关键词: 住院患者, 出院计划, 关键任务, 循证护理

Abstract:

Objective To select,evaluate and summarize the best available evidence for key tasks of discharge planning in all hospitalized patients,so as to provide references for clinical practice of discharge planning.Methods We searched National Institute for Health and Clinical Excellence,New Zealand Guidelines Group,Scottish Intercollegegiate Guidelines Network,National Guideline Clearinghouse,Guidelines International Network,Joanna Briggs Institute,Registered Nurses’ Association of Ontario,Centers for Medicare Medicaid Services,Health Service Executive,medlive,UpToDate,Cochrane library,CINAHL,Pubmed,CNKI,Wanfang Database,CBM,CQVIP,to collect literature of discharge planning,including standards,guidelines,expert consensuses,government documents,best/recommended practices,summary of evidence,systematic evaluation,systematic reviews. 3 researchers independently evaluated quality of literature and extracted the evidence that met the quality standards.Results 19 articles were enrolled,including 3 standards,5 guidelines,3 expert consensuses,1 expert opinion,2 government documents,1 recommended practice toolkit,1 evidence summary,1 clinical decision,and 2 systematic reviews. Totally 33 pieces of evidence were selected from admission to discharge based on 5 periods of the timeline,including in 24 hours after admission,during hospitalization,in 24 hours before discharge,on discharge day and after discharge.Conclusion This study summarized the best evidence for key tasks of discharge planning for inpatients,and hospitals can develop personalized discharge plans for various diseases to promote safe and effective discharge of patients.

Key words: Inpatients, Discharge Planning, Key Tasks, Evidence-Based Nursing