Experiences of hospital care for people with multiple long-term conditions: a scoping review of qualitative research.
Experiences of hospital care for people with multiple long-term conditions: a scoping review of qualitative research.
复制标题
长期多种疾病患者的医院护理经验：定性研究的范围回顾。
DOI：
10.1186/s12916-023-03220-y
复制
发表时间：
2024-01-17
期刊：
影响因子：
9.3
通讯作者：
Cooper, Rachel
中科院分区：
文献类型：
--
作者：
Bellass, Sue;Scharf, Thomas;Errington, Linda;Davies, Kelly Bowden;Robinson, Sian;Runacres, Adam;Ventre, Jodi;Witham, Miles D.;Sayer, Avan A.;Cooper, Rachel
多种长期疾病--一个人同时存在两种或两种以上慢性疾病--对全球人口和医疗保健系统提出了越来越大的挑战。这种挑战是敏锐地感受到在医院设置的护理是围绕专家提供单一的条件为导向。本范围审查的目的是识别和总结已发表的关于患有多种长期疾病的人，他们的非正式护理人员和医疗保健专业人员的医院护理经验的定性研究。我们根据既定的指导方针，对2010年1月至2022年6月期间发表在同行评审期刊上的关于患有多种长期疾病的人的医院护理经验的主要定性研究进行了范围审查。我们对MEDLINE、CINAHL、PsycInfo、Proquest Social Science Premium、Web of Science、Scopus和Embase进行了系统的电子检索，并辅以引文跟踪。由两名评审员使用独立筛选过程选择纳入的研究。数据提取包括研究人群、研究设计、结果和作者结论。我们采用叙述的方法来报告调查结果。在筛选的8002篇标题和摘要中，报告在14个国家进行的41项研究结果的54篇论文被确定为符合纳入条件。代表了患有多种长期疾病的人（21项研究），非正式护理人员（n = 13）和医疗保健专业人员（n = 27）的观点，其中15项研究报告了一个以上群体的经验。调查结果包括服务整合差，缺乏以人为本的护理，医疗保健专业人员对治疗其专业以外的疾病的信心有限，以及时间压力导致匆忙的护理过渡。很少有研究探讨医院护理经验的不平等。定性研究证据的经验，医院护理的多种长期条件下，阐明了之间的紧张局势的愿望，提供和接受以人为本的护理和时间压力内固有的目标驱动的系统，专注于增加专业化，减少住院提供和加速旅程通过护理系统。采取更加综合的护理模式，可以更好地满足患有多种长期疾病的人的需求。未来的研究应该解决社会环境如何塑造护理经验。在线版本包含补充材料，可通过10.1186/s12916-023-03220-y获得。
Multiple long-term conditions—the co-existence of two or more chronic health conditions in an individual—present an increasing challenge to populations and healthcare systems worldwide. This challenge is keenly felt in hospital settings where care is oriented around specialist provision for single conditions. The aim of this scoping review was to identify and summarise published qualitative research on the experiences of hospital care for people living with multiple long-term conditions, their informal caregivers and healthcare professionals. We undertook a scoping review, following established guidelines, of primary qualitative research on experiences of hospital care for people living with multiple long-term conditions published in peer-reviewed journals between Jan 2010 and June 2022. We conducted systematic electronic searches of MEDLINE, CINAHL, PsycInfo, Proquest Social Science Premium, Web of Science, Scopus and Embase, supplemented by citation tracking. Studies were selected for inclusion by two reviewers using an independent screening process. Data extraction included study populations, study design, findings and author conclusions. We took a narrative approach to reporting the findings. Of 8002 titles and abstracts screened, 54 papers reporting findings from 41 studies conducted in 14 countries were identified as eligible for inclusion. The perspectives of people living with multiple long-term conditions (21 studies), informal caregivers (n = 13) and healthcare professionals (n = 27) were represented, with 15 studies reporting experiences of more than one group. Findings included poor service integration and lack of person-centred care, limited confidence of healthcare professionals to treat conditions outside of their specialty, and time pressures leading to hurried care transitions. Few studies explored inequities in experiences of hospital care. Qualitative research evidence on the experiences of hospital care for multiple long-term conditions illuminates a tension between the desire to provide and receive person-centred care and time pressures inherent within a target-driven system focussed on increasing specialisation, reduced inpatient provision and accelerated journeys through the care system. A move towards more integrated models of care may enable the needs of people living with multiple long-term conditions to be better met. Future research should address how social circumstances shape experiences of care. The online version contains supplementary material available at 10.1186/s12916-023-03220-y.
登录
查看更多内容
影响因子：
4.4
作者：
Aebi NJ;Caviezel S;Schaefert R;Meinlschmidt G;Schwenkglenks M;Fink G;Riedo L;Leyhe T;Wyss K;SomPsyNet Consortium
通讯作者：
SomPsyNet Consortium
痴呆症和合并症患者的医疗组织和分娩：一项定性研究，探讨了患者，护理人员和专业人士的观点。
影响因子：
2.9
作者：
Bunn F;Burn AM;Robinson L;Poole M;Rait G;Brayne C;Schoeman J;Norton S;Goodman C
通讯作者：
Goodman C
影响因子：
8.1
作者：
de Freitas, D. Fonseca;Pritchard, M.;Shetty, H.;Khondoker, M.;Nazroo, J.;Hayes, R. D.;Bhui, K.
通讯作者：
Bhui, K.
影响因子：
6.7
作者：
Ashley L;Kelley R;Griffiths A;Cowdell F;Henry A;Inman H;Hennell J;Ogden M;Walsh M;Jones L;Mason E;Collinson M;Farrin A;Surr C
通讯作者：
Surr C
影响因子：
3.4
作者：
Cullinan, Shane;Fleming, Aoife;Byrne, Stephen
通讯作者：
Byrne, Stephen