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通过快速复习,理清病房巡视术语、目的和主要特征这一复杂问题。

Untangling a complex skein on ward round terminologies, purposes, and main features through a rapid review.

机构信息

Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey.

Department of Medical Sciences, University of Udine, Udine, Italy.

出版信息

J Adv Nurs. 2023 Dec;79(12):4506-4520. doi: 10.1111/jan.15732. Epub 2023 Jun 14.

DOI:10.1111/jan.15732
PMID:37313993
Abstract

AIM(S): To increase conceptual clarity in the field of nursing regarding terms, purposes, and main features of rounding as investigated to date.

DESIGN

A Rapid Review according to the Cochrane Rapid Reviews Protocol.

REVIEW METHODS

These were: (a) set the research question; (b) establish the study eligibility criteria; (c) search the databases; (d) select the studies; (e) extract the data; (f) assess the risk of bias; and (g) provide a synthesis using three methodologies, namely a qualitative content analysis, a thematic and a framework synthesis.

DATA SOURCES

MEDLINE (PubMed), Cumulative Index of Nursing and Allied Health databases and grey literature from 2014 to 2022.

RESULTS

A total of 72 studies were included; 88 different terminologies are used to describe the rounding from one up to five words. "Preparing the care by ensuring an effective care plan, team and environment", "Delivering tailored and timely nursing care" and "Promoting the quality of care" are the three main purposes of the rounding, including several specific aims. Regarding the main features, these emerged from highly structured/prescriptive to low structured/prescriptive approaches to rounding intervention.

CONCLUSION

The word "round" alone seems to be not sufficient to communicate and describe the intervention, suggesting that this field of research is entering within the complex intervention framework. The different aims of the rounding have been conceptually categorized into three main purposes whereas the intervention features may range from simple to very complex, where several options regarding who to involve, how and when to deliver are expressed.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This rapid review followed by three data analysis methodologies have resulted in three main frameworks that may be useful to address the research, the clinical practice and the education regarding the terminologies, the different purposes and the main features of the rounding. No Patient or Public Contribution.

NO PATIENT OR PUBLIC CONTRIBUTION

There was no patient or public contribution in the conduct of this study.

摘要

目的

提高护理学领域术语、目的和查房主要特征的概念清晰度,这是迄今为止研究的主题。

设计

根据 Cochrane 快速综述方案进行快速综述。

综述方法

(a)设定研究问题;(b)确定研究纳入标准;(c)搜索数据库;(d)选择研究;(e)提取数据;(f)评估偏倚风险;(g)使用三种方法进行综合,即定性内容分析、主题和框架综合。

数据来源

2014 年至 2022 年期间的 MEDLINE(PubMed)、护理和联合健康数据库累积索引和灰色文献。

结果

共纳入 72 项研究;88 种不同的术语用于描述从一个到五个单词的查房。“通过确保有效的护理计划、团队和环境来准备护理”、“提供定制和及时的护理”和“促进护理质量”是查房的三个主要目的,包括几个具体目标。关于主要特征,这些特征从高度结构化/规范性到低度结构化/规范性的查房干预方法中显现出来。

结论

单独使用“查房”一词似乎不足以传达和描述干预措施,这表明该研究领域正在进入复杂干预框架。查房的不同目的已经被概念化为三个主要目的,而干预特征可能从简单到非常复杂,其中涉及到涉及谁、如何以及何时提供的几个选项。

对专业人员和/或患者护理的影响:本快速综述随后进行了三种数据分析方法,得出了三个主要框架,可能有助于解决术语、不同目的和查房主要特征的研究、临床实践和教育问题。

没有患者或公众参与。

患者或公众没有参与本研究的进行。

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