PDF(Pubmed)
Abstract：
OBJECTIVE: The aim of the study was to synthesize the evidence on the essential elements, nurses must address when they perform therapeutic education to patients and their caregivers to promote a safe paediatric hospital-to-home discharge.
METHODS: A systematic review and narrative synthesis.
METHODS: The search strategy identifies studies published between 2016 and 2023. The quality of the included studies was assessed using the Critical Appraisal Skills Programme checklists. The protocol of this review was not registered. A search of three electronic databases (PubMed, CINAHL and Web of Science) and a search in the reference lists of the included studies was conducted in February 2021 and June 2023.
RESULTS: Fifteen studies met the inclusion criteria. The essential elements identified are grouped into the following topics: emergency management, physiological needs, medical device and medications management, long-term management and short-term management. Nurses have a critical role in ensuring patient safety and quality of care, and the nurses\' competence makes the difference in the discharge\'s related outcomes. Our results can help the nursing profession implement comprehensive discharge projects. Our results support the improvement of nurse-led paediatric discharge programmes. Nurse managers can identify the grey areas of therapeutic education provided in their units and work for their improvement. Following the implementation of therapeutic education on these topics, measuring the discharge\'s related outcomes could be interesting. This study addresses the problem of managing a safe and efficient nurse-led discharge in a paediatric setting. It presents evidence on the essential elements to promote a safe paediatric discharge at home. These could impact nursing practice by using them to implement project and discharge pathways. We have adhered to relevant EQUATOR guidelines-PRISMA guidelines for reporting systematic review. No patients, service users, caregivers or public members were involved in this study due to its nature (systematic review).
METHODS: A systematic review and narrative synthesis.
METHODS: The search strategy identifies studies published between 2016 and 2023. The quality of the included studies was assessed using the Critical Appraisal Skills Programme checklists. The protocol of this review was not registered. A search of three electronic databases (PubMed, CINAHL and Web of Science) and a search in the reference lists of the included studies was conducted in February 2021 and June 2023.
RESULTS: Fifteen studies met the inclusion criteria. The essential elements identified are grouped into the following topics: emergency management, physiological needs, medical device and medications management, long-term management and short-term management. Nurses have a critical role in ensuring patient safety and quality of care, and the nurses\' competence makes the difference in the discharge\'s related outcomes. Our results can help the nursing profession implement comprehensive discharge projects. Our results support the improvement of nurse-led paediatric discharge programmes. Nurse managers can identify the grey areas of therapeutic education provided in their units and work for their improvement. Following the implementation of therapeutic education on these topics, measuring the discharge\'s related outcomes could be interesting. This study addresses the problem of managing a safe and efficient nurse-led discharge in a paediatric setting. It presents evidence on the essential elements to promote a safe paediatric discharge at home. These could impact nursing practice by using them to implement project and discharge pathways. We have adhered to relevant EQUATOR guidelines-PRISMA guidelines for reporting systematic review. No patients, service users, caregivers or public members were involved in this study due to its nature (systematic review).
摘要：
目的：研究的目的是综合基本要素的证据，护士在对患者及其护理人员进行治疗教育时必须解决问题，以促进安全的儿科医院到户出院。
方法：系统回顾和叙述性综合。
方法：搜索策略确定了2016年至2023年之间发表的研究。使用关键评估技能计划清单评估了纳入研究的质量。本次审查的方案未注册。搜索三个电子数据库(PubMed，CINAHL和WebofScience），并在2021年2月和2023年6月对纳入研究的参考列表进行了搜索。
结果：15项研究符合纳入标准。确定的基本要素分为以下主题：应急管理，生理需要,医疗器械和药物管理，长期管理和短期管理。护士在确保患者安全和护理质量方面发挥着关键作用，和护士的能力决定了出院相关结局的差异。我们的结果可以帮助护理行业实施全面的出院项目。我们的结果支持护士主导的儿科出院计划的改进。护士经理可以识别其单位提供的治疗教育的灰色区域，并为其改进而努力。在实施关于这些主题的治疗教育之后，测量放电的相关结果可能很有趣。这项研究解决了在儿科环境中管理安全有效的护士主导出院的问题。它提供了促进家庭儿科安全出院的基本要素的证据。这些可能会通过使用它们来实施项目和出院路径来影响护理实践。我们遵守了相关的EQUATOR指南-PRISMA报告系统审查指南。没有病人,服务用户，护理人员或公众成员因其性质而参与本研究(系统综述).
方法：系统回顾和叙述性综合。
方法：搜索策略确定了2016年至2023年之间发表的研究。使用关键评估技能计划清单评估了纳入研究的质量。本次审查的方案未注册。搜索三个电子数据库(PubMed，CINAHL和WebofScience），并在2021年2月和2023年6月对纳入研究的参考列表进行了搜索。
结果：15项研究符合纳入标准。确定的基本要素分为以下主题：应急管理，生理需要,医疗器械和药物管理，长期管理和短期管理。护士在确保患者安全和护理质量方面发挥着关键作用，和护士的能力决定了出院相关结局的差异。我们的结果可以帮助护理行业实施全面的出院项目。我们的结果支持护士主导的儿科出院计划的改进。护士经理可以识别其单位提供的治疗教育的灰色区域，并为其改进而努力。在实施关于这些主题的治疗教育之后，测量放电的相关结果可能很有趣。这项研究解决了在儿科环境中管理安全有效的护士主导出院的问题。它提供了促进家庭儿科安全出院的基本要素的证据。这些可能会通过使用它们来实施项目和出院路径来影响护理实践。我们遵守了相关的EQUATOR指南-PRISMA报告系统审查指南。没有病人,服务用户，护理人员或公众成员因其性质而参与本研究(系统综述).
