卫生保健专业人员为有记忆障碍的老年人制定治疗决策的经验和看法：一项定性系统评价研究方案。

Experiences and perceptions of health care professionals making treatment decisions for older adults with memory loss: a qualitative systematic review protocol.

机构信息

School of Nursing, University of Victoria (UVic), Victoria, BC, Canada.

The University of Victoria (UVic) Centre for Evidence-Informed Nursing and Healthcare (CEiNHC): A JBI Affiliated Group, The University of Victoria, Victoria, BC, Canada.

出版信息

JBI Evid Synth. 2022 Nov 1;20(11):2799-2805. doi: 10.11124/JBIES-21-00356.

DOI:10.11124/JBIES-21-00356

PMID:36081371

Abstract

OBJECTIVE

The objective of this review is to critically analyze and synthesize the experiences and perceptions of health care professionals making decisions that result in treatment recommendations for older adults living with memory loss who are experiencing health problems.

INTRODUCTION

Health care professionals provide care to older adults living with memory loss and other coexisting health conditions across all clinical settings. Older adults living with memory loss most commonly experience impaired independent decision-making, which can challenge health care professionals when decisions about treatment need to be made. These challenges contribute to older adults with memory loss receiving inappropriate treatment and experiencing higher morbidity than those without memory loss. To date, existing reviews have not focused on the experiences and perceptions of health care professionals who are making treatment decisions when older adults living with memory loss experience health problems. A deeper exploration of this evidence is needed to understand health care professionals' experiences and perceptions of treatment decision-making to support the goal of improving care for older adults.

INCLUSION CRITERIA

This systematic review will consider studies across all clinical settings focused on the experiences and perceptions of health care professionals making treatment decisions for older adults with memory loss who are experiencing health problems.

METHODS

We will conduct a comprehensive systematic search using CINAHL, MEDLINE, PsycINFO, Scopus, and ProQuest Dissertations and Theses. Two reviewers will independently appraise the selected studies and extract qualitative data using the recommended JBI method for study selection, critical appraisal, data extraction, and data synthesis. The ConQual approach will be applied to provide a level of confidence for the review findings.

SYSTEMATIC REVIEW REGISTRATION NUMBER

PROSPERO CRD42021271485.

摘要

目的

本综述的目的是批判性地分析和综合医疗保健专业人员在做出治疗建议决策时的经验和看法，这些决策涉及患有记忆障碍和其他共存健康问题的老年患者。

简介

医疗保健专业人员在所有临床环境中为患有记忆障碍和其他共存健康状况的老年患者提供护理。患有记忆障碍的老年患者最常见的是独立决策能力受损，这在需要做出治疗决策时会对医疗保健专业人员构成挑战。这些挑战导致患有记忆障碍的老年患者接受不适当的治疗，并比没有记忆障碍的患者经历更高的发病率。迄今为止，现有综述并未关注在患有记忆障碍的老年患者出现健康问题时做出治疗决策的医疗保健专业人员的经验和看法。需要更深入地探讨这一证据，以了解医疗保健专业人员在治疗决策方面的经验和看法，从而支持改善老年患者护理的目标。

纳入标准

本系统综述将考虑所有临床环境中针对患有记忆障碍且出现健康问题的老年患者进行治疗决策的医疗保健专业人员的经验和看法的研究。

方法

我们将使用 CINAHL、MEDLINE、PsycINFO、Scopus 和 ProQuest Dissertations and Theses 进行全面的系统检索。两名评审员将独立评估选定的研究，并使用 JBI 推荐的方法对定性数据进行提取，包括研究选择、批判性评估、数据提取和数据综合。将应用 ConQual 方法为综述结果提供置信度。