背景:越来越多地建立区域临终关怀和姑息治疗网络(RHPCN),以改善患有生命限制疾病的患者的综合护理。这项范围审查旨在识别和综合有关RHPCNs的国际文献,专注于结构,结果,好处,成功因素和良好做法。
方法:遵循Arksey和O\'Malley\(2005)的框架,搜索四个电子数据库(CINAHL,谷歌学者,PubMed,WebofScience核心合集)于2023年7月7日进行。此外,我们对已确定文章的参考列表进行了手动搜索.原创研究,纳入了结构层面RHPCN的资格论文和描述性报告。
结果:两名研究人员分析了777篇文章摘要,筛选全文104篇,精选文章24篇。纳入的研究主要使用定性设计。RHPCNs自我认定为当地利益相关者,雇用协调办公室和指导委员会,积极招募网络合作伙伴。成果包括改进的专业实践,提高护理质量,提高了患者对区域护理服务的利用率,并改善了患者在护理提供者之间的过渡。成功因素包括明确的协调,透明的沟通,战略规划和资源保障战略。
结论:分析确定了关键的RHPCN成功因素,例如有效的沟通和适应性领导。尽管需要进一步的研究,研究结果强调了RHPCNs在改善姑息治疗和鼓励政策制定者支持方面的潜力。
■此范围审查是HOPAN研究项目的一部分,旨在评估和分析德国的RHPCN。该项目由联邦联合委员会(G-BA)的德国创新基金资助(GrantN°01VSF22042;资助期:01/2023-12/2024)。
BACKGROUND: Regional hospice and palliative care networks (RHPCNs) are increasingly being established to improve integrative care for patients with life-limiting illnesses. This scoping review aimed at identifying and synthesising international literature on RHPCNs, focusing on structures, outcomes, benefits, success factors and good practices.
METHODS: Following Arksey and O\'Malley\'s (2005) framework, a search of four electronic databases (CINAHL, Google Scholar, PubMed, Web of Science Core Collection) was conducted on 7 July 2023. Additionally, a manual search of reference lists of the identified articles was performed. Original research, qualification theses and descriptive reports on RHPCNs at a structural level were included.
RESULTS: Two researchers analysed 777 article abstracts, screened 104 full texts and selected 24 articles. The included studies predominantly used qualitative designs. RHPCNs self-identify as local stakeholders, employ coordination offices and steering committees, and actively recruit network partners. Outcomes included improved professional practices, enhanced quality of care, increased patient utilisation of regional care offerings and improved patient transitions between care providers. Success factors included clear coordination, transparent communication, strategic planning and resource-securing strategies.
CONCLUSIONS: The analysis identified key RHPCN success factors such as effective communication and adaptive leadership. Despite the need for further research, the findings emphasise RHPCNs\' potential to improve palliative care and encourage policymaker support.
UNASSIGNED: This scoping review is part of the research project HOPAN, which aims at assessing and analysing RHPCNs in Germany. The project is funded by the German Innovation Fund of the Federal Joint Committee (G-BA) (Grant N° 01VSF22042; funding period: 01/2023-12/2024).