PDF(Pubmed)
Abstract：
UNASSIGNED: This study aims to understand and explain the influence of contextual factors on the implementation of Intentional Rounding in acute hospitals using the realist synthesis methodology.Falls of hospital admitted patients are one of the most frequent concerns for patient safety in the acute hospital environment. The reasons why people fall are complex. International guidelines recommend a multifactorial assessment and effective prevention and management of identified risk factors in order to reduce the number of falls. Intentional Rounding (IR) is one approach for delivering this. IR is an umbrella term, understood as a structured process whereby nurses or care staff carry out regular checks with individual patients using a standardised protocol to address such issues as positioning, pain, personal needs and placement of possessions.
UNASSIGNED: This study will use realist synthesis to understand what works, for whom, in what circumstances, and in what settings. Realist synthesis is a theory driven interpretive approach to evidence synthesis. It is our intention to analyse IR as an intervention, which aims to enhance patient care and safety in hospital settings. The synthesis forms part of a larger implementation study examining interventions that reduce the number of falls that occur in hospitals. Search terms will include intentional rounding, purposeful rounding, comfort rounding and hourly rounding and will encompass search terms beyond IR and falls rates to avoid limiting the synthesis. This synthesis will conform to the RAMESES (realist and meta-narrative evidence synthesis group) publication and reporting quality standards.
UNASSIGNED: The findings will inform the next phase of an implementation study on IR in acute hospital settings, to address evidence informed enablers and barriers to IR. The results will be disseminated in a peer-reviewed journal and through presentations.
UNASSIGNED: This study will use realist synthesis to understand what works, for whom, in what circumstances, and in what settings. Realist synthesis is a theory driven interpretive approach to evidence synthesis. It is our intention to analyse IR as an intervention, which aims to enhance patient care and safety in hospital settings. The synthesis forms part of a larger implementation study examining interventions that reduce the number of falls that occur in hospitals. Search terms will include intentional rounding, purposeful rounding, comfort rounding and hourly rounding and will encompass search terms beyond IR and falls rates to avoid limiting the synthesis. This synthesis will conform to the RAMESES (realist and meta-narrative evidence synthesis group) publication and reporting quality standards.
UNASSIGNED: The findings will inform the next phase of an implementation study on IR in acute hospital settings, to address evidence informed enablers and barriers to IR. The results will be disseminated in a peer-reviewed journal and through presentations.
摘要：
■本研究旨在使用现实主义综合方法来理解和解释背景因素对急性医院实施故意舍入的影响。住院患者的跌倒是急性医院环境中患者安全最常见的问题之一。人们跌倒的原因很复杂。国际准则建议对已识别的风险因素进行多因素评估和有效预防和管理，以减少跌倒次数。有意舍入(IR)是实现这一点的一种方法。IR是一个总称，被理解为一个结构化的过程，护士或护理人员使用标准化的协议对个体患者进行定期检查，以解决定位等问题，疼痛,个人需求和财产的放置。
■这项研究将使用现实主义综合来理解什么是有效的，为谁,在什么情况下,在什么设置。现实主义综合是一种理论驱动的证据综合解释方法。我们打算分析IR作为干预措施，旨在加强医院环境中的病人护理和安全。该综合构成了一项更大的实施研究的一部分，该研究旨在研究减少医院跌倒次数的干预措施。搜索词将包括有意四舍五入，有目的的四舍五入，舒适四舍五入和每小时四舍五入，并将包含超出IR和下降率的搜索词，以避免限制合成。此综合将符合RAMESES（现实主义和元叙事证据综合组）出版物和报告质量标准。
■这些发现将为在急症医院环境中开展IR研究的下一阶段提供信息，解决证据知情因素和IR障碍。结果将通过同行评审的期刊和演示文稿传播。
■这项研究将使用现实主义综合来理解什么是有效的，为谁,在什么情况下,在什么设置。现实主义综合是一种理论驱动的证据综合解释方法。我们打算分析IR作为干预措施，旨在加强医院环境中的病人护理和安全。该综合构成了一项更大的实施研究的一部分，该研究旨在研究减少医院跌倒次数的干预措施。搜索词将包括有意四舍五入，有目的的四舍五入，舒适四舍五入和每小时四舍五入，并将包含超出IR和下降率的搜索词，以避免限制合成。此综合将符合RAMESES（现实主义和元叙事证据综合组）出版物和报告质量标准。
■这些发现将为在急症医院环境中开展IR研究的下一阶段提供信息，解决证据知情因素和IR障碍。结果将通过同行评审的期刊和演示文稿传播。
