识别养老院居民未满足的姑息治疗需求：一项范围综述方案。
Identification of unmet palliative care needs of nursing home residents: A scoping review protocol.
作者信息
Crowley Patrice, Saab Mohamad M, Cornally Nicola, Ronan Isabel, Tabirca Sabin, Murphy David
机构信息
Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.
School of Computer Science and Information Technology, University College Cork, Cork, Ireland.
出版信息
PLoS One. 2024 Aug 8;19(8):e0306980. doi: 10.1371/journal.pone.0306980. eCollection 2024.
INTRODUCTION
Nursing home residents often have life limiting illnesses in combination with multiple comorbidities, cognitive deficits, and frailty. Due to these complex characteristics, a high proportion of nursing home residents require palliative care. However, many do not receive palliative care relative to this need resulting in unmet care needs. To the best of our knowledge, there have been no literature reviews to synthesise the evidence on how nursing home staff identify unmet palliative care needs and to determine what guidelines, policies, and frameworks on identifying unmet palliative care needs of nursing home residents are available.
AIM
The aim of this scoping review is to map and summarise the evidence on identifying unmet palliative care needs of residents in nursing homes.
METHODS
This scoping review will be guided by the JBI Manual for Evidence Synthesis. The search will be conducted in CINAHL, MEDLINE, Embase, Web of Science, APA PsycINFO, and APA PsycArticles. A search of grey literature will also be conducted in databases such as CareSearch, Trip, GuidelineCentral, ClinicalTrials.gov, and the National Institute for Health and Care and Excellence website. The search strategy will be developed in conjunction with an academic librarian. Piloting of the screening process will be conducted to ensure agreement among the team on the eligibility criteria. Covidence software will be used to facilitate deduplication, screening, and blind reviewing. Four reviewers will conduct title and abstract screening. Six reviewers will conduct full text screening. Any conflicts will be resolved by a reviewer not involved in the conflict. One reviewer will conduct data extraction using pre-established data extraction tables. Results will be synthesised, and a narrative synthesis will be used to illustrate the findings of this review. Data will be presented visually using tables, figures, and word clouds, as appropriate.
引言
养老院居民常常患有危及生命的疾病，同时伴有多种合并症、认知缺陷和身体虚弱。由于这些复杂的特征，很大一部分养老院居民需要姑息治疗。然而，相对于这种需求，许多人并未得到姑息治疗，导致护理需求未得到满足。据我们所知，尚无文献综述来综合关于养老院工作人员如何识别未满足的姑息治疗需求的证据，也未确定有哪些关于识别养老院居民未满足的姑息治疗需求的指南、政策和框架。
目的
本范围综述的目的是梳理和总结关于识别养老院居民未满足的姑息治疗需求的证据。
方法
本范围综述将以JBI证据综合手册为指导。检索将在CINAHL、MEDLINE、Embase、科学网、美国心理学会心理学文摘数据库和美国心理学会心理学期刊全文数据库中进行。还将在诸如CareSearch、Trip、GuidelineCentral、ClinicalTrials.gov以及英国国家卫生与临床优化研究所网站等数据库中检索灰色文献。检索策略将与一位学术图书馆员共同制定。将对筛选过程进行试点，以确保团队成员在纳入标准上达成一致。将使用Covidence软件来促进重复数据去除、筛选和盲审。四名评审员将进行标题和摘要筛选。六名评审员将进行全文筛选。任何冲突将由未参与冲突的评审员解决。一名评审员将使用预先制定的数据提取表进行数据提取。结果将进行综合，并采用叙述性综合来阐述本综述的结果。将酌情使用表格、图表和词云以直观的方式呈现数据。
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