医护人员对低价值护理去实施体验的Meta整合
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女,硕士在读,学生

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四川省科技厅科技创新基地(平台)和人才计划项目(2019JDKP0014)


Meta-synthesis of healthcare professionals′ experiences in de-implementation of low-value care
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    目的 整合医护人员对低价值护理去实施的体验,为制订针对性措施减少低价值护理服务提供参考。方法 系统检索PubMed、Web of Science、CINAHL、Cochrane Library、Embase、中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库以及中华医学期刊全文数据库中有关医护人员对低价值护理去实施体验的质性研究,检索时间为建库至2025年3月。根据JBI循证卫生保健中心质性研究评价工具对纳入文献进行质量评价,并运用汇集性Meta整合方法对结果进行整合。结果 最终纳入12篇文献,提炼出27个研究结果,形成8个新类别,将其汇总为3个整合结果:低价值护理去实施的认知差异,低价值护理去实施的阻碍与挑战,低价值护理去实施的策略与措施。结论 医护人员对低价值护理去实施的认知存在差异,在去实施过程中面临多方面的阻碍。应加强相关证据推广,并采取针对性应对策略以推动低价值护理去实施的顺利开展。

    Abstract:

    Objective To synthesize healthcare professionals′ experiences in the de-implementation of low-value care, and to provide references for formulating targeted measures to reduce the provision of low-value care services.Methods A systematic search was conducted in PubMed, Web of Science, CINAHL, Cochrane Library, Embase, CNKI, Wanfang data, VIP, SinoMed, and Chinese Medical Journal Full-text Database for qualitative studies on healthcare professionals′ experiences of low-value care de-implementation up to March 2025.The quality of included studies was assessed using the JBI Critical Appraisal Checklist for Qualitative Research.The findings were integrated using the Meta-aggregation method.Results Twelve studies were included, from which 27 findings were extracted and categorized into 8 new categories, and further synthesized into 3 integrative findings:cognitive diffe-rences regarding low-value care de-implementation, barriers to and challenges of de-implementation, and strategies and measures for de-implementation.Conclusion Healthcare professionals exhibit varying levels of awareness regarding the de-implementation of low-value care and face multiple barriers during the process.Promotion of relevant evidence and adoption of targeted strategies are essential to facilitate the successful de-implementation of low-value care.

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朱守淋,黄乐娇,王彩莲,曾晗月,彭寅森,毛世芳.医护人员对低价值护理去实施体验的Meta整合[J].护理学杂志,2025,(15):63-67

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  • 收稿日期:2025-04-10
  • 最后修改日期:2025-05-28
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  • 在线发布日期: 2025-08-25