[为什么定量估计必须而且可以成为明确假设和护理目标的因变量]。

IF 0.8 4区 医学 Q4 NURSING Assistenza Infermieristica E Ricerca Pub Date : 2020-10-01 DOI:10.1702/3508.34956
A Cura Della Redazione
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引用次数: 1

摘要

。为什么定量估计必须而且能够成为明确假设和护理目标的因变量。这次大流行突出了国家卫生系统的许多脆弱性,多年来,该系统优先考虑的是平衡预算,而不是向包括脆弱和边缘群体在内的全体人口提供服务。在大流行期间,特别重视护理对国民保健服务的护理组成部分的关键和更广泛作用,这高度表明需要将大流行后时期视为改革时期,改革必须同时进行并转化为真正的研究工作。具体的概念和操作规程应优先针对那些已成为未得到满足的护理指标的领域,甚至超过临床需要的领域:从非自治的老年人口,到寻求综合医院和地区护理的复杂性的长期性,再到流行病学上多样化的孤儿和需要护理的人口,他们无法获得/获得基于证据的干预措施。基于对这些前提的讨论,贡献概述了通向现实生活方案的路径,其基本起点应该是感兴趣人群的流行病学和合格可见性:他们的情境化生活-超出其诊断和经济成本转化的干预措施-必须并指出如何成为基线起点和结果终点。
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[Why quantitative estimates must and can be dependent variables of clear assumptions and objectives of care].

. Why quantitative estimates must and can be dependent variables of clear assumptions and objectives of care. The pandemic has highlighted the many fragilities of a national health system that for years gave priority in balancing the budget and not in providing a service to the entire population, including fragile and marginalized groups. The attention focused with specific intensity during the pandemia on the critical and broader role of the nursing for the caring component of a National Health Service, is highly suggestive of the need of conceiving the post-pandemia as a period of a reform, which must coincide and translate into a truly research effort. Concrete conceptual and operational protocols should be targeted with priority to areas which have emerged as indicators of unmet care, even more than of clinical needs: from the elderly non-autonomous populations, to the chronicity of the complexities looking to integrated hospital and district care, to the also epidemiologically orphan diverse and care-needing populations for whom no evidence based interventions are accessible/available. Based on the discussion of these premises, the contribution outlines the path leading to real-life protocols, whose fundamental starting point should be the epidemiological and qualified visibility of the populations of interest: their contextualized lives -beyond and above their diagnoses and interventions transformed in economic costs - must and are indicated how to be the baseline starting as well as the outcome end points.

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来源期刊
CiteScore
1.30
自引率
18.20%
发文量
24
审稿时长
>12 weeks
期刊介绍: Assistenza Infermieristica e Ricerca (AIR) è una rivista scientifica che si propone l''obiettivo di promuovere e sviluppare il confronto sulle conoscenze che hanno un impatto sulla pratica, sulla formazione e sulla direzione dell''assistenza infermieristica.
期刊最新文献
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