward rounds or nursing handovers. Settings may be the adult, pediatric, or neonatal intensive care unit in rural or metropolitan regions in any country. Studies in other clinical contexts will be excluded.
Databases to be searched include CINAHL, MEDLINE, Scopus, PsycINFO, Embase, Emcare, Web of Science, and ProQuest Central. The search will be limited to articles written in English from 2000 to the present. Two independent reviewers will screen titles and abstracts, assess the full text of selected citations for inclusion, and assess methodological quality. A data extraction tool will be used, and findings will be assigned a level of credibility. Meta-aggregation will be used to synthesize findings. Disagreements between reviewers will be discussed to reach consensus; a third reviewer will be consulted if necessary.
PROSPERO CRD42020223011.
本综述将评估重症监护病房医护人员在临床医生交接班时让家属参与的体验。
入住重症监护病房的患者家属报告存在压力和焦虑。让家属参与重症监护多学科查房可能会改善患者和家属的结局。然而，医护人员对家属参与有不同的态度。此外，对于家属参与临床医生交接班对患者、家属和医护人员的障碍、促进因素和其他结果，了解有限。
综述将考虑涉及医护人员（例如护士、医生、专职医疗人员）的研究，以及任何类型的家属参与，从床边陪伴到参与决策。临床医生交接班可以是多学科的病房查房或护理交接班。设置可以是在任何国家的农村或城市地区的成人、儿科或新生儿重症监护病房。将排除其他临床环境下的研究。
将搜索的数据库包括 CINAHL、MEDLINE、Scopus、PsycINFO、Embase、Emcare、Web of Science 和 ProQuest Central。搜索将限于 2000 年至今发表的英文文章。两名独立的审查员将筛选标题和摘要，评估选定引文的全文是否纳入，并评估方法学质量。将使用数据提取工具，并将研究结果分配可信度级别。将采用元聚合来综合研究结果。如果审查员之间存在分歧，将进行讨论以达成共识；必要时将咨询第三位审查员。
PROSPERO CRD42020223011。
