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Elderly patients' experiences of care in the emergency department: a systematic review. 老年患者在急诊科的护理经验:系统回顾。
Pub Date : 2010-12-08 DOI: 10.11124/JBISRIR-2010-682
Lim Siew Hoon, S. Mackey, He Hong-gu
Review Questions/Objectives This systematic review seeks to synthesise the evidence on the experiences of care received by elderly patients in the emergency department in the hospital setting. Review questions The specific review questions to be addressed are: What is the evidence on elderly patients’ experiences of the overall care received in the emergency department? What is the evidence on elderly patients’ experiences of the nursing care received in the emergency department? What is the evidence on the needs identified by elderly patients in the emergency department? Inclusion Criteria Types of participants The review will consider studies that include male and female patients of all ethnic groups who are 65 years old and above, and admitted into the emergency department with urgent as well as non-urgent health-related issues. Phenomena of interest The review will consider studies that include the following phenomena of interest: elderly patients’ experiences of care at an emergency department. Context The review will consider studies that will include contexts such as the emergency department in the acute care hospital settings in all countries. Outcomes of Interest The outcomes of interest include but are not restricted to the following: Experiences of overall care received by elderly patients in the emergency department. Experiences of nursing care received by elderly patients in the emergency department. Identified needs of elderly patients when receiving care in the emergency department.
本系统综述旨在综合医院急诊科老年患者接受护理经验的证据。回顾问题要解决的具体回顾问题是:老年患者在急诊科接受的整体护理经验的证据是什么?老年患者在急诊科接受护理的经验有哪些证据?老年患者在急诊科的需求有哪些证据?纳入标准参与者类型本综述将考虑包括所有种族65岁及以上的男性和女性患者,并因紧急和非紧急健康相关问题而入住急诊科的研究。本综述将考虑包括以下感兴趣的现象的研究:老年患者在急诊科的护理经历。本综述将考虑包括所有国家急症护理医院急诊科等环境的研究。感兴趣的结果包括但不限于以下内容:老年患者在急诊科接受的整体护理经验。急诊科老年患者的护理体会确定老年患者在急诊科接受治疗时的需求。
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引用次数: 0
Efficacy of music listening as a postoperative pain management intervention in adult patients: a systematic review. 音乐聆听作为成人患者术后疼痛管理干预的疗效:一项系统综述。
Pub Date : 2010-12-06 DOI: 10.11124/JBISRIR-2010-650
Abigail Kusi-Amponsah, N. Allcock, W. Stanton, F. Bath-Hextall
Review Objective: The aim of this review is to critically analyse and synthesise the best available evidence on the impact of music listening on postoperative pain Inclusion Criteria: Types of Participants: Adults (18 years or older) who have undergone any elective major or minor surgery irrespective of the severity of underlying condition. Types of Interventions: Any type of recorded music (patient preferred or investigator chosen) of any duration, that is delivered immediately after surgery to the 3rd postoperative day, through any medium (audio or video CD/ tape player, music pillows, e.t.c.), in addition to usual care. Types of Outcome Measures: Primary outcome Postoperative pain measured before and after the intervention by any validated pain assessment tool (such as the Visual Analogue Scale, Verbal Rating Scale, McGill Pain Questionnaire). Secondary outcomes Analgesic consumption measured by patient‐controlled analgesia (PCA) pumps or patient records, and expressed as morphine equivalents (intramuscular/ subcutaneous/ intravenous). Number of adverse events reported in the individual papers included in the review.
综述目的:本综述的目的是批判性地分析和综合有关音乐聆听对术后疼痛影响的最佳现有证据。纳入标准:参与者类型:接受过任何选择性大手术或小手术的成年人(18岁或以上),无论潜在疾病的严重程度如何。干预类型:除常规护理外,术后立即至术后第3天通过任何媒介(音频或视频CD/磁带播放机、音乐枕等)播放任何持续时间的任何类型的录制音乐(患者首选或研究者选择)。结果测量类型:主要结果通过任何有效的疼痛评估工具(如视觉模拟量表、言语评定量表、McGill疼痛问卷)在干预前后测量术后疼痛。次要结局通过患者自控镇痛(PCA)泵或患者记录测量镇痛消耗,并以吗啡当量(肌肉注射/皮下注射/静脉注射)表示。纳入本综述的个别论文中报告的不良事件数量。
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引用次数: 0
The Effectiveness of Group Medical Visits on Type 2 Diabetes Mellitus (DM2) Specific Outcomes in Adults: A Systematic Review. 成人2型糖尿病(DM2)特定结局的团体医疗访问的有效性:一项系统综述
Pub Date : 2010-12-06 DOI: 10.11124/JBISRIR-2010-676
R. Burke, S. Ferrara, A. Fuller, Jacqueline M Kelderhouse, Lucille R. Ferrara
Review Objectives: The review objective is to conduct a systematic review (and meta-analysis if appropriate) to synthesize the best available evidence related to effectiveness of group medical visits on HBA1c, BP, and cholesterol measurements/levels for adult patients with DM2 in outpatient settings (i.e., outpatient clinics and private practices). Hospitalized patients will not be included in the review. Review Question: In adult patients with DM2 in outpatient settings, what is the effectiveness of group medical visits compared to usual care, on haemoglobin A1c, blood pressure, and LDL cholesterol measurements/values? Inclusion Criteria: Types of participants: The review will consider studies that include adult patients greater than 18 years of age, males and females, all ethnic groups with type 2 diabetes mellitus (DM2) in outpatient health settings using the following diagnostic outcome criteria: HbA1C, BP, and cholesterol (LDL). All severities of DM2, all co-morbidities, and all types of previous treatment will be considered. Types of interventions: The review will consider the group medical visit model as the intervention. The comparator: usual care as aforementioned Types of outcome measures: This review will consider studies that include the following outcome measures: haemoglobin A1c (HbA1c), systolic and diastolic blood pressure (BP), low density lipoprotein cholesterol (LDL) measurements.
综述目的:本综述的目的是进行一项系统综述(如果合适的话,也可以进行荟萃分析),以综合现有的最佳证据,这些证据与门诊(即门诊诊所和私人诊所)成年DM2患者的HBA1c、BP和胆固醇测量/水平的团体医疗访问的有效性有关。住院患者不包括在本综述中。在门诊的成年DM2患者中,与常规护理相比,团体医疗访问在血红蛋白A1c、血压和低密度脂蛋白胆固醇测量/值方面的有效性如何?纳入标准:参与者类型:本综述将考虑的研究包括18岁以上的成年患者,男性和女性,门诊医疗机构中患有2型糖尿病(DM2)的所有种族,使用以下诊断结果标准:HbA1C、BP和胆固醇(LDL)。所有严重程度的DM2,所有合并症,以及所有类型的既往治疗将被考虑在内。干预措施类型:本综述将考虑团体医疗访问模式作为干预措施。比较物:常规护理作为上述结局测量的类型:本综述将考虑包括以下结局测量的研究:血红蛋白A1c (HbA1c)、收缩压和舒张压(BP)、低密度脂蛋白胆固醇(LDL)测量。
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引用次数: 1
Community dwelling patient and caregivers' self-care needs in relation to heart failure: A qualitative systematic review. 社区住院者与照护者自我照护需求与心力衰竭之关系:一项质性系统回顾。
Pub Date : 2010-12-06 DOI: 10.11124/JBISRIR-2010-648
K. Currie, L. Kidd, A. Clark, P. Strachan
Review Questions/Objectives: The objective of this qualitative systematic review is to synthesise the best available evidence related to ‘self-care needs’ from the perspective of patients who have heart failure and that of their lay caregivers. To this end, our research questions are: 1) What is the evidence on self-care needs in heart failure from the perspective of patients who experience this condition? 2) What is the evidence on self-care needs in heart failure from the perspective of lay carers who support patients who experience this condition? 3) What is the evidence on the way in which older age is perceived by patients and lay carers to affect self-care needs in heart failure? . Inclusion Criteria: Types of Participants: For inclusion, studies should involve adults over the age of 18 years who have heart failure, irrespective of age, gender, context, treatment or severity of heart failure, in order to include the widest possible range of circumstances facing people with heart failure. Phenomena of Interest: To support consistent interpretation between the research team, we will define data or themes relevant to the phenomena of interest as being: ‘findings related to any process,phenomena or construct that pertains to meeting the self-care needs of heart failure in patients or support of self-care needs by lay caregivers.’ Context: It is well recognised that self-care needs are influenced by contextual or cultural factors such as where the patient lives and the availability of social support, as well as the type of patient education and professional support provided; evidence related to the context in which specific self care needs are expressed, and the effectiveness with which they are met, will be sought.
综述问题/目的:本定性系统综述的目的是从心力衰竭患者及其非专业护理人员的角度综合有关“自我护理需求”的最佳现有证据。为此,我们的研究问题是:1)从经历心力衰竭的患者的角度来看,自我护理需求的证据是什么?2)从支持心衰患者的非专业护理人员的角度来看,关于心衰患者自我护理需求的证据是什么?3)有什么证据表明患者和护理人员认为年龄的增长会影响心力衰竭患者的自我护理需求?。纳入标准:参与者类型:纳入的研究应包括18岁以上心力衰竭的成年人,无论年龄、性别、背景、心力衰竭的治疗或严重程度如何,以便尽可能广泛地包括心力衰竭患者面临的情况。感兴趣的现象:为了支持研究团队之间的一致解释,我们将定义与感兴趣的现象相关的数据或主题为:“与满足心力衰竭患者自我护理需求或支持外行护理人员自我护理需求的任何过程、现象或结构相关的发现。”“环境:众所周知,自我护理需求受到环境或文化因素的影响,例如患者居住的地方和社会支持的可用性,以及所提供的患者教育和专业支持的类型;将寻求与表达特定自我保健需求的背景有关的证据,以及满足这些需求的有效性。
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引用次数: 2
Effectiveness of Tight Glycemic Control in the Medical Intensive Care Unit: A Systematic Review. 在重症监护病房严格控制血糖的有效性:系统评价。
Pub Date : 2010-12-06 DOI: 10.11124/01938924-201008341-00001
A. Merrill, Susie Jones
BACKGROUND: Intensive Insulin Therapy (IIT) as a means to achieve tight glycemic control (TGC) has become controversial in the medical intensive care unit (ICU) or mixed medical-surgical ICU. The question still remains as to the benefit of tight glycemic control in all patient populations and the optimal target blood glucose range.REVIEW QUESTIONS/OBJECTIVES: INCLUSION CRITERIA: This review included studies with patients 18 years of age and older, females and males, all types of conditions or diseases, and all stages of severity admitted to a critical care or intensive care unit that required hyperglycemia management and had not had a surgical procedure. This review included studies that evaluated the effectiveness of tight glycemic control or intensive insulin therapy as compared to conventional, moderate or liberal insulin therapy. This review considered studies that included the following outcome measures: frequency and severity of hypoglycemia, and any type of reported mortality. This review included only randomized controlled trials which met all of the inclusion criteria.SEARCH STRATEGY: A three-step search strategy was utilized find both published and unpublished studies in English language only. An initial limited search of MEDLINE and CINAHL was completed followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second search using all identified keywords and index terms was then undertaken across all included databases. Thirdly, the reference list of all identified reports and articles was searched for additional studies.METHODOLOGICAL QUALITY: The reviewers used the JBI Critical Appraisal Checklist for Randomised Controlled Trials to assess methodological quality.DATA COLLECTION: Data was extracted using The JBI Data Extraction Form for Experimental/Observational studies.DATA SYNTHESIS: Due to the heterogeneous nature of the study methods, the findings of this systematic review are presented in a narrative summary. Meta-analysis was unable to be performed.RESULTS: The four studies in this systematic review include patients with a multitude of diagnoses and comorbidities which further complicates treatment and outcomes assessment. Until further studies prove otherwise, nonsurgical patients requiring glycemic management are best served with less intensive regimens than their surgical counterparts.CONCLUSIONS: Further research is needed to establish clear, evidence-based guidelines for the management of hyperglycemia in all ICU patient populations.Based on the results of this review and data from the four included studies, glycemic management for medical patients in the intensive care unit should differ from that of surgical patients. Blood glucoses should be kept between 110-180mg/dL in order to prevent the unwarranted effects of hypoglycemic episodes. Published studies compare outcomes for patients with dissimilar medical conditions and current protoco
背景:强化胰岛素治疗(Intensive Insulin Therapy, IIT)作为实现严格血糖控制(TGC)的一种手段,在内科重症监护病房(ICU)或内科-外科混合ICU中已成为有争议的问题。在所有患者群体中严格控制血糖的益处和最佳目标血糖范围仍然是一个问题。综述问题/目的:纳入标准:本综述纳入了18岁及以上、女性和男性、所有类型的病症或疾病、所有严重程度、入住重症监护或重症监护室、需要高血糖管理且未接受外科手术的患者。本综述包括评估严格血糖控制或强化胰岛素治疗与常规、中等或自由胰岛素治疗的有效性的研究。本综述考虑了包括以下结局指标的研究:低血糖的频率和严重程度,以及任何类型的报告死亡率。本综述仅纳入符合所有纳入标准的随机对照试验。检索策略:采用三步搜索策略,只查找已发表和未发表的英语研究。完成MEDLINE和CINAHL的初步有限搜索,然后分析标题和摘要中包含的文本词,以及用于描述文章的索引术语。然后在所有包含的数据库中使用所有确定的关键字和索引项进行第二次搜索。第三,检索所有确定的报告和文章的参考文献列表以查找其他研究。方法学质量:审稿人使用JBI随机对照试验关键评价清单来评估方法学质量。数据收集:使用JBI数据提取表提取实验/观察研究数据。数据综合:由于研究方法的异质性,本系统综述的结果以叙述性摘要的形式呈现。无法进行meta分析。结果:本系统综述中的四项研究包括了大量诊断和合并症的患者,这进一步使治疗和结果评估复杂化。在进一步的研究证明相反的观点之前,需要血糖控制的非手术患者最好采用较低强度的治疗方案。结论:需要进一步的研究来建立明确的、以证据为基础的针对所有ICU患者高血糖管理的指南。根据本综述的结果和四项纳入的研究的数据,重症监护病房内科患者的血糖管理应不同于外科患者。血糖应保持在110-180mg/dL之间,以防止低血糖发作的不必要影响。已发表的研究比较了不同医疗条件患者的结果,目前的血糖管理方案仍然基于手术患者试验的结果。干预措施和结果的测量需要标准化,以确保结果的适当比较和应用。
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引用次数: 1
The effectiveness of stress and anxiety management interventions for adults diagnosed with cardiovascular disease in healthcare facilities: A systematic review. 压力和焦虑管理干预对成人诊断心血管疾病在医疗机构的有效性:一个系统的回顾。
Pub Date : 2010-11-27 DOI: 10.11124/JBISRIR-2010-864
Suyin Lee, P. Klainin-Yobas, Hui-Chen Chen
Objectives The overall objective of this review is to synthesise the best available evidence regarding the effectiveness of stress and anxiety management interventions in relieving stress and anxiety among adult patients diagnosed with cardiovascular disease in healthcare facilities. Question What is the effectiveness of stress and anxiety management interventions for adults diagnosed with cardiovascular disease in healthcare facilities? Inclusion Criteria Types of participants The review will consider studies with participants who; • are adult patients of any gender between 18- 65 years of age; • have been diagnosed with cardiovascular disease (namely; degenerative changes of the blood vessels, extraneous infections and congenital heart diseases) with no specifications to the stage or severity of the disease or presence of co-morbidities; and • are hospitalised/have regular visits at healthcare facilities, including hospitals and community based settings, such as; rehabilitation centres, nursing homes, outpatient clinics. Types of interventions The review will consider studies that examine any stress and anxiety management interventions that affect stress and anxiety levels among adult patients with cardiovascular disease. Studies can be either individual or group and unlimited to the number, duration, timing or intensity of the sessions. No preference is set on the type of personnel delivering the intervention or the presence of other co-interventions. Stress and anxiety management interventions include, but are not limited to, behavioural therapy, meditation and relaxation training. Types of outcomes This review will consider studies that quantitatively measured as outcomes the levels of stress and anxiety by any standardised measurements instruments/scales.
本综述的总体目标是综合现有的关于压力和焦虑管理干预在缓解医疗机构诊断为心血管疾病的成年患者的压力和焦虑方面的有效性的最佳证据。压力和焦虑管理干预对医疗机构诊断为心血管疾病的成年人的有效性是什么?纳入标准受试者类型本综述将考虑以下受试者的研究:•年龄在18- 65岁之间的任何性别的成年患者;•被诊断患有心血管疾病(即;血管退行性改变、外源性感染和先天性心脏病),没有疾病的阶段或严重程度或合并症的说明;•住院/定期到医疗机构就诊,包括医院和社区机构,例如;康复中心,疗养院,门诊诊所。干预措施的类型本综述将考虑那些检查影响成年心血管疾病患者压力和焦虑水平的任何压力和焦虑管理干预措施的研究。学习可以是个人的,也可以是团体的,学习的次数、持续时间、时间和强度都不受限制。没有对提供干预措施的人员类型或是否存在其他联合干预措施的偏好。压力和焦虑管理干预包括但不限于行为疗法、冥想和放松训练。本综述将考虑通过任何标准化测量工具/量表定量测量压力和焦虑水平作为结果的研究。
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引用次数: 1
The association between quality of life and survival in patients with colorectal cancer: a systematic review. 结直肠癌患者生活质量与生存之间的关系:一项系统综述。
Pub Date : 2010-11-27 DOI: 10.11124/JBISRIR-2010-863
Loi Tien Tau, S. Chan, T. Leong
Objectives The objective of this systematic review is to identify the best available evidence related to quality of life and survival rate in patients with colorectal cancer. Questions What is the association between self-perceived quality of life and survival rate in patients with colorectal cancer? Criteria for considering studies for this review Types of participants This review will consider studies that include these participants: • Patients diagnosed with colorectal cancer • Adult age 18 years or older • Both gender • ≥1 year after diagnosis • Of any setting such as hospital, cancer centre and home settings Types of interventions/Phenomena of Interest The review will consider studies that examine, evaluate or describe quality of life and survival rate in colorectal cancer patients and intervention studies related to quality of life and survival in colorectal cancer patients. Types of outcome measures This review will consider studies that include outcome measures relate to survival and domains of quality of life such as psychological, physical, social or cultural, sexual functioning, spiritual well-being or vocational performance in patients with colorectal cancer using validated quality of life assessment instrument.
本系统综述的目的是确定与结直肠癌患者生活质量和生存率相关的最佳现有证据。结直肠癌患者自我感知生活质量与生存率之间的关系是什么?本综述纳入研究的标准受试者类型本综述将纳入包括以下受试者的研究:•诊断为结直肠癌的患者•18岁或以上的成年人•两性•诊断后≥1年•任何环境,如医院、癌症中心和家庭环境干预类型/感兴趣的现象本综述将考虑检查、评估或描述结直肠癌患者的生活质量和生存率的研究以及与结直肠癌患者的生活质量和生存率相关的干预研究。本综述将考虑使用经过验证的生活质量评估工具的结直肠癌患者的生存和生活质量领域(如心理、生理、社会或文化、性功能、精神健康或职业表现)相关的结果测量。
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引用次数: 0
The effectiveness of interprofessional education in university based health professional programs: A systematic review. 大学卫生专业跨专业教育的有效性:系统回顾。
Pub Date : 2010-11-25 DOI: 10.11124/JBISRIR-2011-103
Samuel Lapkin, T. Levett-Jones, H. Bellchambers, C. Gilligan
Objective: The aim of this review is to appraise and synthesise the best available evidence on the effectiveness of university based IPE interventions as compared to uniprofessional educational interventions. Review Question: This review will systematically examine the evidence to answer the following question: What is the effectiveness of IPE in university based health professional programs? Inclusion criteria: Types of participants: The review will consider studies that include students of two or more undergraduate and post graduate health professions engaged in IPE regardless of gender, age and disciplines Types of intervention(s)/phenomena of interest: The review will consider studies that include any university based pedagogical approaches to IPE. Types of outcome: Any objectively measured or self-reported educational outcomes and/ professional competencies related to IPE assessed by validated instruments such as the Readiness for Interprofessional Learning Scale (RIPLS) and the Interdisciplinary Education Perception Scale (IEPS) will be included in the review.
目的:本综述的目的是评估和综合现有的最佳证据,与非专业教育干预相比,以大学为基础的IPE干预的有效性。综述问题:本综述将系统地检查证据,以回答以下问题:国际政治经济学在大学卫生专业课程中的有效性如何?纳入标准:参与者类型:本综述将考虑包括两个或两个以上从事国际政治经济学的卫生专业本科生和研究生的研究,无论性别、年龄和学科。干预类型/感兴趣的现象:本综述将考虑包括任何以大学为基础的国际政治经济学教学方法的研究。成果类型:任何客观测量或自我报告的与国际政治经济学相关的教育成果和/专业能力,都将通过有效的工具(如跨专业学习准备量表(RIPLS)和跨学科教育感知量表(IEPS))进行评估。
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引用次数: 7
Registered nurses' perception of their preceptor role towards pre-registration nursing students during clinical placement: A systematic review. 注册护士在临床实习期间对预注册护生的导师角色的看法:一项系统回顾。
Pub Date : 2010-11-09 DOI: 10.11124/JBISRIR-2010-860
Jasmine Xin Yu Lee, J. Brammer, S. Chan
Review Objective/Question(S) The objective is to synthesize the best evidence on the Registered Nurses’ perceptions of their preceptor role (‘formal’ or ‘informal’) with pre-registration nursing students during clinical placement. Pre-registration nursing students are defined as students undertaking a formal education program to become registered nurses. More specifically, the objectives are to: • Synthesize the evidence on RNs’ role perception as a preceptor/mentor/clinical buddy/clinical assessor/evaluator in supporting pre-registration student nurses during clinical placement; • Synthesize the evidence on barriers (such as lack of support, lack of time, stress, challenges) that impact on RNs’ perception of their preceptor role for pre-registration nursing students. • Synthesize the evidence on motivating factors (such as personal attributes and attitudes towards preceptorship, role satisfaction, rewards and benefits) that impact on RNs’ perception of their preceptor role for pre-registration nursing students. Criteria for considering studies for this review Types of participants Inclusion criteria for participants: - Registered Nurses who are preceptors, mentors or clinical buddies who have direct responsibility for patient care who have been or are currently supporting preregistration nursing students in the clinical setting. - Registered Nurses who are officially nominated to facilitate students during their clinical placement period over the full period. - Registered Nurses assigned to precept students on a shift-by-shift basis. Types of interventions/phenomena of interest The phenomenon of interest is the examination of the role perceptions of RNs in supporting pre-registration student nurses during clinical placement. Studies that include, but not limited to, role perceptions, and factors (barriers & facilitators) affecting RNs’ commitment and perception to preceptor role will be considered for the review. Studies that focus on student nurses’ perceptions of preceptor roles will be excluded from this review. Types of outcome measures The focus of the review is on: • Registered Nurses perception of preceptor role in supporting pre-registration nursing students during clinical placement • Motivational/facilitating factors that allow Registered Nurses to effectively support pre-registration nursing students during clinical placement. Such factors may include role satisfaction, benefits, rewards, commitment to be a preceptor. • Barriers that prevent Registered Nurses from effectively supporting pre-registration nursing TRUNCATED AT 350 WORDS
审查目标/问题(5)目标是综合关于注册护士在临床实习期间对其导师角色(“正式”或“非正式”)的看法的最佳证据。预注册护理学生被定义为参加正式教育计划成为注册护士的学生。更具体地说,目标是:•综合关于注册护士在临床实习期间作为导师/导师/临床伙伴/临床评估者/评估者支持预注册实习护士的角色感知的证据;•综合有关障碍(如缺乏支持、缺乏时间、压力、挑战)的证据,这些障碍会影响注册护士对其预注册护理学生的导师角色的看法。•综合影响预注册护生注册护士对其导师角色认知的激励因素(如个人属性和对导师的态度、角色满意度、奖励和福利)的证据。本综述研究的考虑标准参与者类型参与者的纳入标准:-对患者护理有直接责任的注册护士,导师或临床伙伴,曾经或目前在临床环境中支持预注册护理学生。-获正式提名的注册护士,在整个实习期间协助学生实习。-指定的注册护士轮班指导学生。干预类型/感兴趣的现象感兴趣的现象是对注册护士在临床实习期间支持预注册学生护士的角色认知的检查。研究包括,但不限于,角色认知,以及影响注册护士对导师角色的承诺和认知的因素(障碍和促进因素)将被考虑在审查中。关注学生护士对导师角色的看法的研究将被排除在本综述之外。评估的重点是:•注册护士对在临床实习期间支持预注册护理学生的导师角色的看法•允许注册护士在临床实习期间有效支持预注册护理学生的动机/促进因素。这些因素可能包括角色满意度、利益、奖励、成为导师的承诺。•阻碍注册护士有效支持预注册护理的障碍
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引用次数: 3
The facilitators and barriers that influence physician consultation among adult women with urinary incontinence - A systematic review. 影响成年女性尿失禁医师咨询的因素和障碍——系统综述。
Pub Date : 2010-11-01 DOI: 10.11124/JBISRIR-2010-858
A. Ng, Y. L. Chow, K. Tan
Objectives The overall aim of this review is to critically appraise, synthesise and present the best available evidence with regards to the facilitators and barriers that influence physician consultation among adult women with urinary incontinence. Questions • What is the evidence on the number of participants who consulted a physician and/or accepted medical treatment? • What is the evidence on the number of participants who did not consult a physician and/or accepted medical treatment? • What is the evidence on the factors that facilitate physician consultation among adult women with urinary incontinence? • What is the evidence on the factors that inhibit physician consultation among adult women with urinary incontinence? Inclusion criteria Types of participants In view that the official age where one is considered an adult is 18 years old in most countries, this review will consider studies that include adult women living in the community, who are aged 18 and above, and experience symptoms of urinary incontinence, specifically those aforementioned. The exclusion criteria are studies involving male participants only, and studies that include participants aged 17 years or below. Types of interventions/phenomena of interest The focus of the review is represented by the factors that facilitate and inhibit physician consultation for urinary incontinence. Types of outcome measures The outcomes of interest include, but are not confined to: • The number of participants who consulted a physician and/or accepted medical treatment. • The number of participants who did not consult a physician and/or accepted medical treatment. • Facilitating factors that influence physician consultation among adult women with urinary incontinence (including the frequency of factors). • Inhibiting factors that influence physician consultation among adult women with urinary incontinence (including the frequency of factors).
本综述的总体目的是批判性地评估、综合并提出有关影响尿失禁成年女性医生咨询的促进因素和障碍的最佳现有证据。•有什么证据表明有多少参与者咨询了医生和/或接受了医疗?•没有咨询医生和/或接受治疗的参与者人数有什么证据?•有什么证据表明,成年女性尿失禁时,方便医生咨询?•有什么证据表明,成年女性尿失禁患者不去看医生?考虑到在大多数国家,一个人被认为是成年人的官方年龄是18岁,本综述将考虑包括生活在社区的成年妇女,年龄在18岁及以上,并有尿失禁症状,特别是上述那些。排除标准是仅涉及男性受试者的研究,以及包括17岁或以下受试者的研究。本综述的重点是促进和抑制尿失禁医生咨询的因素。结果测量的类型感兴趣的结果包括但不限于:•咨询医生和/或接受医疗的参与者人数。•未咨询医生和(或)接受治疗的参与者人数。•促进影响尿失禁成年女性医生咨询的因素(包括因素的频率)。•影响尿失禁成年女性医生咨询的抑制因素(包括因素的频率)。
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引用次数: 0
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JBI library of systematic reviews
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