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[老年创伤学中的高级执业护士:一项范围综述]

[Advanced practice nurses in geriatric traumatology : A scoping review].

作者信息

Neumann Naomi, Peter Frederike, Lenz Reinhard, Höhmann Ulrike, Knecht Christiane, Heitmann Dieter

机构信息

Evangelische Hochschule Rheinland-Westfalen-Lippe, Protestant University of Applied Sciences, Bochum, Deutschland.

Universität Witten/Herdecke, Fakultät für Gesundheit, Department für Humanmedizin, Witten, Deutschland.

出版信息

Z Gerontol Geriatr. 2024 Jul;57(4):302-307. doi: 10.1007/s00391-023-02243-7. Epub 2023 Oct 18.

Abstract

BACKGROUND

Older and very old persons have an increased risk of traumatic injuries as well as comorbidities and multimorbidities. The standardized workflow in hospitals can increase the occurrence of typical geriatric complications, such as challenging behavior and delirium, which can result in highly complex care situations. The application of advanced practice nurses (APN) is an international response to such challenges. In Germany, the scientifically based development of APN has so far lagged behind the international standard.

METHOD

For this scoping review, a systematic search in the databases PubMed and CINAHL and a supplementary hand search was conducted for the period 2010-2022.

RESULTS

Tasks and role profiles for the scope of practice of APN in geriatrics and traumatology already exist in the literature. There is a lack of scientifically proven tasks and role profiles for APN in geriatric traumatology in the literature.

DISCUSSION

Based on the current state of research it is not yet possible to derive specific tasks and role profiles for APN in geriatric traumatology. The transferability of tasks and profiles from geriatrics and traumatology seem to be possible. The development of tasks and role profiles for geriatric traumatology APN requires further research, especially to identify the specific needs of geriatric traumatology patients.

摘要

背景

老年人和高龄老人遭受创伤性损伤以及患有合并症和多种合并症的风险增加。医院的标准化工作流程可能会增加典型老年并发症的发生几率,如具有挑战性的行为和谵妄,这可能导致护理情况高度复杂。应用高级实践护士(APN)是应对此类挑战的国际举措。在德国,APN基于科学的发展目前落后于国际标准。

方法

对于本范围综述,在2010年至2022年期间对PubMed和CINAHL数据库进行了系统检索,并进行了补充手工检索。

结果

文献中已经存在老年医学和创伤学领域APN实践范围的任务和角色概况。文献中缺乏关于老年创伤学领域APN经科学验证的任务和角色概况。

讨论

基于当前的研究状况,尚无法得出老年创伤学领域APN的具体任务和角色概况。老年医学和创伤学的任务及概况似乎具有可转移性。老年创伤学APN的任务和角色概况的制定需要进一步研究,尤其是要确定老年创伤学患者的具体需求。

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