消费者对急症医疗中短线和中线外周静脉导管的插入、移除和管理方法的体验和结果:混合方法系统综述方案。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES JBI evidence synthesis Pub Date : 2024-06-01 DOI:10.11124/JBIES-23-00172
Michelle Nelson, Linda Coventry, Melanie Baker
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引用次数: 0

摘要

目的:本综述将综述和整合当前有关插入、移除和管理短线和中线外周静脉导管的实践对急症医疗保健中消费者体验和结果的影响的研究。目的是提供综合证据,支持政策决策者和医护人员克服外周静脉导管设备管理方面的挑战。实施本综述提供的证据可以提高消费者的积极效果,缩小研究证据与临床实践之间的差距:外周静脉导管植入术是一种将装置插入患者外周静脉以进行药物、血液制品和治疗性液体注射的过程。最近的研究表明,外周静脉导管置入位置、插入时的疼痛缓解、并发症、消费者参与以及常规与临床指示的移除这些装置对消费者和医疗保健系统都有积极和消极的影响。由于研究与实践之间存在差距,且证据之间存在冲突,因此处理这些影响仍具有挑战性。此外,消费者对这些挑战的体验和结果也不清楚:本综述将考虑有关消费者在急性期医疗保健中的体验和结果的定量、定性和混合方法研究。定量研究将考虑疼痛、满意度、焦虑和痛苦的结果。定性部分将考虑消费者的体验,包括感知、偏好、观点、态度、期望和满意度:本研究将遵循 JBI 的混合方法系统综述的聚合分离法。将在 12 个数据库中搜索经同行评审的已发表文章、论文和学位论文。没有年龄、日期或语言限制:prospero(CRD42023410214)。
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Consumer experience and outcomes of insertion, removal, and management practices of short and midline peripheral intravenous catheters in acute health care: a mixed methods systematic review protocol.

Objective: This review will synthesize and integrate current research on the practices relating to the insertion, removal, and management of short and midline peripheral intravenous catheters on consumer experiences and outcomes in acute health care. The aim is to provide consolidated evidence to support policy decision-makers and health care workers in overcoming peripheral intravenous catheter device management challenges. Implementing the evidence provided by this review could increase positive consumer outcomes and reduce the gap between research evidence and clinical practice.

Introduction: Peripheral intravenous catheterization is a process in which a device is inserted into a patient's peripheral vein to administer medication, blood products, and therapeutic fluids. Recent studies have demonstrated the positive and negative impacts of peripheral intravenous catheter site placement, pain relief for insertion, complications, consumer engagement, and routine versus clinically indicated removal of these devices on consumers and the health care system. Managing these impacts in relation to research-practice gaps and conflicting evidence remains challenging. Moreover, consumer experiences and outcomes concerning these challenges are unclear.

Inclusion criteria: This review will consider quantitative, qualitative, and mixed methods studies on consumer experiences and outcomes in acute health care. The quantitative component will consider outcomes of patients' pain, satisfaction, anxiety, distress, preferences, fear, and comfort. The qualitative component will consider consumer experiences, including perceptions, preferences, perspectives, attitudes, expectations, and satisfaction.

Methods: This study will follow JBI's convergent segregated approach for mixed method systematic reviews. A search of 11 databases will be conducted for peer-reviewed published articles, theses, and dissertations. There will be no age, date, or language limitations.

Review registration: PROSPERO CRD42023410214.

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来源期刊
JBI evidence synthesis
JBI evidence synthesis Nursing-Nursing (all)
CiteScore
4.50
自引率
3.70%
发文量
218
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