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专业护士在家庭护理远程医疗背景下确保患者安全中的作用:一项范围综述。

Specialized nurses' role in ensuring patient safety within the context of telehealth in home care: A scoping review.

作者信息

Vaismoradi Mojtaba, Rae John, Turunen Hannele, Logan Patricia A

机构信息

Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.

Faculty of Science and Health, Charles Sturt University, Orange, NSW, Australia.

出版信息

Digit Health. 2024 Oct 7;10:20552076241287272. doi: 10.1177/20552076241287272. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVES

Specialized nurses are uniquely positioned to implement innovative telehealth solutions to improve the quality and safety of home care, and this has become a focal point of contemporary healthcare research. This review aimed to identify the nature and scope of specialized nurses' roles in ensuring patient safety within the context of telehealth in home care.

METHODS

A scoping review of the international literature was carried out from January 1, 2013, to August 29, 2024. The review employed Levac et al.'s framework to delineate the research phenomenon and consolidate existing empirical research findings. Through a comparative analysis, the review integrated findings from selected studies, highlighting both similarities and differences related to this phenomenon, which led to the development of distinct categories.

RESULTS

The search yielded 1127 articles, from which 23 studies met the inclusion criteria for research synthesis and subsequent reporting of results. These studies spanned specialized nurses' roles in telehealth and various fields in which specialized nurses utilized telehealth to deliver high-quality and safe home care. The findings highlighted key outcomes linked to the improvement of patient safety in home care encompassing continuity of care, confidence in care, monitoring and early intervention, medication safety, engagement and adherence, and healthcare costs.

CONCLUSIONS

The review revealed the crucial role played by specialized nurses in harnessing telehealth in healthcare to meet the highest care standards, creating an environment that prioritizes the well-being and patient safety in home care.

摘要

目标

专科护士在实施创新远程医疗解决方案以提高家庭护理的质量和安全性方面具有独特地位,这已成为当代医疗保健研究的一个焦点。本综述旨在确定专科护士在家庭护理远程医疗背景下确保患者安全方面的角色性质和范围。

方法

于2013年1月1日至2024年8月29日对国际文献进行了范围综述。该综述采用莱瓦克等人的框架来界定研究现象并整合现有的实证研究结果。通过比较分析,该综述整合了所选研究的结果,突出了与这一现象相关的异同,从而形成了不同的类别。

结果

检索到1127篇文章,其中23项研究符合纳入标准,可用于研究综合及后续结果报告。这些研究涵盖了专科护士在远程医疗中的角色以及专科护士利用远程医疗提供高质量和安全家庭护理的各个领域。研究结果突出了与改善家庭护理患者安全相关的关键成果,包括护理连续性、护理信心、监测和早期干预、用药安全、参与度和依从性以及医疗成本。

结论

该综述揭示了专科护士在医疗保健中利用远程医疗以达到最高护理标准方面所发挥的关键作用,营造了一个将家庭护理中的福祉和患者安全置于优先地位的环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66b/11459674/bd2084bf1b03/10.1177_20552076241287272-fig1.jpg

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