Effectiveness of nursing interventions on patient experiences with health care: A systematic review and meta-analysis.

IF 3.8 3区 医学 Q1 NURSING International Nursing Review Pub Date : 2024-11-27 DOI:10.1111/inr.13075
Yijing Li, Shanshan Liu, Yan Cai, Wei Cun, Xue Zhang, Yan Jiang
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Abstract

Aim: To synthesize and evaluate the effects of nurse-led or nursing-focused interventions for improving patient experience with health care in hospitals.

Background: Patient experiences have increasingly been highlighted as a key healthcare quality indicator in many countries with highly developed healthcare systems. It is critical to learn about the effectiveness of previously conducted nursing interventions since nursing care is reported to be the primary driver of patient experience.

Methods: This systematic review and meta-analysis was conducted in accordance with the JBI Manual for Evidence Synthesis and followed the PRISMA statement guidelines. The PubMed, Web of Science, Embase, Cochrane Library, and CINAHL databases were systematically searched in May 2023. Randomized controlled trials and quasi-experimental studies that were led by nurses or focused on nursing care strategies were included. The JBI critical appraisal checklists were employed to assess methodological quality.

Results: A total of 15 761 records were identified; 11 studies met the inclusion criteria. Nursing interventions focused on optimizing the approach to nursing rounds, enhancing communication with patients, improving patient education, and increasing interaction with patients. The meta-analysis showed that nursing interventions increased top-box responses in the communication about medicines and discharge information dimensions, as well as the overall experience dimension, including the overall hospital rating and willingness to recommend the hospital.

Conclusions: Although few studies were included, this meta-analysis showed that nursing interventions improved patients' experiences in communication about medicines and discharge information, as well as their overall experience. More rigorous studies are needed to better understand the effect of nursing interventions and examine which components may be most effective for improved outcomes.

Implications for nursing practice and nursing policy: Owing to the powerful influence of nursing, strategies to engage nurses are a means of improving patient experiences. More attention should be given to patients' experiences of communication with doctors and nurses, and more randomized controlled trials are needed to provide high-quality evidence.

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护理干预对患者医疗体验的影响:系统回顾与荟萃分析。
目的:总结并评估以护士为主导或以护理为重点的干预措施对改善患者在医院就医体验的效果:背景:在许多医疗保健系统高度发达的国家,患者体验日益成为一项重要的医疗保健质量指标。背景:在许多医疗保健系统高度发达的国家,患者体验日益成为医疗保健质量的关键指标,因此了解以往开展的护理干预措施的有效性至关重要,因为据报道护理是患者体验的主要驱动因素:本系统综述和荟萃分析根据《JBI 证据综合手册》进行,并遵循 PRISMA 声明指南。在 2023 年 5 月对 PubMed、Web of Science、Embase、Cochrane Library 和 CINAHL 数据库进行了系统检索。纳入了由护士主导或侧重于护理策略的随机对照试验和准实验研究。采用JBI关键评估检查表评估方法学质量:结果:共发现 15 761 条记录,其中 11 项研究符合纳入标准。护理干预的重点是优化护理查房方法、加强与患者的沟通、改善患者教育以及增加与患者的互动。荟萃分析结果表明,护理干预措施提高了患者在药物沟通和出院信息方面的顶格反应,也提高了患者的整体体验,包括医院的整体评分和推荐医院的意愿:尽管纳入的研究较少,但这项荟萃分析表明,护理干预改善了患者在药物沟通和出院信息方面的体验,也改善了他们的总体体验。为了更好地了解护理干预的效果,并研究哪些内容对改善疗效最有效,还需要进行更严格的研究:由于护理工作的强大影响力,让护士参与进来的策略是改善患者体验的一种手段。应更多地关注患者与医生和护士沟通的体验,需要更多的随机对照试验来提供高质量的证据。
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来源期刊
CiteScore
7.90
自引率
7.30%
发文量
72
审稿时长
6-12 weeks
期刊介绍: International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
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