系统性审查:自我效能和技能表现
Angela Brocker1, Katherine N Scafide1
1School of Nursing, George Mason University, Fairfax, Virginia, USA.
International nursing review
|December 23, 2023
概括
这项系统性审查发现,与其他领域相反,护理学生的自我效能和技能表现之间的相关性很弱或不存在. 需要进一步的研究来澄清这种关系,并改善护理教育.
科学领域:
- 护理教育 护理教育
- 健康 专业 教育 卫生 专业 教育
- 心理学 心理学 心理学
背景情况:
- 自我效能是高等教育技能学习成功的一个关键预测因素.
- 护理学生必须在患者护理之前掌握技能,使技能表现对患者安全至关重要.
- 了解护理学生的自我效能和技能表现之间的联系至关重要.
研究的目的:
- 系统地审查本科护理学生的自我效能和技能表现之间的关系.
- 确定影响护理教育中这种关系的潜在因素.
主要方法:
- 按照PRISMA的指导方针,对四个数据库 (CINAHL,Medline,Psychinfo,Web of Science) 进行了系统的文献搜索.
- 包括实验室/模拟环境中实践技能的定量,同行评审的研究,并由专家评估.
- 通过Joanna Briggs研究所的批判性评估工具来评估研究的方法严谨性.
主要成果:
- 从2450个初始项目中确定了20个符合条件的研究,主要涉及初学者护理学生.
- 自我有效性措施各不相同 (一般与技能特定),所使用的技能和工具也是如此.
- 80% (16/20) 的研究报告说,自我效能与技能表现之间的相关性很弱或不存在;4项研究报告说,这种关系中等至强.
结论:
- 这些发现与其他学科的既定研究相矛盾,表明自我效能不是护理学生技能表现的强有力的预测指标.
- 差异可能源于自我有效性和包含的研究的方法严格性的操作化变化.
- 未来的研究应该涉及更大的研究与可控变量,以更好地理解这种关系,并告知课程开发的许可前护理计划.
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