总结有关护理提供者在预防中心和社区65岁以上的人跌倒中的作用的定性证据。
聚合方法后定性证据的荟萃总结。
广泛的手动搜索16个数据库(CINAHL,Pubmed/Medline,Embase,PsycInfo,科克伦图书馆,佩德罗,Opengrey(报告),Cuiden,Cuidatge,安非斯波,Medes,丁香花,Teseo,论文和论文全球和Ibecs),在英语中,法语,西班牙语和葡萄牙语;没有时间限制。
配对选择和盲目批判性评估。进行了第一次相关性和相关性筛选以及第二次关键评估筛选。共查找4170篇文章;对41篇定性文章进行了批判性评估,选择了31篇。
关于作者的数据,Year,研究设计,location,参与者(数量,年龄,性别和职业),提取研究方法和发现。
分析揭示了四个主要主题:诱发因素,预防模型,感受和决策过程。这也凸显了道德平衡的艰难行为,该机构在预防和护理分散方面的作用,作为成功实施的关键。
研究结果表明预防跌倒的复杂性以及将护理提供者的意见纳入预防模型的必要性。
To summarize the qualitative evidence on the role of care providers in the prevention of falls of persons over 65 years of age in centres and in the community.
Meta-summary of qualitative evidence following the aggregation method.
Extensive manual search of 16 databases (CINAHL, Pubmed/Medline, Embase, PsycInfo, Cochrane Library, PeDRO, Opengrey (Reports), Cuiden, Cuidatge, Enfispo, Medes, Lilacs, Teseo, Dissertation and Thesis Global and Ibecs), in English, French, Spanish and Portuguese; no time limit.
Selection and blind critical appraisal by pairs. A first relevance and relevance screening and a second critical appraisal screening were carried out. A total of 4170 articles were located; 41 qualitative articles were critically appraised and 31 were selected.
Data regarding author, year, study design, location, participants (number, age, sex and occupation), study methods and findings were extracted.
The analysis revealed four major themes: precipitating factors, preventive models, feelings and decision-making process. It also highlights the difficult act of ethical balance, the role of the institution in prevention and the fragmentation of care, as keys to successful implementation.
The findings show the complexity of fall prevention and the need to incorporate care providers\' opinions in preventive models.