医务人员对患者参与患者安全知信行质性研究的Meta整合
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女,本科,主管护师,护士长

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2018湖北省技术创新专项(软科学研究)(2018ADC067)


Qualitative studies on medical staff′s knowledge, belief and practice toward patient involving patient safety: a Meta synthesis
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    摘要:

    目的 评价医务 人 员 对 患 者 参 与 患 者 安 全 的 知 信 行,为 医 务 人 员 实 施 患 者 安 全 管 理 提 供 决 策 依 据。方 法 计 算 机 检 索 PubMed、CINAHL、WebofScience、中国知网、万方数据库、维普数据库、中国生物医学文献数据库关于医务人员对患者参与患者 安全知信行的质性研究,检索时限从建库至 2019年 2月。采用 2017版澳大利亚循证卫生保健中心质性研究评价标准(JBIQARI)进行文献质量评价,采用汇集性整合方法进行 Meta整合,对研究结果进行比较、分析、归纳、诠释和综合。结果 共纳入8 篇文献,提炼出50个研究结果,归纳形成9个类别,综合成为4个整合结果,分别为医务人员的认知观念、秉持的态度、情感体验、 实践困境。结论 医疗机构应高度重视医务人员对患者参与患者安全的知信行,促进医疗安全文化环境的构建,不断改进患者安 全管理决策与实践,保障患者安全。

    Abstract:

    Objective To evaluate medical staffs′knowledge, belief and practice towards patient participating in patient safety, and to provide decision-making evidence for medical staff implementing patient safety management. Methods Such databases as PubMed,CINAHL, Web of Science, CNKI, Wanfang data, VIP and CBM were searched using computer to retrieve qualitative studies on medical staff′s knowledge, belief and practice towards patient participating in patient safety publicized from database inception to February 2019. The quality of included studies was evaluated according to 2017 JBI Critical Appraisal Tool for qualitative studies, and meta-integration was conducted using the aggregative integration method, then the results were compared, analyzed, summarized, interpreted and synthesized. Results A total of 8 qualitative studies were included involving 50 results and 9 categories, then 4 integrated themes were extracted, which were the cognitive concepts of medical staff, adherence to attitude, emotional experience and practice dilemma. Conclusion Medical institutions should pay close attention to medical staff′s knowledge, belief and practice toward patient participating in patient safety, promote the construction of medical safety culture environment, continuously improve patient safety management decision-making and practice, and ensure patient safety.

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詹昱新,喻姣花,李凌志,李素云,晏蓉,骆荣耀.医务人员对患者参与患者安全知信行质性研究的Meta整合[J].护理学杂志,2019,34(24):52-56

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  • 收稿日期:2019-07-02
  • 最后修改日期:2019-09-19
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  • 在线发布日期: 2022-08-09