先进实践护理研究的全球视角:对系统性审查的审查
Kelley Kilpatrick1,2, Isabelle Savard3, Li-Anne Audet3
1Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
PloS one
|July 2, 2024
概括
高级实践护士提供与医生相等或优于医生的护理. 然而,全球先进实践护理的研究表明,区域代表性不足,并确定了人工智能和患者伙伴关系的差距.
科学领域:
- 护理研究 护理研究
- 全球卫生政策 全球卫生政策
- 基于证据的实践.
背景情况:
- 世界卫生组织倡导扩大高级实践护理 (APN) 角色.
- 了解APN,执业护士 (NP) 和临床护士专家 (CNS) 的影响对于全球教育,研究和政策至关重要.
- 这项研究解决了对先进实践护理影响更清晰的全球理解的需要.
研究的目的:
- 为了确定现有的空白在先进的实践护理研究在世界各地.
- 为先进实践护理教育,研究和政策制定全球优先事项提供信息.
主要方法:
- 进行了对系统审查的全面审查,从2011年1月起搜索多个数据库.
- 进行了灰色文献和参考列表手动搜索,使用关键评估技能计划 (CASP) 评估质量.
- 研究选择,数据提取和CASP评估由两个审稿人独立进行,随后进行叙事综合.
主要成果:
- 包括来自38个国家的117个系统审查,表明了大量的全球研究.
- 证据始终表明,在29个指标上,APN,NP和中枢神经系统的护理与医生护理相等或优于医生护理.
- 在生活质量,成本和服务提供方面观察到不同的结果;没有任何指标始终有利于比较组.
结论:
- 全球范围内存在大量先进实践护理研究,但某些世卫组织地区的代表性不足.
- 关键的研究缺口包括人工智能 (AI) 应用,跨专业团队动态和患者/家庭参与医疗保健.
- 需要进一步的研究来解决这些差距,并优化先进实践护理对全球健康的贡献.
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