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基层医疗中的护理远程咨询:范围综述。

Nursing teleconsultation in primary health care: scoping review.

机构信息

Universidade Estadual do Ceará, Centro de Ciências da Saúde, Fortaleza, CE, Brazil.

Universidade Estadual Vale do Acaraú, Centro de Ciências da Saúde, Sobral, CE, Brazil.

出版信息

Rev Lat Am Enfermagem. 2024 Sep 2;32:e4329. doi: 10.1590/1518-8345.7212.4329. eCollection 2024.

Abstract

OBJECTIVE

to map nurses' skills for nursing teleconsultation in Primary Health Care.

METHOD

this is a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual, carried out in seven databases and repositories of theses and dissertations. The selection of studies was carried out in Rayyan by two independent, blind reviewers. Data analysis was carried out descriptively.

RESULTS

23 studies were selected, which showed that the skills necessary for nursing teleconsultation in primary care were: communication, clinical, technological and ethical. The lack of digital infrastructure was identified as one of the main barriers to the implementation of teleconsultation. The lack of access to information and communications technology and/or the internet, the severity of the clinical condition and the patient's non-adherence to the remote consultation were also identified.

CONCLUSION

nursing teleconsultation in primary care is an emerging way of providing health care. However, for its implementation it is necessary to train nurses in the following skills: communication, clinical, technological, ethical and those related to the infrastructure of the teleconsultation environment.

摘要

目的

绘制初级保健中护士进行护理远程咨询的技能图。

方法

这是一项在 Joanna Briggs 研究所评论者手册建议指导下进行的范围综述,在七个数据库和论文库中进行。研究的选择由两名独立的、盲目的评论员在 Rayyan 中进行。数据分析采用描述性方法进行。

结果

共选择了 23 项研究,这些研究表明,初级保健中进行护理远程咨询所需的技能包括:沟通、临床、技术和伦理。缺乏数字基础设施被确定为远程咨询实施的主要障碍之一。缺乏获取信息和通信技术和/或互联网的机会、临床病情的严重程度以及患者不遵守远程咨询的情况也被确定为障碍。

结论

初级保健中的护理远程咨询是提供医疗保健的一种新兴方式。然而,要实施这一措施,有必要对护士进行以下技能的培训:沟通、临床、技术、伦理以及与远程咨询环境基础设施相关的技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b46/11386547/0a13c5d690dc/1518-8345-rlae-32-e4329-gf1.jpg

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