在儿童健康咨询期间提供安全网信息;一个系统的叙述回顾照顾者的观点”。

IF 1.3 4区 医学 Q3 NURSING
Journal of Child Health Care Pub Date : 2024-12-01 Epub Date: 2023-04-28 DOI:10.1177/13674935231158197
Dave Owen, Sue Latter
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引用次数: 0

摘要

安全网(SN)提供具体的信息,以确定护理人员需要重新咨询。SN通常用于消除首次接触医疗保健专业人员的诊断不确定性。本系统的叙述回顾调查了护理人员在急性儿童健康咨询期间收到的SN信息的经验。在2021年4月至12月期间,对六个书目数据库(CINAHL, PsycINFO, BNI, EMCARE, MEDLINE和Web of Science)进行了检索,确定了3258条记录。没有研究因质量而被排除,9篇论文被纳入;使用混合方法评估工具对论文进行批判性分析,并对研究结果进行叙述性总结。出现了四个主题:接收红旗症状信息的重要性、特定媒介对信息传递给照顾者的影响、照顾者期望的SN关键原则以及信息传递给照顾者的语境影响。证据质量公正;审查结果可以提供基础原则,使首次接触的临床医生能够加强他们以人为本的SN实践方法。证据普遍缺乏,在咨询期间捕获特定SN活动的研究相对较少。还需要进行更多的研究,以全面了解初次接触临床医生的情况,特别是在家庭或学校等非临床环境中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'Provision of safety netting information during child health consultations; a systematic narrative review of caregivers' perspectives'.

Safety netting (SN) provides specific information to caregivers identifying need to re-consult. SN is often used to bridge diagnostic uncertainty for first-contact healthcare professionals. This systematic narrative review investigated experiences of caregivers' regarding SN information received during acute child health consultations. Searches between April and December 2021 of six bibliographic databases (CINAHL, PsycINFO, BNI, EMCARE, MEDLINE and Web of Science) identified 3258 records. No studies were excluded based on quality and nine papers were included; the Mixed Methods Appraisal Tool was used to critically analyse papers and findings were summarised narratively. Four themes emerged: Importance of receiving Red-Flag-Symptom information, influences of specific mediums for information transfer to caregivers, key principles of SN as desired by caregivers and contextual influences of information transfer to caregivers. Quality of evidence was fair; review findings could provide underpinning principles to enable first-contact clinicians to enhance their person-centred approach to SN practice. There was a paucity of evidence generally, with a relatively small number of studies that captured specific SN activity during consultations. More research is also needed to capture the full-breadth of first-contact clinicians, particularly in non-clinical settings such as the home or school.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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