教导护士的方法 静脉静脉全身抗癌疗法 管理:一个范围审查
Michelle O'Dowd1, Siobhan O'Dowd2, Geraldine Austin2
1School of Nursing, Health Sciences and Disability Studies, ATU St Angela's, Sligo, Ireland; School of Nursing & Midwifery, University of Galway, Ireland.
Seminars in oncology nursing
|August 1, 2025
概括
护士需要专门的培训,以安全的静脉注射全身抗癌疗法 (SACT) 管理. 本次审查确定了教育方法,并强调需要更多的研究,特别是在欧洲,以提高患者和提供者的安全.
科学领域:
- 瘤科 护理 护理专业
- 医疗保健教育 医疗保健教育
- 患者安全 患者安全
背景情况:
- 静脉静脉全身抗癌疗法 (SACT) 管理复杂,并对患者和护士造成化学毒性暴露的风险.
- 每年有数百万人接受IV SACT,因此需要强有力的安全实践教育策略.
- 确定目前IV SACT护理教育的差距对于提高安全性至关重要.
研究的目的:
- 进行关于教育方法的出版文献的范围审查,以教导护士 IV SACT 的安全管理.
- 确定有关护士IV SACT教育的现有知识体系的范围和差距.
主要方法:
- 进行了JBI指导的范围审查,搜索多个数据库 (CINAHL,Embase,Medline,SCOPUS) 和谷歌学者灰色文献.
- 包括在2010年至2023年期间以英语出版的研究,重点是安全IV SACT管理的教学方法.
- 数据被提取并使用PAGER框架 (模式,进步,差距,实践证据,研究建议) 以叙事形式呈现.
主要成果:
- 审查了222篇全文文章,其中包括20项研究用于数据提取.
- 发现的关键模式包括多样化的教育方法 (传统到模拟/VR),跨学科的合作,全球培训差异,以及缺乏长期跟进.
- 在欧洲的研究中存在一个显著的差距,在审查中没有包括欧洲研究.
结论:
- 目前的文献缺乏基于模拟的IV SACT培训的随机对照试验.
- 需要进一步进行干预性研究,包括对人工智能和仿真等新兴技术的元分析和研究.
- 加强的研究可以弥合临床实践和技能培训之间的差距,最终提高SACT管理中的患者和提供者安全.
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