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Hospital admissions and place of death of residents of care homes receiving specialist healthcare services: Protocol for a systematic review 入院及接受专业护理服务的疗养院住院病人死亡地点:系统评审方案

05 Oct 2018

Abstract

Aim

To synthesize the evidence relating to the ability of specialist care home support services to prevent the hospital admission of older care home residents, including hospital admission at the end‐of‐life.

Design

Systematic review and narrative synthesis.

Methods

Ten electronic databases will be searched from 2010 – 31 December 2018 using predetermined search terms. All studies of specialist healthcare services to meet care home residents’ physical healthcare needs which provide outcome data on hospital admission or place of death compared with usual care will be included. Two reviewers will independently assess studies’ eligibility and methodological quality using the Effective Public Health Practice Project Quality Assessment Tool. Data will be extracted by one reviewer and checked by a second according to predetermined categories. Data will be synthesized in evidence tables and narrative. Funder: National Institute for Health Research School for Social Care Research, November 2016.

Discussion

Care of older people in care home settings is a key aspect of nursing nationally and internationally. This review will increase understanding of the extent to which different models of specialist healthcare support for care homes are associated with key resident outcomes.

Impact

Standard healthcare support for care home residents is often inadequate, resulting in avoidable hospital admissions and lack of resident choice as to place of death. Although a range of specialist healthcare services are emerging, little is known about their relative effectiveness. This paper marshalls evidence of relevance to commissioners investing in healthcare provision to care homes to meet NHS targets.

目的

旨在综合有关专业疗养院支持服务能力的证明,防止年长疗养院病人入住医院,包括在生命结束时入住医院。

设计

系统评审与叙述性综合

方法

从2010年至2018年12月31日会使用预定搜索词对十个电子数据库进行搜索。所有开展的以满足疗养院住院病人身体健康需求(这些需求提供与平常护理相比较的入院或死亡地点结果数据)的专业健康护理服务研究都会被包含。两位评审员将会各自使用高效公共健康工作项目计划评估工具对研究是否合格及方法学质量进行评估。一位评审员提取数据,另一位根据预定分类进行核实。数据会被整合在证明表及叙述中。建立者:英国国家卫生研究院社会护理研究所,2016年十一月。

讨论

关爱护理院的老年人是国家和国际护理一个关键层面。该评审会增进对护理院专业保健支持的不同模式与关键住院病人结果之间关系的理解。

影响

对护理院住院病人的标准保健支持往往不够充分,导致本可避免的住院,且住院病人对死亡地点缺乏选择。虽然正出现许多专业保健服务,但人们对其相关有效性知之甚少。本论文对专员们为护理院保健服务供应进行投资以满足NHS目标的有关证明进行了整理。

Click here to view the full article which appeared in Journal of Advanced Nursing