专业和高级实践护士指导计划的特点和有效性:系统审查
Isabel Vlerick1,2, Lise-Marie Kinnaer1, Ben Delbaere3
1Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
针对高级实践护士的指导计划在工作保留和工作满意度方面显示出积极的结果. 需要进一步的研究来规范这些专业护士和护士导航员的课程.
科学领域:
- 护理 护理 护理
- 高级实践护理高级实践护理
- 医疗保健管理的管理
背景情况:
- 辅导对于护理专业发展至关重要.
- 专门护士 (SN),护士导航员 (NN) 和高级实践护士 (APN) 需要量身定制的支持.
- 对于这些群体而言,现有的指导计划在结构和有效性上有所不同.
研究的目的:
- 系统地审查SN,NN和APN的指导计划的目标,特点和有效性.
- 确定护理指导的最佳实践和改进领域.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在2022年11月至12月期间搜索了四个数据库 (PubMed,EMBASE,CINAHL,Cochrane图书馆).
- 包括12篇文章,所有文章都侧重于APN指导;通过叙事分析进行数据合成;使用CASP和MMAT进行质量评估.
主要成果:
- 所有的12项研究都集中在高级实践护士 (APN) 上.
- 导师形式包括非正式/正式的导师,工作影子和研讨会.
- 报告的积极结果是:保持工作 (5项研究),工作满意度 (6项研究),提高技能 (7项研究),计划满意度 (7项研究) 和增强信心 (4项研究).
结论:
- 目前针对APN,SN和NN的指导计划缺乏统一性和一致的理论基础.
- 进一步的研究对于开发系统的,基于理论的辅导计划至关重要.
- 需要一个强大的评估方法,包括混合方法,以评估项目在个人,团队和组织层面的影响.
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