Structured nursing consultation programs in the pre- and post-liver transplant period: A Scoping Review Protocol

ABSTRACTObjective: To map and synthesize the evidence on structured nursing consultation programs for people in the pre- and/or post-liver transplant phase, identifying their characteristics, objectives, interventions performed, implementation contexts, and reported results.Introduction: Liver transplantation is the primary treatment for end-stage liver failure, involving a complex process before and after surgery. Nursing consultations are crucial for patient preparation, monitoring, and promoting adherence to therapy. Structured nursing programs with evidence-based interventions can enhance safety and continuity of care for transplant recipients. However, the implementation, characteristics, and outcomes of these programs are not well-documented in the literature.Inclusion Criteria: Studies with adults (18 years or older) who are candidates for liver transplantation and/or who have undergone liver transplantation will be included, and may include nursing professionals involved in the consultation programs. Studies with structured nursing consultation programs and systematized interventions will be included in any context of health care provision (hospital, outpatient, transplant units, home care). No geographical or temporal restriction will be applied.Methods: An initial limited search in Medline and CINAHL will be conducted, followed by a second search for published and unpublished studies without publication date limitations in MEDLINE® with Full Text, CINAHL® Plus with Full Text, MedicLatina™, SCIELO, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and JBI Evidence Synthesis. Two reviewers will independently conduct the study selection. After retrieving full-text studies, reference analysis, methodological quality assessment, and data extraction will also be independently conducted by two reviewers. Results will be accompanied by a narrative synthesis or meta-analysis, if appropriate.Conclusion: This review will provide a helpful knowledge base for clinical practice and the development of more effective, person-centred nursing consultation programmes in liver transplantation.

摘要
研究目的：旨在梳理并综合针对肝移植（liver transplantation）术前及/或术后人群的结构化护理咨询方案（structured nursing consultation programs）相关证据，明确其特征、目标、实施的干预措施、开展场景以及已报道的应用效果。
研究背景：肝移植是终末期肝衰竭（end-stage liver failure）的首选治疗手段，其手术前后流程均较为复杂。护理咨询对于患者术前准备、术后监护以及提升治疗依从性至关重要。基于循证干预的结构化护理方案，可提升肝移植受者的护理安全性与照护连续性。然而，当前文献中尚未充分记录此类方案的实施情况、特征及应用结局。
纳入标准：本研究纳入针对18岁及以上肝移植候选者或已接受肝移植者的相关研究，同时可纳入参与该护理咨询方案的护理专业人员相关研究。本研究纳入所有医疗照护场景（包括医院、门诊、移植单元、居家护理）下的结构化护理咨询方案及系统化干预相关研究，无地域与时间限制。
研究方法：首先将在Medline与CINAHL数据库中开展初步限定性检索，随后针对已发表及未发表的研究开展二次检索，检索范围覆盖带全文的MEDLINE®、带全文的CINAHL® Plus、MedicLatina™、SCIELO、考克兰对照试验中心注册库（Cochrane Central Register of Controlled Trials）、考克兰系统评价数据库（Cochrane Database of Systematic Reviews）以及JBI证据合成库（JBI Evidence Synthesis），且无出版日期限制。将由2名评审员独立完成研究筛选；获取全文文献后，同样由2名评审员独立开展参考文献分析、方法学质量评估及数据提取工作。若条件允许，研究结果将辅以叙述性综合或元分析进行呈现。
研究结论：本综述将为临床实践以及肝移植领域更高效且以患者为中心的护理咨询方案开发提供有益的知识基础。