护士对自动药物分配系统使用体验的Meta整合

Nurses'experience with Automated Medication Dispensing Systems:a Meta-synthesis

目的 :系统评价护士对自动药物分配系统的使用体验,为临床药物分配系统的合理使用提供循证依据。方法 :计算机检索国内外数据库中有关护士使用药物自动分配系统体验的质性研究,检索时限为建库至2022年11月1日。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对研究结果进行归纳整合。结果 :共纳入11篇研究,提炼出41个研究结果,归纳为9个类别,形成3个整合结果 :可以更快、更安全地进行药物管理;在工作中面临更多限制与挑战;缺乏足够的培训与学习。结论 :自动药物分配系统可提高护士对药物的管理水平,但仍需要不断完善技术,加强对护理人员的培训和管理,促进医护人员与系统开发人员的交流,进一步发挥自动药物分配系统的优势。

Objective:To systematically evaluate the nurses'experience with Automated Medication Dispensing System(AMDS),and to provide evidence for rational use of clinical drugs dispensing system.Methods:Qualitative studies on nurses'experience with the AMDS were retrieved from the establishment of the database to November 1,2022.The quality of literature was evaluated by the Quality Evaluation Criteria of Evidence-Based Health Care Center(2016)of Joanna Briggs Institute in Australia,and the findings were summarized and integrated by the aggregation integration method.Results:A total of 11 studies were included,and 41 results were extracted,which were summarized into 9 categories on 3 integrated results:medication can be administered more quickly and safely with AMDS,more restrictions and challenges at work,and not enough training and learning in the use of AMDS.Conclusion:AMDS can improve nurses'management of medication,but the technology still needs to be improved,the training and management of nursing staff should be strengthened,and the communication between medical staff and system developers should be promoted to further play the advantages of AMDS.