Review
Meta-integration of the effects of continuing care services on quality
Che Xu, Qiao Dongge, Cao Qizheng, Cui Rongrong
Published 2023-04-01
Cite as Chin J Prac Nurs, 2023, 39(10): 794-801. DOI: 10.3760/cma.j.cn211501-20220422-01266
Abstract
ObjectiveTo systematically evaluate the quality of continuing care services carried out by nursing staff in China, comprehensively integrate the influencing factors of continuing care services, and provide guidance for promoting the development of continuing care in China.
MethodsPubMed, EMbase, Web of Science, the Cochrane Library, CMB, SinoMed, CINAHL, CNKI, Wanfang Data and VIP related qualitative studies were searched from the database establishment to March 2022. The NoteExpress software was used to screen and analyze the literature, the 2017 Australian JBI Evidence-based Health Care Center quality research quality evaluation standard was used to conduct qualitative evaluation of the literature, and the Meta-integration method was adopted to carry out pooled integration. The ConQual approach was used to evaluate the quality of the integrated results.
ResultsA total of 39 results were extracted from 11 studies. Eleven new categories were summarized and four integrated results were obtained, which were: nurses lack relevant cognitive, motivational and behavioral skills; patients have poor compliance and low trust in medical prescriptions; lack of team management, method guidance and system standards; lack of connection sharing, input supply and upper protection. The total evidential quality of the integration results was intermediate.
ConclusionsAt present, nurses should strengthen their own ability, pay attention to patient education, enhance the sense of trust between doctors and patients. Managers should pay attention to team building, standardize the service standards and systems. The state should increase input, improve social policy support and legal protection; for the orderly development of continuity of care services escort.
Key words:
Qualitative research; Continuity of care; Factor analysis, statistical; Meta integration
Contributor Information
Che Xu
School of Nursing, Henan University of Chinese Medicine, Zhengzhou 450046, China
Qiao Dongge
School of Nursing, Henan University of Chinese Medicine, Zhengzhou 450046, China
Office of President of Trade Union, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450001, China
Cao Qizheng
School of Nursing, Henan University of Chinese Medicine, Zhengzhou 450046, China
Cui Rongrong
School of Nursing, Henan University of Chinese Medicine, Zhengzhou 450046, China