Health care organisations

卫生保健组织
  • 文章类型: Journal Article
    背景:流行病对护士的潜在心理健康影响已得到越来越广泛的认可,以及为护士健康建立支持措施的建议。尽管有支持措施,但仍有大量护士在新冠肺炎期间经历了倦怠和精神困扰。在更广泛的文献中,很少做出努力来了解护士如何体验健康支持或他们如何看待大流行期间的健康。在中东,从护士的角度理解和探索大流行期间的健康支持措施并没有受到重大关注。
    目的:调查护士在之前的流行病和中东新冠肺炎大流行期间对福祉支持措施的看法和经验。
    方法:利用JBI模型作为框架进行了系统的定性综述。在包含CINAHL的数据库中进行了搜索,MEDLINE,诺丁汉大学NUsearch图书馆和谷歌学者。此外,我们对相关研究的参考文献列表进行了人工检索.
    方法:本综述纳入了11项研究。使用JBI-QARI数据提取工具对纳入的定性研究的结果进行了定性研究。使用符合JBI方法的元合成方法合成结果。
    结果:纳入的研究共得到111项研究结果,分为14类,接下来是四个综合发现。这些是:[1]护士在MERS期间遇到了挑战,然而,领导和护士实施了不同的策略来应对这些挑战;[2]在新冠肺炎期间,一些福祉支持措施没有得到落实;[3]其他方面对护士的福祉产生负面影响;[4]护士在新冠肺炎期间表现出成熟。
    结论:与以前的突发卫生事件相比,Covid-19期间的福祉支持措施没有得到充分采用。护士政策制定者和管理者应考虑这些支持措施,以符合护士的需求,并探索影响其实施的环境因素。
    背景:PROSPERO(CRD420223405)。
    BACKGROUND: The potential psychological health impact of pandemics on nurses has been increasingly widely recognised, as have recommendations to establish support measures for nurses\' well-being. Despite the availability of support measures significant number of nurses still experienced burnout and mental distress during Covid-19. Few efforts have been made in the wider literature to understand how nurses experience well-being support or how they perceive it affects their well-being during pandemics. In the Middle East, understanding and exploring well-being support measures during pandemics from nurses\' perspectives has not received significant attention.
    OBJECTIVE: To investigate nurses\' perspectives and experiences of well-being support measures during prior pandemics and the Covid-19 pandemic in the Middle East.
    METHODS: A systematic qualitative review was undertaken utilising the JBI model as a framework. Searches were carried out in databases comprised CINAHL, MEDLINE, NUsearch Library of Nottingham University and Google Scholar. Moreover, a manual search through reference lists for relevant studies were carried out.
    METHODS: Eleven studies were included in the review. The findings from the included qualitative studies were extracted using the JBI-QARI data extraction tool for qualitative research. The results were synthesised using a meta-synthesis in line with the JBI approach.
    RESULTS: The included studies yielded an aggregate of 111 findings and were categorised into 14 categories, followed by four synthesised findings. These were: [1] nurses experienced challenges during MERS, yet different strategies were implemented by leaders and nurses to manage these challenges; [2] some well-being support measures were unfulfilled during Covid-19; [3] additional aspects compounded negatively on nurses\' well- being; and [4] nurses showed maturity during Covid-19.
    CONCLUSIONS: In comparison to prior health emergencies, well-being support measures during Covid-19 were not sufficiently adopted. Nurse policymakers and managers should consider these support measures to correspond with nurses\' needs and explore the contextual factors that affect their implementation.
    BACKGROUND: PROSPERO (CRD42022344005).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    为了优化对智障人士(ID)的护理和支持,知识的共享和应用是前提。在一般的医疗保健中,有一套关于弥合“知识差距”的知识体系。然而,目前尚不清楚所确定的知识共享和应用的障碍和促进者在多大程度上也能照顾和支持有身份证的人,由于其特殊的特点,包括长期护理。因此,我们进行了一项系统回顾,以确定哪些组织因素在激励ID患者的护理和支持中分享和应用知识方面发挥了作用和/或发挥了作用.
    使用2000年1月至2015年12月以英文发表的五个相关文章的电子数据库进行了系统评价。在选择和分析的每个阶段,至少有两名独立审稿人根据PRISMA指南评估所有文章。
    共检索到2256篇文章,其中19篇文章符合我们的纳入标准。从这些文章中检索到的所有组织因素都分为三个主要类别:(1)干预措施的特征(与实施该方法的工具和过程相关的因素);(2)与人相关的因素(在个人和群体层面);(3)与组织背景相关的因素(包括物质因素(办公室安排和ICT系统,资源,时间和组织)和非物质因素(培训、工作人员,团队规模)。
    对检索到的因素进行的总体分析表明,它们通过管理的先决条件作用彼此相关(即,实践领导力)和专业人员的关键作用(即履行新角色的能力)。
    To optimise care and support for people with intellectual disabilities (ID), sharing and application of knowledge is a precondition. In healthcare in general, there is a body of knowledge on bridging the \'know-do-gap\'. However, it is not known to what extent the identified barriers and facilitators to knowledge sharing and application also hold for the care and support of people with ID, due to its specific characteristics including long-term care. Therefore, we conducted a systematic review to identify which organisational factors are enabling and/or disabling in stimulating the sharing and application of knowledge in the care and support of people with ID.
    A systematic review was conducted using five electronic databases of relevant articles published in English between January 2000 and December 2015. During each phase of selection and analysis a minimum of two independent reviewers assessed all articles according to PRISMA guidelines.
    In total 2,256 articles were retrieved, of which 19 articles met our inclusion criteria. All organisational factors retrieved from these articles were categorised into three main clusters: (1) characteristics of the intervention (factors related to the tools and processes by which the method was implemented); (2) factors related to people (both at an individual and group level); and, (3) factors related to the organisational context (both material factors (office arrangements and ICT system, resources, time and organisation) and immaterial factors (training, staff, size of team)).
    Overall analyses of the retrieved factors suggest that they are related to each other through the preconditional role of management (i.e., practice leadership) and the key role of professionals (i.e. (in)ability to fulfill new roles).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号