加强卫生和护理劳动力应对新冠疫情能力的政策与管理干预措施：一项动态系统评价方案

Policies and Management Interventions to Enhance Health and Care Workforce Capacity for Addressing the COVID-19 Pandemic: Protocol for a Living Systematic Review.

作者信息

Cavalcante de Oliveira Ana Paula, Lopes Galante Mariana, Senna Maia Leila, Craveiro Isabel, Pereira da Silva Alessandra, Fronteira Ines, Chança Raphael, Ferrinho Paulo, Dal Poz Mario

机构信息

Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, NOVA University of Lisbon, Lisbon, Portugal.

出版信息

JMIR Res Protoc. 2023 Oct 5;12:e50306. doi: 10.2196/50306.

DOI:10.2196/50306

PMID:37796568

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10587809/

Abstract

BACKGROUND

Countries and health systems have had to make challenging resource allocation and capacity-building decisions to promote proper patient care and ensure health and care workers' safety and well-being, so that they can effectively address the present COVID-19 pandemic as well as upcoming public health problems and natural catastrophes. As innovations are already in place and updated evidence is published daily, more information is required to inform the development and implementation of policies and interventions to improve health and care workforce capacity to address the COVID-19 pandemic response.

OBJECTIVE

The objective of this protocol review is to identify countries' range of experiences with policies and management interventions that can improve health and care workers' capacity to address the COVID-19 pandemic response and synthesize evidence on the effectiveness of the interventions.

METHODS

We will conduct a living systematic review of quantitative, qualitative, and mixed methods studies and gray literature (technical and political documents) published in English, French, Hindi, Portuguese, Italian, and Spanish between January 1, 2000, and March 1, 2022. The databases to be searched are MEDLINE (PubMed), Embase, SCOPUS, and Latin American and Caribbean Health Sciences Literature. In addition, the World Health Organization's COVID-19 Research Database and the websites of international organizations (International Labour Organization, Economic Co-operation and Development, and The Health System Response Monitor) will be searched for unpublished studies and gray literature. Data will be extracted from the selected documents using an electronic form adapted from the Joanna Briggs Institute quantitative and qualitative tools for data extraction. A convergent integrated approach to synthesis and integration will be used. The risk of bias will be assessed with Joanna Briggs Institute critical appraisal tools, and the certainty of the evidence in the presented outcomes will be assessed with the Grading of Recommendations, Assessment, Development and Evaluation.

RESULTS

The database and gray literature search retrieved 3378 documents. Data are being analyzed by 2 independent reviewers. The study is expected to be published by the end of 2023 in a peer-reviewed journal.

CONCLUSIONS

This review will allow us to identify and describe the policies and strategies implemented by countries and their effectiveness, as well as identify gaps in the evidence.

TRIAL REGISTRATION

PROSPERO CRD42022327041; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=327041.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/50306.

摘要

背景

各国及卫生系统不得不做出具有挑战性的资源分配和能力建设决策，以促进恰当的患者护理，并确保卫生和护理工作者的安全与福祉，从而使其能够有效应对当前的新冠疫情以及未来的公共卫生问题和自然灾害。由于创新措施已经到位且每日都有最新证据发布，因此需要更多信息来为政策和干预措施的制定与实施提供参考，以提高卫生和护理人力应对新冠疫情的能力。

目的

本方案综述的目的是确定各国在可提高卫生和护理工作者应对新冠疫情能力的政策和管理干预措施方面的经验范围，并综合有关这些干预措施有效性的证据。

方法

我们将对2000年1月1日至2022年3月1日期间以英文、法文、印地文、葡萄牙文、意大利文和西班牙文发表的定量、定性和混合方法研究以及灰色文献（技术和政策文件）进行实时系统综述。将检索的数据库包括MEDLINE（PubMed）、Embase、SCOPUS以及拉丁美洲和加勒比卫生科学文献数据库。此外，还将检索世界卫生组织的新冠研究数据库以及国际组织（国际劳工组织、经济合作与发展组织以及卫生系统应对监测机构）的网站，以查找未发表的研究和灰色文献。将使用改编自乔安娜·布里格斯研究所定量和定性数据提取工具的电子表格从选定文件中提取数据。将采用收敛性综合方法进行综合与整合。将使用乔安娜·布里格斯研究所的批判性评价工具评估偏倚风险，并使用推荐分级、评估、制定与评价方法评估所呈现结果中证据的确定性。