护理中使用的临床监督模型和框架:范围审查
Debbie Zonneveld1, Tiffany Conroy2, Lauren Lines3
1Barwon Health McKellar Centre, Flinders University College of Nursing and Health Sciences, Bedford Park, South Australia, Australia.
Journal of advanced nursing
|December 14, 2024
概括
护理中的临床监督模型需要进一步发展,以有效地支持高级实践角色中的护士. 需要改进的模型来促进批判性思维和反思性实践,以获得更好的患者结果.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 专业发展专业发展
背景情况:
- 临床监督对于护理专业发展至关重要.
- 现有的模型和框架缺乏清晰度和基于证据的应用.
- 向高级实践过渡的护士需要特定的支持结构.
研究的目的:
- 综合审查和绘制护理中的临床监督模型.
- 确定它们在各种护理领域的应用.
- 突出目前临床监督实践中的差距.
主要方法:
- 采用了一个范围审查方法,遵守JBI指南.
- 在多个数据库 (CINAHL,Medline,PsycINFO,ERIC,Emcare) 中进行了系统的搜索.
- 搜索于2023年6月进行,并于2024年6月重复,包括未发表的指导方针.
主要成果:
- 39篇论文确定了33种不同的临床监督模型和框架.
- 概念混乱和缺乏基于证据的选择是普遍存在的.
- 确定需要均衡的临床监督,以提高护士的反思和批判性思维能力.
结论:
- 临床监督模型需要进一步改进,以充分支持高级实践中的护士.
- 对临床监督的更好理解对于当代护理至关重要.
- 建议对超级沟通技能和基于专业的监督内容进行培训.
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