Abstract:
AIM:The aim of this was to identify and synthesize the evidence underpinning the health policymaking process to inform the development of a health-related policy analysis framework. DESIGN:A mixed methods review using "Best Fit" Framework synthesis. DATA SOURCES:PUBMED and CINAHL+ databases for English language papers published between March 2013 - March 2017. REVIEW METHODS:Titles were screened, data abstracted and analysed by two authors at each stage. Findings from included studies were coded against six a priori categories which had been constructed through a preliminary literature review, consultation and consensus. RESULTS:Sixty-eight papers were included. There exists empirical support for six key domains which require to be addressed in the policymaking and analysis process: (1) Context; (2) Process; (3) Content; (4) Stakeholder Consultation; (5) Implementation; and (6) Evaluation. Failure to contextualize and integrate these six domains in problem identification, policy analysis, strategy and policy development, policy enactment and policy implementation is problematic. CONCLUSION:There is a need to test and refine the constructs linked to the policymaking cycle taking cognizance of the context where these are developed, implemented and evaluated. IMPACT:This review makes a novel contribution to the synthesis of evidence to inform the policymaking and analysis process. Findings illuminate the complexity of policymaking, the competing pressures involved and the importance of the local, national and international context. These findings have international relevance and provide empirical support for key criteria to guide those involved in context specific policymaking and/or the analysis of existing policy. :目的: 本次研究的目的是确定并总结支持医护服务政策制定进程的证据,为制定医护服务相关政策分析框架提供信息。 设计: 使用“最佳匹配”框架总结的混合方法评价。 资料来源: PUBMED和CINAHL+数据库所收录的2013年3月至2017年3月期间发表的英文论文。 综述方法: 每一阶段由两位作者进行标题筛选、数据提炼和分析。对于所纳入研究的调查结果,按六个先验类别进行编码,这六个类别是在初步文献评价、咨询与共识基础上构建的。 结果: 共纳入论文68篇。在政策制定和分析过程中有六个关键领域需要得到实证支持:(1)环境;(2)工艺;(3)内容;(4)利益攸关方咨询;(5)实施;(6)评价。在确定问题、政策分析、战略与政策制定、政策颁布和政策执行方面,未能将这六个领域联系起来并加以整合,这是会产生问题的。 结论: 需要测试并完善政策制定周期相关的结构,同时,考虑这些结构的制定、实施和评估环境。 影响: 本次评价对证据的总结作出了新的贡献,从而为政策制定和分析进程提供了依据。调查结果表明了政策制定的复杂性、所涉及的竞争压力以及地方、国家和国际环境的重要性。这些调查结果具有国际相关性,并为关键标准提供了经验支持,从而为那些参与到具体环境政策制定和(或)现有政策分析的人士提供指导。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Kennedy C,O'Reilly P,O'Connell R,O'Leary D,Fealy G,Hegarty JM,Brady AM,Nicholson E,McNamara M,Casey Mdoi
10.1111/jan.14121subject
Has Abstractpub_date
2019-12-01 00:00:00pages
3231-3245issue
12eissn
0309-2402issn
1365-2648journal_volume
75pub_type
杂志文章,评审abstract:BACKGROUND:Clinical Nurse Specialists (CNS) play a major role in the delivery of specialist palliative care services to patients with advanced cancer, in hospital, hospice and community settings across the United Kingdom. A major component of their work focuses on the delivery of emotional care and support to patients ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02749.x
更新日期:2003-09-01 00:00:00
abstract::This literature review discusses the evidence that modern wards divided into small bedrooms or bays, require higher nurse staffing levels. Aspects of ward design and operation such as patient privacy, nursing efficiency, patient dependency and ward organization are outlined and methods for establishing staffing levels...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1982.tb00231.x
更新日期:1982-05-01 00:00:00
abstract:AIM:This paper describes the findings from one aspect of an evaluation study of the role of the nurse, midwife and health visitor consultant and the consultants' perceived impact of their role on services and patient care. BACKGROUND:The nurse, midwife and health visitor consultant role was established in 2000 in Engl...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03910.x
更新日期:2006-08-01 00:00:00
abstract::A major problem of diabetes mellitus lies in its complications. Fourteen Type 1 diabetic patients with severe long-term complications were interviewed on two occasions with the aim of gaining a deeper understanding of their coping strategies. The study has a qualitative design and a grounded theory approach was used. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01982.x
更新日期:1990-09-01 00:00:00
abstract::Forecasting the demand for nurses is a complex and difficult problem. However, in a climate of economic cutbacks and disadvantageous demographic trends, it is essential that adequate methods are developed to predict both the supply and demand for nurse manpower. To this end a number of methods have been constructed, p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18111833.x
更新日期:1993-11-01 00:00:00
abstract:BACKGROUND AND RATIONALE:With an increasing demand for intensive care beds more nurses in acute and high dependency wards will be expected to care competently for patients with tracheostomy tubes. Tracheal suctioning is an essential aspect of effective airway management. However, this has many associated risks and comp...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02240.x
更新日期:2002-07-01 00:00:00
abstract::Women's attendance for regular cervical screening has been identified as a significant factor in the prevention of cervical cancer. Evidence suggests, however, that both extrinsic and intrinsic factors influence women's attendance patterns for screening. Extrinsic factors, in particular the practitioner undertaking th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01481.x
更新日期:2000-08-01 00:00:00
abstract:AIM:The aim of this paper is to report patients' experiences of cardiac rehabilitation and perceptions of the mechanisms and contexts influencing its long-term effectiveness. BACKGROUND:Cardiac rehabilitation programmes for the secondary prevention of coronary heart disease are common. The effects of these programmes,...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03601.x
更新日期:2005-11-01 00:00:00
abstract:AIMS:To raise awareness of critical care nurses' cognitive bias in decision-making, its relationship with leadership styles and its impact on care delivery. BACKGROUND:The relationship between critical care nurses' decision-making and leadership styles in hospitals has been widely studied, but the influence of cogniti...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13142
更新日期:2017-02-01 00:00:00
abstract:AIMS: This paper is a report of a study of older emergency department attendees' demographic, health and social profiles. BACKGROUND: Relative to the general population, older people are higher users of hospital emergency departments. Attendance is most often associated with medical need, including a chronic conditi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05800.x
更新日期:2012-05-01 00:00:00
abstract:AIMS:To systemically review the efficacy and safety of auricular point therapy in patients with cancer-related fatigue. DESIGN:A systematic review and meta-analysis of randomized controlled trials. DATA SOURCES:Eight electronic databases (PubMed, CENTRAL, Embase, CINAHL, Web of Science, China Biology Medicine, China ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14375
更新日期:2020-05-19 00:00:00
abstract:AIM:This paper reports a study exploring the clinical experiences of student nurses with dyslexia and its potential influence on their practice. BACKGROUND:Widened access to university education has meant an increase in the number of students with dyslexia. A limited number of studies have explored the academic experi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03806.x
更新日期:2006-04-01 00:00:00
abstract:AIM:This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication. BACKGROUND:Rising numbers of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12545
更新日期:2015-02-01 00:00:00
abstract:AIMS:The aim of this study was to evaluate the prevalence of needle fear and summarize the characteristics of individuals who exhibit this fear. BACKGROUND:Injections are among the most common medical procedures, yet fear of needles can result in avoidance of preventive measures and treatment. DESIGN:Systematic revie...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析
doi:10.1111/jan.13818
更新日期:2019-01-01 00:00:00
abstract:AIM:This paper is a report of a study to evaluate the construct validity of the four-dimensional Caring Nurse-Patient Interaction-Short Scale using confirmatory factor analysis. BACKGROUND:Validating theoretical structures of caring is an ongoing challenge in the discipline of nursing. Our previous work has contribute...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04566.x
更新日期:2008-03-01 00:00:00
abstract::Little information exists in the literature to assist the nurse in understanding people of ethnic minority group status who become hospitalized in an acute-care setting. Research on these populations has primarily centred on out-patient service utilization and on folk health practices, yet the process of becoming hosp...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00399.x
更新日期:1984-09-01 00:00:00
abstract::This paper presents a discussion on the assessment of mental competence of patients and relatives in the health care setting. Their decision-making ability is explored with particular reference to the giving of consent for nursing intervention and medical treatment. It is suggested that, in addition to obvious psychol...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb02381.x
更新日期:1994-09-01 00:00:00
abstract::The purpose of this research was to qualitatively generate and psychometrically assess an instrument which assesses the self-perceived physical fitness and exercise activity levels of community-dwelling older adults and examines perceived factors which enhance or impede their exercise activity level. This research was...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.19970251220.x
更新日期:1997-06-01 00:00:00
abstract::With the development of the concept of community care there has been a significant expansion of the community psychiatric nurse (CPN) profession. The present study attempts to examine which aspects of their work CPNs currently find stressful. The study also examines the various strategies which CPNs feel to be useful ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb02519.x
更新日期:1995-02-01 00:00:00
abstract:AIMS:To identify the potential sources of inaccuracy in manually measured adult respiratory rate (RR) data and quantify their effects. DESIGN:Quantitative systematic review with meta-analyses where appropriate. DATA SOURCES:Medline, CINAHL, and Cochrane Library (from database inception to 31 July 2019). REVIEW METHO...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14584
更新日期:2020-10-10 00:00:00
abstract:AIM:This study aims to evaluate the effects of a community-based program entitled 'Brain Vitality Enhancement (BRAVE)' on the cognitive function, physical and mental well-being of persons with mild cognitive impairment. STUDY DESIGN:This is a parallel wait list randomized controlled trial. METHODS:The BRAVE program c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14175
更新日期:2019-12-01 00:00:00
abstract:AIM:To identify evidence related to association between the nurse work environment and severe maternal morbidity in high-income countries. DESIGN:Quantitative Systematic review. DATA SOURCES:Cumulative Index of Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, PubMed/Medline, and Scopus w...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14672
更新日期:2020-11-27 00:00:00
abstract::Although fatigue has been identified as a major problem for individuals with chronic obstructive pulmonary disease and with asthma, no research was found in which the symptom was directly studied in persons with these conditions. From studies carried out on various patient populations, it appears that fatigue has some...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01102.x
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:During the transition to menopause, women experience different psychological, hormonal, and physical alterations that can affect their health. Physical activity is considered an important strategy in the prevention and control of such changes. AIM:To evaluate the short-term effect of an intensive interventi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14737
更新日期:2021-01-22 00:00:00
abstract:BACKGROUND:This study is a replication of research undertaken by Mogan and Knox in 1987, which investigated and described characteristics of 'best' and 'worst' clinical educators. They developed and used an instrument known as the Nursing Clinical Teacher Effectiveness Inventory (NCTEI), a 48 item checklist that descri...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02306.x
更新日期:2002-09-01 00:00:00
abstract:AIMS:This study compared the work-related experiences and personal health status of double-duty caregivers with those of caregivers who do not provide informal care to a family member or close friend in need. BACKGROUND:The interest in providing informal care alongside employment is growing. However, little attention ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12320
更新日期:2014-07-01 00:00:00
abstract:AIM:To report a study exploring prospective relations between nurses' perceived work ability and three forms of turnover intentions, respectively, intent to leave the ward, organization and profession. BACKGROUND:Turnover of nursing staff is a major challenge for healthcare settings and for healthcare in general, urgi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05961.x
更新日期:2012-07-01 00:00:00
abstract::The provision of skillful psychosocial care to patients suffering from chronic illnesses starts with an appreciation of what it is like to live with a chronic condition. Definitions of self-esteem may be realigned when patients encounter a prolonged problem, and reliance upon professional help. Getting inside the expe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.02047.x
更新日期:1996-08-01 00:00:00
abstract::Psychiatric nurses in the United Kingdom (UK) have begun to reattend to people with 'serious and enduring mental illness'. At the same time research in the USA and UK has refocused much of its attention on neuroscientific theories and models of serious mental illness. Psychiatric nurses are being encouraged to conside...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.1997025660.x
更新日期:1997-04-01 00:00:00
abstract:AIMS:This paper is a report of a descriptive study of Chinese abdominal surgical patients' and nurses' perceptions of discharge information needs. BACKGROUND:Discharge from hospital poses a potential threat to surgical patients' lives because they have to cope in daily life with the consequences of the illness and sur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05528.x
更新日期:2011-05-01 00:00:00