Department of Nursing, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
JBI Evid Synth. 2022 Oct 1;20(10):2565-2571. doi: 10.11124/JBIES-21-00388.
The objective of this review is to map the international evidence on the implementation of the Buurtzorg model of community nursing practice for the care of older adults. We will describe where and how it has been used, and the challenges and facilitators of implementing this model of care.
The challenges of aging have mobilized health systems around the world to replace the current facility- and disease-centered care model with integrated patient-centered care models. The Buurtzorg model provides autonomy to nurses, who, in turn, empower patients in need-based and self-reliant care.
We will consider both published and unpublished studies and reports exploring the process of implementing the Buurtzorg community nursing model for the care of older adults (65 years and older) internationally, in all settings. Concepts of interest will include where the model has been used, how the model has been implemented, and what challenges and facilitators were reported.
We will implement a three-step search strategy to locate both published and unpublished primary studies, theses, dissertations, book chapters, and text and opinion reports using the following databases: MEDLINE, LILACS, Cochrane CENTRAL, CINAHL, Web of Science, Google Scholar, Embase, Scopus, ProQuest Dissertations and Theses Global, and the official Buurtzorg website. We will present the search strategy in a PRISMA flow diagram. Data will be extracted using Excel spreadsheets and then analyzed narratively. Extracted data will be quantitatively pooled in tables using descriptive statistics to synthesize the characteristics of the reports and sample, followed by a qualitative summary of how the Buurtzorg model has been used, and the challenges and facilitators of implementing this care model.
本综述旨在绘制国际上实施 Buurtzorg 社区护理实践模式以护理老年人的证据图谱。我们将描述该模式的使用地点和方式，以及实施这种护理模式的挑战和促进因素。
人口老龄化的挑战促使全球卫生系统将当前以机构和疾病为中心的护理模式转变为以患者为中心的综合护理模式。Buurtzorg 模式赋予护士自主权，护士则为有需要的患者提供基于需求和自力更生的护理。
我们将考虑国际上所有环境中探索实施 Buurtzorg 社区护理模式以护理老年人（65 岁及以上）的已发表和未发表的研究和报告。感兴趣的概念包括该模式的使用地点、实施方式以及报告的挑战和促进因素。
我们将实施三阶段搜索策略，使用以下数据库定位已发表和未发表的原始研究、论文、学位论文、章节、文本和观点报告：MEDLINE、LILACS、Cochrane 中心、CINAHL、Web of Science、Google Scholar、Embase、Scopus、ProQuest 学位论文全球和 Buurtzorg 官方网站。我们将以 PRISMA 流程图展示搜索策略。使用 Excel 电子表格提取数据，然后进行叙述性分析。使用描述性统计数据将提取的数据在表格中定量汇总，以综合报告和样本的特征，然后定性总结 Buurtzorg 模式的使用方式，以及实施这种护理模式的挑战和促进因素。
