以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (20): 32-38.doi: 10.16460/j.issn1008-9969.2022.20.032

• 循证护理 • 上一篇    下一篇

临床护理交接班流程及策略的最佳证据总结

张翠翠1a,2, 钟英1a, 肖月1b, 钟亚丽1a, 陈琳1a, 王瑶1a, 龚喜燕1a,2, 吴金艳3, 廖常菊1a   

  1. 1.自贡市第一人民医院 a.护理部,b.重症医学科,四川 自贡 643000;
    2.川北医学院,四川 南充 637000;
    3.南方医科大学南方医院 护理部,广东 广州 510515
  • 收稿日期:2022-05-11 发布日期:2022-11-08
  • 通讯作者: 廖常菊（1972-）,女,四川富顺人,本科学历,护理部主任。E-mail:iculcj@126.com
  • 作者简介:张翠翠（1986-）,女,四川富顺人,本科学历,硕士研究生在读,护理部副主任。
  • 基金资助:
    四川省护理科研课题计划（H18038）

Best Evidence Summary of Clinical Nursing Shift

ZHANG Cui-cui1a,2, ZHONG Ying1a, XIAO Yue1b, ZHONG Ya-li1a, CHEN Lin1a, WANG Yao1a, GONG Xi-yan1a,2, WU Jin-yan3, LIAO Chang-ju1a   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Critical Care Medicine, Zigong First People's Hospital, Zigong 643000, China;;
    2. North Sichuan Medical College, Nanchong 637000, China;
    3. Dept. of Nursing Administration, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2022-05-11 Published:2022-11-08

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摘要： 目的 检索并获取临床护理交接班的最佳证据,为医务人员临床实践提供参考。方法 根据“6 S”证据模型,计算机检索BMJ Best Practice、UpToDate、Cochrane library、JBI、NICE、PubMed、Web of Science、EMbase、CINAHL、中国知网、中国生物医学文献数据库、万方、维普等数据库关于护理交接的相关证据,检索时限为建库至2022年2月19日。由2~5名研究者独立对相关文献进行质量评价、证据提取与汇总。结果 纳入文献20篇（1篇指南、3篇证据总结、13篇系统评价、3篇最佳循证实践）,提取证据72条,归纳为6个类别35条最佳证据,含标准化/结构化交接、交接场景、交接管理、交接培训、交接实施和交接质控监督与反馈。结论 本研究总结了护理交接班最佳证据,旨在为临床护理交接提供循证依据,但在交接过程中应根据医院及科室具体情况,选择性地使用相关证据,以提高临床护理交接质量。

关键词: 护理, 交接班, 循证护理, 证据总结

Abstract: Objective To retrieve and collect the best evidence for clinical nursing shift, and to provide reference for clinical practice. Methods A computer search of the databases of BMJ Best Practice, Up To Date, Cochrane library, JBI, NICE, PubMed, Web of Science, Embase, CINAHL, CNKI, CBM, Wanfang, and VIP for evidence on nursing shift was performed based on the "6S" evidence model. The retrieval period was from the inception of the databases to February 19, 2022. Quality evaluation, evidence extraction and aggregation of relevant literature were conducted by two to five researchers independently. Results Twenty pieces of literature were collected (1 guideline, 3 evidence summaries, 13 systematic evaluations, 3 best evidence-based practices); seventy-two pieces of evidence were extracted, and 35 pieces of best evidence were summarized into 6 categories, including: standardized/structured nursing shift, shift scenes, shift management, shift training, shift implementation, shift quality control and feedback. Conclusion This study summarizes the best evidence of nursing shift and provides evidence-based reference for clinical nursing shift. The evidence should be selectively used in the shift according to the specific situation of the hospital and department, so as to improve the quality of clinical nursing shift.

Key words: nursing, shift, evidence-based nursing, evidence summary

中图分类号: 

  • C931.2
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