PDF(Pubmed)
Abstract：
UNASSIGNED: The COVID pandemic prompted an increase in the use of digital clinical consultations (telephone or video calls) within midwifery and nursing care. This paper reports on a realist review project related to maternity care that seeks to illuminate for whom such consultations can safely and acceptably be used, how, for what purposes and in what contexts.
UNASSIGNED: This paper addresses the first phase of a realist enquiry - initial programme theory development - focusing particularly on the role of stakeholder involvement (including digital transformation leaders, midwives, obstetricians, service users and community organisations).
UNASSIGNED: Three sub-stages of initial programme theory development are described highlighting the contribution of stakeholder groups to each stage: (i) consultation to focus the review question, (ii) focused searching and (iii) further consultation.
UNASSIGNED: Realist literature searching strategies yielded limited theory-rich evidence on digital consultations. Stakeholders provided essential additional contributions resulting in the development of 13 initial programme theories and a conceptual framework.
UNASSIGNED: More research on the implementation of virtual midwifery/nursing consultations is needed. Nursing/midwifery digital researchers should involve stakeholders to help shape research priorities, deepen contextual understanding and sense-check emerging findings.
UNASSIGNED: This paper addresses the first phase of a realist enquiry - initial programme theory development - focusing particularly on the role of stakeholder involvement (including digital transformation leaders, midwives, obstetricians, service users and community organisations).
UNASSIGNED: Three sub-stages of initial programme theory development are described highlighting the contribution of stakeholder groups to each stage: (i) consultation to focus the review question, (ii) focused searching and (iii) further consultation.
UNASSIGNED: Realist literature searching strategies yielded limited theory-rich evidence on digital consultations. Stakeholders provided essential additional contributions resulting in the development of 13 initial programme theories and a conceptual framework.
UNASSIGNED: More research on the implementation of virtual midwifery/nursing consultations is needed. Nursing/midwifery digital researchers should involve stakeholders to help shape research priorities, deepen contextual understanding and sense-check emerging findings.
摘要：
■COVID大流行促使在助产和护理中使用数字临床咨询（电话或视频通话）。本文报告了一个与产妇护理有关的现实主义审查项目，该项目旨在阐明可以安全和可接受地使用此类咨询的人，如何,出于什么目的和在什么情况下。
■本文讨论了现实主义探究的第一阶段-初始计划理论开发-特别关注利益相关者参与的作用（包括数字化转型领导者，助产士,产科医生,服务用户和社区组织)。
■描述了初始计划理论开发的三个子阶段，强调了利益相关者团体对每个阶段的贡献：（i）协商以集中讨论问题，(ii)重点搜索和(iii)进一步协商。
■现实主义文献检索策略在数字咨询方面产生了有限的理论证据。利益相关者提供了必要的额外贡献，从而发展了13种初始计划理论和概念框架。
■需要对虚拟助产/护理咨询的实施进行更多研究。护理/助产数字研究人员应该让利益相关者参与进来，帮助确定研究重点。加深语境理解，并对新出现的发现进行感知检查。
■本文讨论了现实主义探究的第一阶段-初始计划理论开发-特别关注利益相关者参与的作用（包括数字化转型领导者，助产士,产科医生,服务用户和社区组织)。
■描述了初始计划理论开发的三个子阶段，强调了利益相关者团体对每个阶段的贡献：（i）协商以集中讨论问题，(ii)重点搜索和(iii)进一步协商。
■现实主义文献检索策略在数字咨询方面产生了有限的理论证据。利益相关者提供了必要的额外贡献，从而发展了13种初始计划理论和概念框架。
■需要对虚拟助产/护理咨询的实施进行更多研究。护理/助产数字研究人员应该让利益相关者参与进来，帮助确定研究重点。加深语境理解，并对新出现的发现进行感知检查。
