病例管理是一种用于帮助患者定位和管理卫生资源以及加强患者之间有效沟通的方法。家庭,和卫生系统。护士作为病例管理者的角色已被证明可以有效降低慢性病患者的医疗成本。然而,对其在改善社区环境中获得护理的实施知之甚少。
■本范围审查旨在研究护理案例管理在改善社区环境中获得护理的组成部分,并确定基于社区的护理案例管理对未来的影响的问题。
■这项研究是在范围审查的框架下进行的。
■作者系统地搜索了五个电子数据库(CINAHL,PubMed,科学直接,Scopus,和GoogleScholar)为2010年1月至2021年2月发表的相关研究。仅涉及护士作为在社区环境中执行病例管理角色的职业之一的原始研究,提供“获得护理”作为调查结果,包括在内。
■文章筛选由PRISMA流程图指导。提取是在谷歌工作表,并从提取结果进行合成。
■共纳入19项研究。确定了护理病例管理的五个组成部分,以改善获得护理的机会:1)将卫生系统与社区联系起来,2)提供护理过程,3)提供个性化的健康促进和预防,4)协助决策;5)提供整体支持。此外,还确定了护理病例管理的三个问题:1)法规模糊,2)案件量大,3)缺乏持续的病例管理培训。
护理协调和护理计划是与获得护理相关的护理病例管理中最常见的组成部分。这些发现对于提高护士执行护理过程的能力以及增强护士对未来的宣传能力具有重要意义。
UNASSIGNED: Case management is an approach used to help patients locate and manage health resources as well as to enhance effective communication among patients, families, and health systems. Nurses\' role as
case managers has been proven effective in reducing healthcare costs among patients with chronic diseases. However, little is known about its implementation in improving access to care in community-based settings.
UNASSIGNED: This scoping review aimed to examine the components of nursing
case management in improving access to care within community settings and to identify the issues of community-based nursing case management for future implications.
UNASSIGNED: This study was conducted following the framework of scoping review.
UNASSIGNED: The authors systematically searched five electronic databases (CINAHL, PubMed, Science Direct, Scopus, and Google Scholar) for relevant studies published from January 2010 to February 2021. Only original studies involving nurses as one of the professions performing
case management roles in the community-based settings, providing \'access to care\' as the findings, were included.
UNASSIGNED: The article screening was guided by a PRISMA flowchart. Extraction was performed on Google Sheet, and synthesis was conducted from the extraction result.
UNASSIGNED: A total of 19 studies were included. Five components of nursing case management to improve access to care were identified: 1) Bridging health systems into the community, 2) Providing the process of care, 3) Delivering individually-tailored health promotion and prevention, 4) Providing assistance in decision making, and 5) Providing holistic support. In addition, three issues of nursing case management were also identified: 1) Regulation ambiguity, 2) High caseloads, and 3) Lack of continuing
case management training.
UNASSIGNED: Care coordination and care planning were the most frequent components of nursing case management associated with access to care. These findings are substantial to improve nurses\' ability in performing the nursing process as well as to intensify nurses\' advocacy competence for future implications.