From the challenge of assessing autonomy to the instruments used in practice: A scoping review.

Porto biomedical journal Pub Date : 2022-09-09 eCollection Date: 2022-07-01 DOI:10.1097/j.pbj.0000000000000153
Andreia Maria Novo Lima, Maria Manuela Ferreira da Silva Martins, Maria Salomé Martins Ferreira, Carla Sílvia Fernandes, Soraia Dornelles Schoeller, Vítor Sérgio Oliveira Parola
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Abstract

Autonomy is one of the essential components to live a quality life. Monitoring this autonomy is, in effect, essential, to allow the nurses to conceive, implement and evaluate interventions aimed at its promotion or even maintenance. For this reason, this scoping review aims to map the evidence to identify and analyze the instruments used to assess the person's autonomy, which emerges from scientific production.

Methods: Scoping review based on the recommended principles by the Joanna Briggs Institute. The research was realized in the databases: Scopus (excluding MEDLINE), CINAHL complete (via EBSCO, Excluding MEDLINE), and MEDLINE (via PubMed). Two independent reviewers evaluated the articles' pertinence for the study's investigation, the extraction, and synthesis of articles.

Results: After the analysis, according to the inclusion criteria established, 34 articles were selected, allude to 7 different instruments to assess autonomy.

Conclusions: The need for further development at this level is highlighted, namely through the construction and validation of more comprehensive instruments, integrating the different components of the concept of autonomy.

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从评估自主性的挑战到实践中使用的工具:范围审查。
自主是高质量生活的基本要素之一。实际上,对这种自主性进行监测是至关重要的,这有助于护士构思、实施和评估旨在促进甚至维持这种自主性的干预措施。为此,本范围界定综述旨在绘制证据图,以确定和分析用于评估人的自主性的工具,这些工具来自科学成果:方法:根据乔安娜-布里格斯研究所(Joanna Briggs Institute)推荐的原则进行范围界定研究。研究在数据库中进行:Scopus(不包括 MEDLINE)、CINAHL complete(通过 EBSCO,不包括 MEDLINE)和 MEDLINE(通过 PubMed)。两位独立审稿人评估了文章与研究调查、文章提取和文章综合的相关性:经过分析,根据制定的纳入标准,共筛选出 34 篇文章,涉及 7 种不同的自主性评估工具:结论:强调了在这一层面进一步发展的必要性,即通过构建和验证更全面的工具,整合自主性概念的不同组成部分。
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