Research Institute of Nursing Science, Seoul National University, Jongno-gu, Korea.
College of Nursing, Seoul National University, Seoul, Korea
BMJ Open. 2024 Jan 31;14(1):e080208. doi: 10.1136/bmjopen-2023-080208.
Optimal nurse-to-patient assignment plays a crucial role in healthcare delivery, with direct implications for patient outcomes and the workloads of nursing staff. However, this process is highly intricate, involving a multitude of factors that must be carefully considered. The application of a clinical decision support system (CDSS) to support nursing decision-making can have a positive impact not only on patient outcomes but also on nursing efficiency. This scoping review aims to explore the implementation of CDSS in the decision process of optimal nurse-patient assignment (NPA).
This scoping review will follow a stage of the Arksey and O'Malley framework. It will also be based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews' (PRISMA-ScR) guidelines. The research primarily aims to identify studies' findings on applying CDSSs in the NPA process. Hence, academic and grey literature articles from six international bibliographic databases (ie, MEDLINE via PubMed, EMBASE via Ovid, CINAHL via EBSCOhost, IEEE Xplore, Scopus, ProQuest Dissertations and Theses Global) will be considered, where search strategies will be tailored to each database. The literature search will be conducted in February 2024, and the identified studies will be independently screened by two primary reviewers. After extracting data, the qualitative data will be analysed thematically, and the quantitative data will be subjected to descriptive statistics. The research is scheduled to conclude in December 2024.
Ethical approval is not required as primary data will not be collected in this study. The findings of this study will be disseminated through peer-reviewed publications and conference presentations.
在医疗保健服务中，最佳护士与患者配比对于患者的治疗效果和护理人员的工作量都有着至关重要的影响。然而，这一过程十分复杂，涉及到许多必须慎重考虑的因素。临床决策支持系统（CDSS）在护理决策中的应用不仅可以对患者的治疗效果产生积极影响，还可以提高护理效率。本系统评价旨在探讨 CDSS 在最佳护士与患者配比决策中的应用。
本系统评价将遵循阿特塞尔和奥马利框架的一个阶段。它还将基于系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）指南。本研究的主要目的是确定应用 CDSS 于护士与患者配比过程的研究结果。因此，将考虑来自六个国际文献数据库（即通过 PubMed 检索 MEDLINE、通过 Ovid 检索 EMBASE、通过 EBSCOhost 检索 CINAHL、IEEE Xplore、Scopus、ProQuest Dissertations and Theses Global 检索 ProQuest 学位论文和全文）的学术和灰色文献文章，每个数据库都将制定特定的搜索策略。文献检索将于 2024 年 2 月进行，由两位主要评审员独立筛选确定的研究。在提取数据后，将对定性数据进行主题分析，对定量数据进行描述性统计。研究计划于 2024 年 12 月结束。
由于本研究不会收集原始数据，因此不需要伦理批准。本研究的结果将通过同行评审出版物和会议报告进行传播。
