临床护理交接班循证实践的范围综述

Evidence-based practice of clinical nursing handover:a scoping review

目的探讨护理交接班循证实践的研究现状、所依据的证据质量、研究方法及研究内容,为今后开展类似研究提供参考。方法计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、中华医学期刊全文数据库、Cochrane Library、PubMed、Embase、Web of Science、JBI、CINAHL11个国内外数据库,检索时限为建库至2024年1月18日。应用Arksey和O’Malley的范围综述研究方法对纳入文献进行汇总和分析。结果共纳入22篇文献,发表时间为2012-2023年,13篇文献发表于2019年及以后。2篇文献提供了详细的检索策略,2篇文献进行了方法学质量评价,22篇文献均未对证据的可用性进行评价。22篇文献均构建了综合性证据转化策略,15篇文献采用多元化指标对效果进行评价。结论护理交接班循证实践研究数量呈现上升趋势,但所依据的证据质量及研究方法尚需要加强。

Objective To explore the research status of evidence-based practice of nursing handover,the quality of the evidence,research methods and research content,and to provide reference for similar research in the future.Methods Computer searches were performed in 11 domestic and foreign databases including CNKI,Wanfang Database,VIP Database,CBM,Chinese Medical Journal Full-text Database,Cochrane Library,PubMed,Embase,Web of Science,JBI,and CINAHL.The retrieval time spanned from the inception to January 18,2024.The included literature was summarized and analyzed using Arksey and O’Malley’s scoping review research method.Results A total of 22 articles were included.They were all published in 2012-2023,and 13 in 2019 and later.Two articles provided detailed search strategies,two evaluated methodological quality,and none of the 22 articles evaluated the availability of evidence.All the articles constructed comprehensive evidence implementation strategies,and 15 used diverse indicators to evaluate the effects.Conclusion The number of research on evidence-based practice of nursing handover shows an upward trend,but the quality of the evidence and research methods based on it still need to be strengthened.