近15年我国分级护理文献计量学分析

目的：了解1993～2008年间我国分级护理的研究状况及发展趋势,为分级护理的进一步研究和发展提供借鉴。方法：利用中国生物医学文献数据库,中国期刊全文数据库和维普中文科技期刊数据库,对1993-2008年国内正式发表的分级护理文献进行检索,利用Excel软件建立数据库对文献年度变化、地区分布、期刊分布、内容等进行计量学分析。结果：共检索出分级护理相关文献91篇。近年来,我国护理人员在国内刊物上发表的关于分级护理研究方面的文献数量总体呈上升趋势。结论：目前国内关于分级护理的研究呈逐年增长的趋势;分级护理日益受到护理管理者及研究人员的重视,如何改进、完善分级护理制度内容是当前护理研究的重点和难点。     

我国延续护理研究现状的文献计量学分析

目的 :应用文献计量学方法分析我国延续护理的研究现状及其存在问题,为今后该领域的研究提供参考。方法 :通过中国期刊全文数据库和万方数据库检索我国11种护理核心期刊上发表的延续护理的相关文献并进行计量分析。结果 :共检出318篇有效文献,发文数量从2007年开始呈上升趋势;文献主要来源于广东、江苏、北京等经济较发达地区;大部分文献成果来自于医院;基金论文所占比例为34.59%;研究内容主要集中在延续护理的应用与效果观察方面(66.04%);延续护理方式位于前三位的为电话、短信随访,家庭访视和网络信息平台;评价指标以患者功能和临床结果指标为主。结论 :近年来,我国延续护理发展迅速,日益受到重视,但研究质量有待提高,研究的深度及广度不够,在实施过程中缺乏多学科团队共同协作,服务存在不规范性和随意性,今后可发挥网络信息平台优势,采用多种形式相结合的服务方式,加强各大医院与社区卫生服务机构的联系,建立医院-社区-家庭服务模式。     

近十年我国跨文化护理研究文献计量学分析

目的 对2010年开始至今的国内跨文化护理相关文献进行分析,为跨文化护理工作者和研究者提供借鉴和参考。方法 以中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang Data)、中国生物医学文献数据库(CBM)以及维普中文科技期刊数据库(VIP)作为统计资料来源,对国内2010年1月-2021年12月的跨文化护理相关文献进行筛选,从发表年份、发表期刊、地域分布、文献来源、研究范围和类型等方面,对结果进行计量学统计分析。结果 共纳入138篇文献,作者单位分布在全国29个省、市和自治区;发表在统计源期刊文献占46.38%;《护理研究》以19篇文献成为刊载最多的期刊;实践应用类的跨文化护理教育和临床护理为该领域主要研究内容。结论 近十年来,跨文化护理研究在我国呈现快速发展趋势的同时,也存在地区分布不平衡、研究方法较为单一、研究内容和应用领域相对局限等方面问题。     

我国人文护理研究发展态势的文献计量学分析

目的：探讨人文护理相关研究领域的动态发展变化规律,为未来人文护理的发展方向提供借鉴。方法采用NoteExpress文献检索软件,对检索所得的567篇文献,从时间分布、期刊分布、研究类型、主题方面进行较为系统的统计分析。结果2000年,《中华护理杂志》第1次发表人文护理类文献,从而揭开了国内学者开展人文护理研究的序幕。由13年间的文献发表趋势可见,人文护理相关文献的数量整体呈增长趋势。2002-2006年,该类文献发表量增长迅速,2006-2009年发文量变化较为平稳,2009-2011年再次进入高速增长期,并于2011年期间达到顶峰,发表97篇,2012年发表75篇,虽然不及2011年发文量,但仍然高于往年。人文护理相关文献的数量整体呈增长趋势;研究类型以经验总结类最多,实验对照类研究次之;研究内容主要集中在专科护理方面,护理教育类研究数量排在第2位。结论人文护理主题的研究具有较好的成长性,目前其研究方法有待进一步改进,同时应考虑此类研究的多元化发展方向。     

我国护理网络教育的文献计量学分析

目的从文献计量学的角度分析我国护理领域网络教育研究现状、热点、趋势及存在问题。方法从中国知网期刊全文数据库、万方、维普和中国生物医学文献数据库检索并筛选自建库至2018年4月20日护理网络教育相关学术论文,采用CiteSpace 5.3.R1软件对文献特征进行分析。结果共纳入文献1 902篇,文献数量呈逐年递增趋势,研究机构分布呈现东部数量多于西部,以同一第一作者最大发文量5篇,研究方向偏向于网络教育适用性,我国当前的研究热点集中于网络教育的应用、信息素养、网络资源的建立与需求状况。结论我国护理网络教育正处于探索阶段,文献质量不高,尚未形成成熟的科研团队和研究体系,有关理论研究发展不平衡,研究热点集中,同时存在地区差异。     

国内跨文化护理研究文献计量学分析

[目的]分析国内有关跨文化护理研究文献的相关情况,揭示其研究特点及规律.[方法] 以"跨文化护理"或"多元文化护理"为主题词,检索2005年-2009年中国期刊全文数据库及维普中文科技期刊数据库中收录的文献,运用文献计量学方法对检索结果进行分析.[结果]共检出91篇有效文献,分别发表在47种期刊上,57.14%发表在统计源期刊,类型以理论阐述及应用体会为主.[结论] 国内跨文化护理理论近5年取得了长足的发展,但研究的文献质量不高.     

国内跨文化护理研究文献计量学分析

[目的]分析国内有关跨文化护理研究文献的相关情况,揭示其研究特点及规律。[方法]以＂跨文化护理＂或＂多元文化护理＂为主题词,检索2005年-2009年中国期刊全文数据库及维普中文科技期刊数据库中收录的文献,运用文献计量学方法对检索结果进行分析。[结果]共检出91篇有效文献,分别发表在47种期刊上,57.14%发表在统计源期刊,类型以理论阐述及应用体会为主。[结论]国内跨文化护理理论近5年取得了长足的发展,但研究的文献质量不高。     

整体护理的文献计量学研究分析

作者采用相关主题词中的主要主题词（MJME），对近12年来有关整体护理（HOLISTIIC-NURSING）主题文献中的主要主题词，按文献计量学方法进行统计，并进一步就整体护理相关期刊来源、文献作者及作者地址等进行分析，指明了整体护理的研究情况，为整体护理的研究及护理教育工作提供参考。     

我国手术室护理信息化研究的文献计量学分析

目的:分析我国手术室护理信息化研究,归纳目前研究的特征及热点,为进一步开展手术室护理信息化研究提供参考。方法:系统检索中国知网、万方数据库、中国生物医学文献数据库和维普网中关于手术室护理信息化的研究,检索时限为建库至2021年3月20日,文献纳入类型设定为定量研究中的实验类研究或类实验研究。采用EndNote 22.0...     

我国护理精细化管理的文献计量学分析

目的 对国内护理精细化管理的文献进行文献计量学分析,明确目前存在的问题,为护理学研究提供借鉴.方法 检索中国生物医学文献数据库、中国期刊网数据库、万方数据库和维普数据库中护理精细化管理的相关文献,利用NoteExpress 2.0和Excel软件对文献进行文献计量学分析.结果 共纳入364篇文献,相关文献的发文量呈现逐年上升趋势;吉林、广东、湖北等10个地区发文较多,共186篇,占总发文量的51.10％;收录文献较多的期刊为《医学信息》、《护理研究》和《中国卫生产业》,3种期刊共收录文献53篇(15.32％);文献类型主要为经验介绍类和类实验性研究类,共298篇(81.87％);文献合作度为2.15;有8篇文献获得资金资助.结论 近年来护理精细化管理逐渐受到研究者的关注,研究者应加强机构间的合作,同时注重提高研究设计的严谨性,以促进护理精细化管理的进一步发展.     

Palliative Care Education in the Developing Countries

Individuals who have experience in palliative care in wealthier countries with well-structured health systems see the palliative care needs of developing countries as forbiddingly huge. They are aware of an increasing incidence of cancer, but health delivery systems are often patchy and deficient, medications for pain management are not widely available, and cultural considerations limit opportunities to face advanced illness and focus on symptom control in terminal illness. An increasing prevalence of HIV infection compounds palliative care needs. Medical practice focuses on interventions that promise cure and earn a good reward, while nursing standards are variable and often unsatisfactory. There is a need for demonstrations of good care and effective symptom control, even if these reach only a small fraction of the needy population. On such demonstrations can be built education programs that take account of local realities, and promote attitudes, knowledge and skills capable of gradually introducing a greater professional concern and a better prospect of effective care for the dying.     

Determining Palliative Care Penetration Rates in the Acute Care Setting

Context

Intermountain Healthcare, in collaboration with Cerner Corporation, developed a hospital-based electronic palliative care algorithm.

Palliative Care in India

Palliative care in India is in a relatively early stage of development and consequently faces numerous problems. The extent of problems relating to the lack of such care is not well described for cancer or nonmalignant diseases. Opioid availability is seriously limited. Many inexpensive drugs are not readily available and some very expensive drugs are often prescribed, adding to the patients' burden. Enormous psychosocial needs often are neglected in busy clinics. The government's palliative care policy has not been implemented. There are clear needs for improvement in multiple areas that must be addressed as new services develop. A system based on outpatient care has proven cost-effective, empowering families to care for patients at home. Whenever possible, inpatient facility and home visits should be available for those who need them. Some measures of quality assurance should develop concurrent with growth of the palliative care movement. Successes and problems in the development of palliative care in India are discussed.     

Early Palliative Care Initiation: Role of the Primary Care Clinician

Palliative care provided to patients with chronic life-limiting illnesses shows improvement in symptom management, quality of life, and caregiver support while reducing cost of care. Early initiation of palliative care faces a multitude of barriers in the primary care setting, including provider confidence, coordination and implementation, education, and family and patient misconceptions. A team-based approach along with additional education, clear referral triggers, and resources for advanced-care planning discussions allows providers to overcome many of these barriers. With the population’s advancing age, it is essential that primary care providers are properly prepared for early initiation of palliative care.     

Late Referrals to Palliative Care Units in Japan: Nationwide Follow-Up Survey and Effects of Palliative Care Team Involvement After the Cancer Control Act

Referral to palliative care units tends to be delayed. In Japan, the Cancer Control Act was established in 2006 to improve the quality of life of cancer patients by facilitating greater access to specialized palliative care services. The primary aims of this study were to clarify the family-perceived appropriateness of the timing of referral to palliative care units after the Cancer Control Act, and to determine the effects of the involvement of the palliative care team on the family-perceived referral timing. An additional aim of this study was to clarify the family-perceived usefulness of the palliative care team. A multicenter questionnaire survey was conducted on a sample of 661 bereaved family members of cancer patents who were admitted to palliative care units in Japan. A total of 451 responses were analyzed (response rate: 68%). Half of the bereaved family members regarded the timing of referrals to palliative care units as late or too late: too late (25%, n = 114), late (22%, n = 97), appropriate (47%, n = 212), early (2.4%, n = 11), and very early (1.8%, n = 8). Among 228 families who reported that patients had commented on the timing of referrals, about half reported that the patients said the timing of referral was late or too late: too late (23%, n = 52), late (21%, n = 49), appropriate (48%, n = 110), early (4.4%, n = 10), and very early (3.1%, n = 7). The families of patients with a palliative care team (n = 191) tended to report less frequently that they believed the referral timing to be late or too late (43% vs. 51%, P = 0.073); they also reported significantly less frequently that the patients said that the referral timing was late or too late (36% vs. 52%, P = 0.037). The percentages of families who evaluated the palliative care team as useful or very useful were: 93% (symptom control), 90% (emotional support), 92% (family support), and 87% (care coordination). Half of the Japanese bereaved families of patients admitted to palliative care units regarded the timing of referrals as late or too late, and the rates identified in the survey were similar to those recorded before the Cancer Control Act. Involvement of the palliative care team, however, significantly correlated with lower family- and patient-perceived late referrals, and palliative care team activity was generally perceived as useful by the bereaved family members. Further dissemination of palliative care teams could contribute to better access to palliative care units and quality palliative care throughout the country.     

Palliative Care

Over 4 million American Indians and Alaskan Natives live in communities that receive health care primarily from the federal Indian Health Service or tribal health programs. Palliative care has only recently been formally addressed for these communities. An Indian Health Service program introduced the topic and several programs are ongoing. Needs for and barriers to palliative care in native peoples' communities are discussed and several successful programs at various stages of development and implementation are described.