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优质护理量表的介绍与系统评价

Introduction and Systematic Review of the Good Nursing Care Scale.

作者信息

Mattila Tuula, Stolt Minna, Katajisto Jouko, Leino-Kilpi Helena

机构信息

Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.

Turku University Hospital, Turku, Finland.

出版信息

J Clin Nurs. 2025 Jan;34(1):5-23. doi: 10.1111/jocn.17486. Epub 2024 Oct 11.

DOI:10.1111/jocn.17486
PMID:39394647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11655425/
Abstract

AIM(S): To provide an introduction to the Good Nursing Care Scale (GNCS) and systematically review the application of the scale in health research.

DESIGN

Systematic review.

METHODS

Empirical studies published in English or Finnish in peer-reviewed journals or as a summary of a PhD thesis where the scale was used for data collection amongst patients were included. Analysis was made by using descriptive statistics, narrative analysis, and evaluation of psychometric properties.

DATA SOURCES

PubMed, CINAHL, Cochrane, and Scopus in October 2023.

RESULTS

A total of 26 full-text studies and summaries of PhD theses were included in the review. The GNCS has been developed systematically, and the theoretical structure has remained stable. The studies indicate a high level of patient-centered quality of nursing care. Validity and reliability evaluation and reporting were systematic in the studies and mainly indicate sufficient level. Variations between countries are not large, supporting the international use of the GNCS.

CONCLUSIONS

Patient-centered quality of nursing care is predominantly at high levels. However, systematic evaluation is needed to provide longitudinal data. For that purpose, the GNCS is one potential instrument.

IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE

Support for the use of existing, tested instruments is encouraged to provide critical ideas for the future needs of nurse practitioners, managers, teachers and researchers.

IMPACT

This paper impacts researchers interested in systematic evaluation of the patient-centered quality of nursing care and for practitioners taking care of patients. For researchers, it introduces a relevant instrument, the GNCS, for analysing the quality or for comparing the quality with other instruments. For practitioners, it produces evidence of the usability of the GNCS.

REPORTING METHOD

PRISMA guided the systematic review, and the COSMIN guideline was used for quality appraisal of included studies.

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public contribution.

摘要

目的

介绍优质护理量表(GNCS),并系统回顾该量表在健康研究中的应用。

设计

系统评价。

方法

纳入发表于同行评审期刊的英文或芬兰文实证研究,或作为博士论文摘要且该量表用于患者数据收集的研究。采用描述性统计、叙述性分析和心理测量特性评估进行分析。

数据来源

2023年10月的PubMed、CINAHL、Cochrane和Scopus。

结果

本评价共纳入26项全文研究和博士论文摘要。GNCS已得到系统开发,其理论结构保持稳定。研究表明以患者为中心的护理质量水平较高。研究中的效度和信度评估及报告具有系统性,且主要表明水平充足。各国之间的差异不大,支持GNCS的国际应用。

结论

以患者为中心的护理质量主要处于较高水平。然而,需要进行系统评价以提供纵向数据。为此,GNCS是一种潜在工具。

对专业和患者护理的启示

鼓励支持使用现有的、经过测试的工具,为执业护士、管理人员、教师和研究人员的未来需求提供关键思路。

影响

本文对有兴趣系统评价以患者为中心的护理质量的研究人员以及照顾患者的从业者产生影响。对于研究人员,它介绍了一种相关工具GNCS,用于分析质量或与其他工具比较质量。对于从业者,它提供了GNCS可用性的证据。

报告方法

PRISMA指导系统评价,COSMIN指南用于纳入研究的质量评估。

患者或公众贡献

无患者或公众贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/11655425/13002d611bd7/JOCN-34-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/11655425/7b5a407cf59d/JOCN-34-5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/11655425/13002d611bd7/JOCN-34-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/11655425/7b5a407cf59d/JOCN-34-5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/11655425/13002d611bd7/JOCN-34-5-g002.jpg

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COSMIN reporting guideline for studies on measurement properties of patient-reported outcome measures.
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
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COSMIN Risk of Bias tool to assess the quality of studies on reliability or measurement error of outcome measurement instruments: a Delphi study.COSMIN 偏倚风险工具评估结局测量工具可靠性或测量误差研究的质量:德尔菲研究。
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