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基于COSMIN的测量现任和未来护士临床推理能力的仪器:系统审查
Xiao Ren1, Xiaohui Dong1, Ye Tao1
1School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Nurse education in practice
|July 19, 2025
概括
这次审查评估了护理临床推理评估工具. 护士临床推理量表 (NCRS) 是有前途的,但需要进一步的研究来证实其测量特性.
科学领域:
- 护理教育 护理教育
- 医疗保健专业能力 医疗保健专业能力
- 认知评估 认知评估
背景情况:
- 临床推理对于安全的护理实践至关重要.
- 现有的评估工具缺乏对测量属性的全面评估.
- 基于证据的工具选择是有限的.
研究的目的:
- 系统地评估护士临床推理评估工具的方法质量和测量特性.
- 为选择适当的评估工具提供基于证据的基础.
主要方法:
- 根据基于共识的健康测量仪器选择标准 (COSMIN) 的指导方针进行系统审查.
- 从创立到2025年3月31日,搜索了11个数据库.
- 使用COSMIN偏差风险检查清单和综合测量属性的方法质量评估.
主要成果:
- 包含了18项关于12种仪器的研究.
- 没有仪器报告跨文化有效性,测量错误或响应性.
- 韩国版本的临床推理评估标签 (K-CRAR) 获得了C类;其他是B类.
结论:
- 护士临床推理量表 (NCRS) 证明了构造有效性,内部一致性和假设测试 (B类) 的中等到高质量的证据.
- 由于其广泛使用,暂时建议使用NCRS.
- 未来的研究应该专注于NCRS测量属性的全面评估,包括跨文化有效性和响应性.
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