基于我国临床护理实践指南的护理低价值项目清单构建
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女,硕士在读,学生

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国家自然科学基金项目(72104154)


Development of list of low-value care services based on Chinese nursing clinical practice guidelines
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    目的 基于我国临床护理实践指南构建护理低价值项目清单,为减少临床中的护理低价值项目提供参考。方法 系统检索中英文数据库以及指南相关网站,检索时限为2012年1月至2022年3月,根据入选标准和排除标准选择我国护理指南,提取各指南中明确不推荐的服务项目,形成护理低价值项目清单。结果 最终纳入29篇指南,从中提取69个护理低价值项目,涉及多个临床科室、多种服务类别,其中涉及重症医学科和临床常见的基础护理的项目最多。结论 基于我国护理指南形成的护理低价值项目清单,可指引护理人员在临床实践中避免采用低效措施,从而减少资源的浪费和保障患者安全。

    Abstract:

    Objective To develop low-value care list based on Chinese nursing clinical practice guidelines (CPGs), and to provide reference for reducing low-value care services. Methods Domestic and international electronic databases, as well as related CPGs websites were searched for relevant Chinese CPGs in nursing from January 2012 to March 2022.Ineffective services in nursing care ("not recommended" by CPGs) were extracted from the included CPGs, to produce a list of low-value care services. Results Twenty-nine CPGs were eligible and 69 items of low-value care were identified, involving several clinical departments and many service categories, with the most common low-value care being in intensive care unit, and fundamental nursing care. Conclusion The list of low-value care services developed based on Chinese nursing CPGs, can serve as guidance for nurses to avoid ineffective services in clinical practice, in order to reduce the waste of resources and ensure patient safety.

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关瑜山,伍思涵,李杰红,孟朝琳.基于我国临床护理实践指南的护理低价值项目清单构建[J].护理学杂志,2023,28(4):66-71

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  • 收稿日期:2022-09-16
  • 最后修改日期:2022-10-23
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  • 在线发布日期: 2023-12-29