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学校卫生服务中的护理实践与远程医疗:一项范围综述

Nursing Practice and Telehealth in School Health Services: A Scoping Review.

作者信息

Ayuso Margañon Raquel, Llistosella Maria, Ayuso Margañon Sonia, Rojano Navarro Marta, Bou Gràcia Núria, Sillero Sillero Amalia

机构信息

Mar Nursing School (ESIMar), Parc de Salut Mar, University Pompeu Fabra, 08003 Barcelona, Spain.

Social Determinants and Health Education Research Group (SDHEd), Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain.

出版信息

Healthcare (Basel). 2023 Dec 8;11(24):3124. doi: 10.3390/healthcare11243124.

Abstract

The COVID-19 pandemic has propelled the adoption of telehealth in school settings, emphasising the pivotal role of nurses. This review explores the last decade's evidence on telehealth interventions in school nursing practice; Methods: Following Joanna Briggs Institute guidelines, we conducted a systematic search in PubMed, CINHAL, and Web of Science in March 2023. Out of 518 articles across 21 journals, 32 satisfied the review criteria. The selection process rigorously adhered to PRISMA-ScR guidelines for scoping reviews; Results: The results were categorised into three main areas: (a) the purpose of telehealth and intervention strategies, (b) the role of nursing in school-based telehealth practice, and (c) perceived benefits and limitations of school-based telehealth studies. Telehealth interventions encompass health promotion, mental health management, and early diagnosis. School nurses play a multifaceted role, including management, education, and remote monitoring. While telehealth offers advantages like improved health and cost savings, challenges include digital literacy, device access, and costs; Conclusion: This review underscores the crucial role of telehealth in schools for enhancing healthcare delivery in educational settings. However, more empirical evidence is required to specify nurses' contributions to school-based telehealth interventions. Promoting their leadership through stakeholder collaboration is essential. Further research should address challenges and opportunities in school nursing practice, enriching healthcare in educational settings.

摘要

新冠疫情推动了远程医疗在学校环境中的应用,凸显了护士的关键作用。本综述探讨了过去十年中有关学校护理实践中远程医疗干预措施的证据;方法:按照乔安娜·布里格斯研究所的指南,我们于2023年3月在PubMed、CINHAL和科学网进行了系统检索。在21种期刊的518篇文章中,有32篇符合综述标准。选择过程严格遵循PRISMA-ScR范围综述指南;结果:结果分为三个主要领域:(a)远程医疗的目的和干预策略,(b)护理在学校远程医疗实践中的作用,以及(c)学校远程医疗研究的感知益处和局限性。远程医疗干预措施包括健康促进、心理健康管理和早期诊断。学校护士发挥着多方面的作用,包括管理、教育和远程监测。虽然远程医疗具有改善健康状况和节省成本等优势,但挑战包括数字素养、设备获取和成本;结论:本综述强调了远程医疗在学校中对于改善教育环境中的医疗服务的关键作用。然而,需要更多实证证据来明确护士对学校远程医疗干预措施的贡献。通过利益相关者合作提升他们的领导力至关重要。进一步的研究应解决学校护理实践中的挑战和机遇,丰富教育环境中的医疗服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c1d/10742839/f22f1922571f/healthcare-11-03124-g001.jpg

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