A scoping review of assessment tools for care complexity of patients at home and abroad
10.3760/cma.j.cn115682-20220408-01683
- VernacularTitle:国内外患者护理难度评估工具的范围综述
- Author:
Kexin JI
1
;
Jie CHENG
;
Wenrui LI
;
Jiajia KONG
;
Ruiyuan YIN
;
Rui WANG
;
Li ZENG
;
Zhigang ZHANG
Author Information
1. 兰州大学护理学院，兰州 730010
- Keywords:
Nursing;
Review;
Care complexity;
Assessment tools;
Scoping review
- From:
Chinese Journal of Modern Nursing
2023;29(1):110-116
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically retrieve the assessment tools for patient care complexity at home and abroad, and compare their release institutions, formation process, applicable population, assessment methods and main contents.Methods:Articles on patient care complexity assessment tools was retrieved through computers in PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, WanFang Data, China Biomedical Database, and VIP Database. The retrieval time limit was from the establishment of the database to July 2, 2022. Excel 2019 was used to extract the name, release institution, evaluation method, main content and other information of the assessment tools and compare the content characteristics of the assessment tools.Results:A total of 26 assessment tools for patient care complexity were included in this study, involving 37 articles, mainly observational studies. The 26 tools were mainly issued by institutions of higher learning, and most of them were applicable to ordinary inpatients. The assessment contents included the general situation of the patient, severity of the disease, treatment items, mental cognitive function, mental health, socio-economic support and compliance.Conclusions:At home and abroad, the patient care complexity evaluation tools are mainly used to evaluate ordinary adult inpatients. There are few tools to evaluate children, the elderly, Intensive Care Unit (ICU) and other special types of patients, and there is a lack of relevant intervention research. In China, there are few tools for evaluating patient care complexity involving indicators related to mental cognitive function, which suggests that nurses can consider the mental cognitive function of patients when building relevant assessment tools in the future. In addition, the application effect of such tools in patient risk identification and safety management, nursing human resource allocation and other fields should be verified.
