Durham VA Health Care System, Durham, NC, United States.
Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
JMIR Res Protoc. 2024 May 10;13:e53255. doi: 10.2196/53255.
Older adults are frequently hospitalized. Family involvement during these hospitalizations is incompletely characterized in the literature.
This study aimed to better understand how families are involved in the care of hospitalized older adults and develop a conceptual model describing the phenomenon of family involvement in the care of hospitalized older adults.
We describe the protocol of a qualitative evidence synthesis (QES), a systematic review of qualitative studies. We chose to focus on qualitative studies given the complexity and multifaceted nature of family involvement in care, a type of topic best understood through qualitative inquiry. The protocol describes our process of developing a research question and eligibility criteria for inclusion in our QES based on the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, and Research type) tool. It describes the development of our search strategy, which was used to search MEDLINE (via Ovid), Embase (via Elsevier), PsycINFO (via Ovid), and CINAHL Complete (via EBSCO). Title and abstract screening and full-text screening will occur sequentially. Purposive sampling may be used depending on the volume of studies identified as eligible for inclusion during our screening process. Descriptive data regarding included individual studies will be extracted and summarized in tables. The results from included studies will be synthesized using qualitative methods and used to develop a conceptual model. The conceptual model will be presented to community members via engagement panels for further refinement.
As of September 2023, we have assembled a multidisciplinary team including physicians, nurses, health services researchers, a librarian, a social worker, and a health economist. We have finalized our search strategy and executed the search, yielding 8862 total citations. We are currently screening titles and abstracts and anticipate that full-text screening, data extraction, quality appraisal, and synthesis will be completed by summer of 2024. Conceptual model development will then take place with community engagement panels. We anticipate submitting our manuscript for publication in the fall of 2024.
This paper describes the protocol for a QES of family involvement in the care of hospitalized older adults. We will use identified themes to create a conceptual model to inform further intervention development and policy change.
PROSPERO 465617; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023465617.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/53255.
老年人经常住院。在文献中，家庭在这些住院期间的参与情况描述得并不完整。
本研究旨在更好地了解家庭如何参与住院老年患者的护理，并开发一个描述家庭参与住院老年患者护理现象的概念模型。
我们描述了一项定性证据综合（QES）的研究方案，这是对定性研究的系统综述。鉴于家庭参与护理的复杂性和多面性，我们选择专注于定性研究，这是一种通过定性研究最能理解的主题类型。该方案描述了我们根据 SPIDER（样本、感兴趣的现象、设计、评估和研究类型）工具制定研究问题和纳入 QES 的资格标准的过程。它描述了我们搜索策略的制定过程，该策略用于搜索 MEDLINE（通过 Ovid）、Embase（通过 Elsevier）、PsycINFO（通过 Ovid）和 CINAHL Complete（通过 EBSCO）。标题和摘要筛选以及全文筛选将依次进行。根据筛选过程中确定的符合纳入标准的研究数量，可能会使用有针对性的抽样。将提取并汇总纳入的个体研究的描述性数据。使用定性方法综合纳入研究的结果，并开发一个概念模型。该概念模型将通过参与小组向社区成员展示，以进一步完善。
截至 2023 年 9 月，我们已经组建了一个多学科团队，包括医生、护士、卫生服务研究人员、一名图书管理员、一名社会工作者和一名卫生经济学家。我们已经完成了搜索策略的制定并执行了搜索，共产生了 8862 条引文。我们目前正在筛选标题和摘要，并预计将于 2024 年夏季完成全文筛选、数据提取、质量评估和综合。然后将与社区参与小组一起制定概念模型。我们预计将在 2024 年秋季提交稿件供发表。
本文描述了一项对家庭参与住院老年患者护理的 QES 的研究方案。我们将使用确定的主题创建一个概念模型，以进一步指导干预措施的制定和政策的改变。
PROSPERO 465617；https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023465617。
国际注册报告标识符（IRRID）：PRR1-10.2196/53255。
