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在高级实践护理中领导的障碍和推动者:系统性审查
Rosemary Fosah1, Sofia Llahana2
1University College London Hospital NHS Foundation Trust, London, UK.
International nursing review
|May 22, 2025
概括
高级实践护士面临着持续的领导障碍,包括不清楚的角色和有限的培训. 解决这些问题需要系统支持和标准化的教育,以加强它们在医疗保健创新和患者结果中的关键作用.
科学领域:
- 护理领导力 护理领导力
- 医疗保健管理的管理
- 高级实践护理高级实践护理
背景情况:
- 高级实践护士 (APN) 对医疗保健变革至关重要,但他们的领导潜力往往被低估.
- 经常强调临床和教育角色,而不是领导和研究贡献.
研究的目的:
- 通过APN识别领导力制定障碍和推动者的障碍.
- 评估这些因素在过去十年中的演变.
主要方法:
- 2015年1月至2024年3月期间发表的14项横截面研究 (5243名参与者) 的系统综述.
- 在CINAHL,MEDLINE,EMBASE,APA PsycINFO和Cochrane数据库中进行的搜索.
- 结果的叙述综合,使用乔安娜·布里格斯研究所的批判性评估工具评估质量,并根据PRISMA 2020指南报告.
主要成果:
- 确定了24个障碍和18个促进APN领导力的障碍,分为医疗保健系统,组织,团队和个人层面.
- 关键主题包括领导能力,角色明确性,发展机会,资源和指导.
- 主要障碍:角色不清楚,领导力培训不足,资源限制. 关键的推动因素:指导,领导计划,组织支持.
结论:
- 对APN领导的重大障碍仍然存在,特别是在系统和组织层面.
- 标准化的教育和培训途径对于为APN提供领导能力至关重要.
- 需要持续的机构支持,政策参与和进一步的研究,以最大限度地发挥APN在医疗保健创新和改善患者结果方面的领导潜力.
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