School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Strengthening Transitions in Care Lab, IWK Health Centre, Halifax, Nova Scotia, Canada.
BMJ Open. 2022 Jul 8;12(7):e056799. doi: 10.1136/bmjopen-2021-056799.
This scoping review aimed to map the range of programmes in the literature to support children and youth with complex care needs and their families during transitions in care in the community.
A scoping review of the literature.
This review included programmes that supported the transition in care to home and between settings in the community.
We implemented our strategy to search five databases: (1) PubMed; (2) CINAHL; (3) ERIC; (4) PyscINFO and (5) Social Work Abstracts. The search was last implemented on 29 April 2021.
Our search results were imported into Covidence Systematic Review Software. First, two reviewers assessed titles and abstracts against our eligibility criteria. Relevant articles were then retrieved in full and reviewed by two reviewers for inclusion. Disagreements were resolved by a third reviewer.
Relevant data were extracted related to population, concept, context, methods and key findings pertinent to our review objective.
A total of 2482 records were identified. After our two-stage screening process, a total of 27 articles were included for analysis. Articles ranged in the type of transitions being supported and target population. The most common transition reported was the hospital-to-home transition. Intervention components primarily consisted of care coordination using a teams-based approach. The most reported barriers and enablers to implementing these transition care programmes were related to physical opportunities.
Included articles were limited to English and French.
This review identified important gaps within the literature, as well as areas for future consideration to ensure the effective development and implementation of programmes to support children and youth with complex care needs during transitions in care.
本范围综述旨在绘制文献中支持有复杂照护需求的儿童和青少年及其家庭在社区照护转衔过程中的各种方案，以了解其范围。
文献范围综述。
本综述纳入了支持居家和社区环境中各种转衔的方案。
我们实施了策略，以搜索五个数据库：（1）PubMed；（2）CINAHL；（3）ERIC；（4）PsycINFO 和（5）Social Work Abstracts。检索于 2021 年 4 月 29 日最后执行。
我们的检索结果被导入 Covidence 系统评价软件。首先，两名审查员根据入选标准评估标题和摘要。然后检索相关全文并由两名审查员进行纳入评估。如有分歧，则由第三名审查员解决。
提取了与研究目的相关的人群、概念、背景、方法和关键发现的相关资料。
共识别出 2482 条记录。经过我们的两阶段筛选过程，共有 27 篇文章被纳入分析。文章涵盖了支持的转衔类型和目标人群。报告最多的转衔是医院到家庭的转衔。干预措施主要包括使用团队方法进行护理协调。实施这些转衔护理方案的最常见障碍和促进因素与物理机会有关。
纳入的文章仅限于英文和法文。
本综述确定了文献中的重要差距，以及未来考虑的领域，以确保为支持有复杂照护需求的儿童和青少年在转衔过程中开发和实施有效的方案。
