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首页> 外文期刊>Journal of clinical nursing >An integrated review of the literature on challenges confronting the acute care staff nurse in discharge planning.
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An integrated review of the literature on challenges confronting the acute care staff nurse in discharge planning.

机译：对急救人员护士在出院计划中面临的挑战的文献进行了综合回顾。

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AIMS AND OBJECTIVES: This integrative review presents and synthesises previous research investigating practices, perceptions and experiences of bedside staff nurses relative to hospital discharge planning. BACKGROUND: Preparation for hospital discharge should begin at or prior to admission. Forces in the acute care environment, however, often impede comprehensive discharge planning. Evidence-based redesign of discharge planning processes is a priority for nurses and health care leaders. DESIGN: An integrative review. METHOD: The review was undertaken using eleven search terms to electronically scan CINAHL, Medline, PsycINFO and Dissertations and Theses databases for the period 1990-2009. Hand searching of reference lists and author searches was also conducted. Sixty English language articles were reviewed; 38 of these 60 publications met the study inclusion criteria. RESULTS: Seven themes were identified across the studies. These themes were intra- and interdisciplinary communication; systems and structures; time; role confusion; care continuity; knowledge; and the invisibility of the staff nurse role in discharge planning. CONCLUSIONS: Acute care bedside nurses frequently encounter significant barriers while providing discharge-related care. Although these barriers have been identified consistently in numerous studies spanning nearly two decades, few published reports address interventions designed to overcome identified obstacles and inefficiencies. Additional discharge planning redesign initiatives, which include rigorous evaluation of patient outcomes, are needed. RELEVANCE TO CLINICAL PRACTICE: As the direct caregivers with the most consistent presence and knowledge of patients' postdischarge needs, acute care bedside staff nurses play a critical role in preparing patients and families for the transition from hospital to home. Nurses are uniquely positioned to identify barriers and opportunities in discharge planning processes and contribute significantly to evidence-based reform initiatives. Effective and efficient patient-centred discharge planning processes can facilitate the transition from hospital to home and begin to address the adverse events experienced by some patients in the immediate postdischarge period.
机译：目的和目标：本综合综述介绍和总结了以前的研究，这些研究调查了床边人员护士相对于出院计划的实践，看法和经验。背景：住院准备应在入院时或入院前开始。但是，急救环境中的部队常常会阻碍全面的出院计划。基于证据的出院计划流程的重新设计是护士和卫生保健负责人的首要任务。设计：综合审查。方法：使用11个搜索词对1990-2009年期间的CINAHL，Medline，PsycINFO和Dissertations and Thess数据库进行了电子扫描。还进行了参考列表的手工搜索和作者搜索。审查了60篇英语文章;这60篇出版物中有38篇符合研究纳入标准。结果：在研究中确定了七个主题。这些主题是学科内和学科间的交流。系统和结构;时间;角色混淆;护理连续性;知识;以及在出院计划中工作人员护士角色的隐身性。结论：急性护理床边护士在提供出院相关护理时经常遇到重大障碍。尽管在近二十年的众多研究中一致地确定了这些障碍，但很少有已发表的报告涉及旨在克服已发现的障碍和低效率的干预措施。需要额外的出院计划重新设计计划，其中包括对患者结果的严格评估。与临床实践的关系：作为直接护理人员，他们对患者出院后需求的了解和了解最为一致，因此急诊床边护理人员在为患者和家庭做好从医院到家的过渡准备中起着至关重要的作用。护士具有独特的位置，可以确定出院计划流程中的障碍和机会，并为基于证据的改革计划做出重要贡献。有效且高效的以患者为中心的出院计划流程可以促进从医院到家庭的过渡，并开始解决一些患者在出院后立即经历的不良事件。

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