护理文化能力干预措施的有效性:系统审查和元分析
Selvedina Osmancevic1, Laura Maria Steiner2, Franziska Großschädl1
1Institute of Nursing Science, Medical University of Graz, Neue Stiftingtalstraße 6, 8010 Graz, Austria.
International journal of nursing studies
|April 22, 2025
概括
护士的文化能力培训显示他们的技能略有改善,但证据质量较低. 需要对这些干预措施对患者的结果进行更多研究.
科学领域:
- 护理教育 护理教育
- 改善医疗保健质量 改善医疗保健质量
- 文化能力 研究 研究 文化能力
背景情况:
- 在减少医疗保健不平等方面,具有文化能力的护理服务至关重要.
- 以前的研究表明,文化能力培训可以减少种族主义,改善文化多样性的导航.
- 缺乏关于护士文化能力干预措施有效性的综合证据.
研究的目的:
- 系统地审查和评估文化能力干预措施对护士文化能力水平的有效性.
- 评估这些干预措施对患者相关结果的影响.
主要方法:
- 进行了系统审查和元分析,搜索多个数据库,直到2023年9月.
- 包括使用准实验或实验设计的研究.
- 方法质量使用修订后的Cochrane偏差风险工具 (RoB 2) 和ROBINS-I.工具进行了评估.
主要成果:
- 包括17项研究,其中12项为分析做出了贡献.
- 教育和培训干预措施显示护士的文化能力略有提高 (低确定性证据).
- 基于技术的干预措施可能会提高文化能力,但证据非常不确定;没有患者结果数据可以汇总.
结论:
- 教育和培训干预可以提高护士的文化能力,应该是继续教育的一部分.
- 文化能力干预的证据基础由于不准确性和偏见风险而具有较低的确定性,需要谨慎解释.
- 在研究这些干预措施对患者相关结果的影响方面存在重大差距.
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