注册护士的顶级执照实践:一个范围审查
Jeanne Hlebichuk1, Rachelle J Lancaster2, Vida Vizgirda2
1Magnet Program, Aurora St. Luke's Medical Center, Milwaukee, WI.
Nursing outlook
|April 18, 2025
概括
标准化顶级执照 (TOL) 护理实践至关重要. 这次审查发现TOL的定义和应用不一致,强调需要采用统一的方法来提高护理效率和患者护理.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
背景情况:
- 注册护士是必不可少的,但经常承担非护理任务,导致效率低下和流动.
- 在2013年引入的顶级执照 (TOL) 护理实践概念缺乏一致的定义和应用.
研究的目的:
- 探索现有文献中最高执照护理实践的定义和应用.
- 确定与TOL护理实践对效率,患者护理和护士认知的影响相关的主题.
主要方法:
- 根据既定的框架 (Arksey & O'Malley,PRISMA-ScR) 进行了全面的范围审查.
- 通过对15个数据库和灰色文献进行搜索,确定了1377篇文章,其中45篇符合纳入标准.
主要成果:
- 在文献中发现TOL护理实践的定义和应用是不同的.
- 三个新兴的主题包括劳动力效率,改善患者护理和结果,以及提高护士对临床实践的看法.
- 有限数量的研究测量了TOL护理实践的结果.
结论:
- 标准化最高执照护理实践的定义对于推进研究和政策至关重要.
- 提供了明确的定义和区分从实践范围.
- 标准化是改善护理质量和患者结果的关键.
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