Nursing Variables Predicting Readmissions in Patients With a High Risk: A Scoping Review.

IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
Ji Yea Lee, Jisu Park, Hannah Choi, Eui Geum Oh
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引用次数: 0

Abstract

Unplanned readmission endangers patient safety and increases unnecessary healthcare expenditure. Identifying nursing variables that predict patient readmissions can aid nurses in providing timely nursing interventions that help patients avoid readmission after discharge. We aimed to provide an overview of the nursing variables predicting readmission of patients with a high risk. The authors searched five databases-PubMed, CINAHL, EMBASE, Cochrane Library, and Scopus-for publications from inception to April 2023. Search terms included "readmission" and "nursing records." Eight studies were included for review. Nursing variables were classified into three categories-specifically, nursing assessment, nursing diagnosis, and nursing intervention. The nursing assessment category comprised 75% of the nursing variables; the proportions of the nursing diagnosis (25%) and nursing intervention categories (12.5%) were relatively low. Although most variables of the nursing assessment category focused on the patients' physical aspect, emotional and social aspects were also considered. This study demonstrated how nursing care contributes to patients' adverse outcomes. The findings can assist nurses in identifying the essential nursing assessment, diagnosis, and interventions, which should be provided from the time of patients' admission. This can mitigate preventable readmissions of patients with a high risk and facilitate their safe transition from an acute care setting to the community.

预测高危患者再入院的护理变量:范围界定综述。
非计划再入院危及患者安全,增加不必要的医疗支出。确定预测患者再入院的护理变量可以帮助护士及时提供护理干预,从而帮助患者避免出院后再入院。我们旨在概述预测高风险患者再入院的护理变量。作者检索了五个数据库--PubMed、CINAHL、EMBASE、Cochrane Library 和 Scopus--从开始到 2023 年 4 月的出版物。检索词包括 "再入院 "和 "护理记录"。共纳入八项研究进行审查。护理变量分为三类,即护理评估、护理诊断和护理干预。护理评估类占护理变量的 75%;护理诊断类(25%)和护理干预类(12.5%)所占比例相对较低。虽然护理评估类变量大多侧重于患者的身体方面,但也考虑了情感和社会方面。本研究表明了护理是如何导致患者不良结局的。研究结果可帮助护士确定基本的护理评估、诊断和干预措施,这些措施应从患者入院时就开始提供。这可以减轻高危患者可预防的再入院风险,并促进他们从急症护理环境向社区的安全过渡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cin-Computers Informatics Nursing
Cin-Computers Informatics Nursing 工程技术-护理
CiteScore
2.00
自引率
15.40%
发文量
248
审稿时长
6-12 weeks
期刊介绍: For over 30 years, CIN: Computers, Informatics, Nursing has been at the interface of the science of information and the art of nursing, publishing articles on the latest developments in nursing informatics, research, education and administrative of health information technology. CIN connects you with colleagues as they share knowledge on implementation of electronic health records systems, design decision-support systems, incorporate evidence-based healthcare in practice, explore point-of-care computing in practice and education, and conceptually integrate nursing languages and standard data sets. Continuing education contact hours are available in every issue.
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